心力衰竭患者抑郁状况及相关因素

Depression status and related factors of patients with heart failure

ES评分 6

DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(3)
作者
作者单位

上海市浦东新区南汇精神卫生中心 ;
上海市精神卫生中心 ;

摘要
目的:探讨心力衰竭患者的抑郁状况及相关的影响因素。方法:采用自制的一般资料表及流调中心抑郁自评量表(Centre of Epidemiological Studies-Depression scale ,CES-D)对132名心力衰竭患者进行调查。结果:心力衰竭患者的抑郁检出率为49.2% ,CES-D分为15.96±8.71,均高于我国城市常模(χ2=14.95,P<0.001;t=3.02,P=0.003);并发慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)、并发高血压及血清25(OH)D浓度<50 nmol/L的心力衰竭患者的抑郁发生率均高于未并发COPD、未并发高血压及血清25(OH)D浓度≥50 nmol/L的患者(χ2=4.78,P=0.029;χ2=5.92,P=0.015;χ2=18.69,P<0.001);具有抑郁症状心力衰竭患者与不具有抑郁症状的患者相比,其血清25(OH)D浓度偏低(t=-9.53,P<0.001),而血清NT-proBNP浓度偏高(t=6.10,P<0.001);相关分析显示,心力衰竭患者的抑郁状况与血清25(OH)D浓度呈负向相关(r=-0.31,P=0.014),与血清NT-proBNP浓度正向相关(r=0.29,P=0.006)。结论:心力衰竭患者的抑郁发生率较高;心力衰竭患者抑郁的危险因素有:并发高血压、并发COPD、血清25(OH)D浓度降低(<50 nmol/L)及血清NT-proBNP浓度升高。
Abstract
Objective To explore the depression status and related factors of patients with heart failure. Method By using homemade general characteristics record sheet and Centre of Epidemiological Studies-Depression scale (CES-D),the depressive status of 132 patients with heart failure were assessed. Results Incidence of depressive of heart failure patients was 49.2%,and the CES-D score was 15.96±8.71, both them were higher than city norm (χ2=14.95,P<0.001;t=3.02,P=0.003); The incidence of depressive of heart failure patients complicated with chronic obstructive pulmonary disease (COPD), hypertension, and the level of serum 25(OH)D <50 nmol/L were higher than the heart failure patients without COPD, hypertension, and the level of serum 25(OH)D≥50 nmol/L (χ2=4.78, P=0.029; χ2=5.92, P=0.015; χ2=18.69, P<0.001 ); Compared with patients without depressive symptoms, the level of serum 25(OH) D of patients with depressive symptoms was lower (t=-9.53, P<0.001), and the level of serum NT-proBNP of patients with depressive symptoms was higher (t=6.10, P<0.001); There was negative correlation between the serum 25(OH)D and CES-D score (r=-0.31, P=0.014), and there was positively correlation between the serum NT-proBNP and CES-D score (r=0.29, P=0.006). Conclusion The depressive status in patients with heart failure was poor; The risk factors for depression of patients with heart failure were with COPD or hypertension, the level of serum 25(OH)D become lower (<50 nmol/L) ,and the level of serum NT-proBNP increased.
关键词
心力衰竭患者;抑郁状况;流调中心抑郁自评量表(CES-D);心理卫生
KeyWord
The patients with heart failure;Depressive symptoms;Centre of Epidemiological Studies-Depression scale (CES-D);Mental health
基金项目
页码 431-434
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潘丽红,徐林群,顾春红*,王继军. 心力衰竭患者抑郁状况及相关因素 [J]. 国际精神病学杂志. 2019; 46; (3). 431 - 434.

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李**复旦大学****** 已认证✔

2025-12-10 03:38:51

该摘要结构完整,研究目的明确,以 CES-D 量表评估心力衰竭患者的抑郁状况,并分析相关影响因素。统计结果显示,心力衰竭患者的抑郁检出率较高,与 COPD、高血压、25(OH)D 水平降低及 NT-proBNP 升高等因素具有显著相关性,整体呈现出较好的数据支持性。 然而,摘要中仍存在若干可改进之处。首先,“高于城市常模”相关的统计方法(χ² 与 t 检验)具体比较方式略显不够清晰。此外,摘要侧重统计结果,方法部分过于省略,对样本代表性、量表使用可靠性等关键信息未作交代。 总体而言,该摘要呈现的研究结果有一定的临床参考价值,但在术语规范性和统计指标解释的清晰度方面仍可进一步加强,以提升摘要的信息量和科学表达水平。

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