冠状动脉扩张症患者焦虑、抑郁和用药依从性相关分析
Correlation analysis of anxiety,depression and drug compliance in patients with coronary artery ectasia
陈美润 1张配涓 1杨秀春 2宗义君 1沈永青 1李赛沙1
作者信息
- 1. 河北中医药大学(石家庄,050020)
- 2. 河北医科大学第二医院
- 折叠
摘要
目的 开展冠状动脉扩张症患者焦虑、抑郁和用药依从性状况的调查及影响因素,分析其用药依从性与焦虑抑郁之间的关系.方法 回顾性调查了 2020年3月～2022年9月河北省某三级甲等综合医院心内科的98名冠状动脉扩张症患者.采用一般资料问卷、综合医院焦虑抑郁量表(HAD)、Morisky用药依从性量表(MMAS-8)进行问卷调查.结果 冠状动脉扩张症患者HAD得分为(9.51±4.77),MMAS-8得分为(5.46±1.46).Spearman秩相关分析冠状动脉扩张症患者的用药依从性与焦虑抑郁呈负相关(r=-0.608,P＜0.01).多元线性逐步回归分析显示,家庭人均月收入、糖尿病、BMI、陪护类型是CAE患者焦虑抑郁的主要影响因素(P＜0.05).结论 冠状动脉扩张症患者焦虑抑郁水平较高,用药依从性较差,二者呈负相关.
Abstract
Objective To conduct a survey on the current status of anxiety and depression in patients with coro-nary artery ectasia(CAE)and analysis of the influencing factors,and to analyze the relationship between their com-pliance with secondary prevention medication and anxiety,depression.Methods Ninety-eight patients diagnosed with CAE by coronary angiography in the cardiology department of a tertiary care general hospital in Hebei Province from March 2020 to September 2022 were retrospectively investigated.General information questionnaires,the Hospi-tal Anxiety and Depression Scale(HAD),and the Morisky Medication Adherence Scale-8(MMAS-8)were used to conduct the questionnaire survey.Results HAD scores of CAE patients were(9.51±4.77)and MMAS-8 scores were(5.46±1.46).Spearman rank correlation analysis showed Medication adherence in patients with CAE was negatively correlated with anxiety and depression(r=-0.608,P＜0.01).Multiple linear stepwise regression analysis showed that monthly per capita household income,diabetes,BMI,and type of companionship were the main influencing factors of anxiety and depression in CAE patients(P＜0.05).Conclusion The level of anxiety and depression in patients with coronary artery dilatation was higher,and the compliance with secondary prophylactic drugs was poor,which showed a negative correlation.
关键词
冠状动脉扩张症/焦虑抑郁/用药依从性/影响因素/调查研究Key words
Coronary artery ectasia/Anxiety/Depression/Medication Adherence/Influencing Factors引用本文复制引用
基金项目
河北省自然科学基金资助项目(H2021206229)
河北省专业学位教学案例(库)建设项目(KCJSZ2021065)
河北省高等教育教学改革研究与实践项目(2020GJJG199)
出版年
2024
NETL
NSTL
万方数据