首页|新型冠状病毒感染常态化防控时期心内科就诊患者焦虑、抑郁、躯体化症状及睡眠质量调查

新型冠状病毒感染常态化防控时期心内科就诊患者焦虑、抑郁、躯体化症状及睡眠质量调查

Investigation on anxiety,depression,somatization symptoms,and sleep quality among cardiology patients during the 2019-nCoV normalization period

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目的 了解新型冠状病毒(2019-nCoV)感染常态化防控时期,心内科就诊患者的焦虑、抑郁、躯体化症状和睡眠质量情况调查,以便为心血管疾病患者的心理干预提供依据.方法 选取2023年1至3月安徽医科大学第一附属医院心血管内科门诊患者作为研究对象;以焦虑自评量表(GAD-7)、抑郁自评量表(PHQ-9)、躯体化症状自评量表(SSS)和匹兹堡睡眠质量指数量表(PSQI)来评估患者的焦虑、抑郁、躯体化症状和睡眠质量;采用多因素logistic回归模型分析其影响因素.结果 纳入423例患者,其中焦虑、抑郁、躯体化症状的发生率分别为51.3%、51.0%和74.5%,睡眠质量普遍较差.多因素logistic回归分析结果显示,男性(OR=0.646)、>45岁(>45~60岁,OR=0.362;>60~80岁,OR=0.316)是心内科就诊患者焦虑的保护因素,大学以上学历(OR=13.886)、有2019-nCoV感染史(OR=21.420)是心内科就诊患者焦虑的危险因素;男性(OR=0.413)是心内科就诊抑郁的保护因素,大学以上学历(OR=3.103)、有2019-nCoV感染史(OR=8.763)是心内科就诊患者抑郁的危险因素;女性(OR=0.594)、有2019-nCoV感染史(OR=27.514)是躯体化症状的危险因素;>45岁(>45~60岁,OR=0.181;>60~80岁,OR=0.440)是心内科就诊患者睡眠质量的保护因素,有2019-nCoV感染史(OR=42.036)是睡眠质量的危险因素.结论 2019-nCoV常态化防控时期,焦虑、抑郁、躯体化症状及睡眠障碍检出率高.有2019-nCoV感染史是心内科就诊患者焦虑、抑郁、躯体化症状及睡眠障碍的共同影响因素.
Objective To investigation on the anxiety,depression,somatization symptoms,and sleep quality a-mong cardiology patients during the"normalization"period of 2019-nCoV,and to analyze the influencing factors,in or-der to provide a basis for psychological interventions for cardiovascular disease patients.Method The study selected patients from the cardiology outpatient department of the First Affiliated Hospital of Anhui Medical University from Janu-ary to March 2023 as the subjects.The Generalized Anxiety Disorder 7-item(GAD-7),Patient Health Questionnaire-9(PHQ-9),Somatization Symptom Scale(SSS),and Pittsburgh Sleep Quality Index(PSQI)were used to assess patients'anxiety,depression,somatization symptoms,and sleep quality.A multivariate logistic regression model was used to ana-lyze the influencing factors of patients'anxiety,depression,somatization symptoms,and sleep quality.Results The study included 423 patients,the incidence of anxiety,depression,and somatization symptoms among cardiology outpatient patients were 51.3%,51.0%,and 74.5%respectively,with generally poor sleep quality.Multivariate logistic regression analysis showed that being male(OR=0.646)and older than 45 years(>45-60 years,OR=0.362;>60-80 years OR=0.316)were protective factors for anxiety in cardiology patients,while having a higher education level(OR=13.886)and a history of 2019-nCoV infection(OR=21.420)were risk factors.Being male(OR=0.413)was a pro-tective factor for depression in cardiology patients,whereas having a higher education level(OR=3.103)and a history of 2019-nCoV infection(OR=8.763)were risk factors.Being female(OR=0.594)and having a history of 2019-nCoV infection(OR=27.514)were risk factors for somatization symptoms.Being older than 45 years(>45-60 years,OR=0.181;>60-80 years,OR=0.440)was a protective factor for sleep quality in cardiology patients,whereas a history of 2019-nCoV infection(OR=42.036)was a risk factor.Conclusions During the"normalization"period of 2019-nCoV,the detection rates of anxiety,depression,somatization symptoms and sleep disorders are high.A history of 2019-nCoV infection is a common influencing factor for anxiety,depression,somatization symptoms,and sleep disorders in cardiology patients.

Cardiovascular diseases2019-nCoVAnxietyDepressionSomatoform disordersSleep qualityHeartdisease risk factors

钱倩倩、程自平、范彬、齐乐、陈晨、刘兆平、章蓓蓓

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安徽医科大学第一附属医院安徽省公共卫生中心心血管内科,合肥 230022

安徽医科大学第一附属医院安徽省公共卫生中心消化内科,合肥 230022

心血管疾病 新型冠状病毒感染 焦虑 抑郁 躯体型障碍 睡眠质量 心脏病危险因素

2024

中国临床保健杂志
卫生部北京医院 安徽省保健委员会

中国临床保健杂志

CSTPCD
影响因子:0.931
ISSN:1672-6790
年,卷(期):2024.27(4)