急性心肌梗死恢复期病人的健康教育需求调查中华护理杂志2004.docVIP

老年急性冠脉综合症患者伴发焦虑抑郁状况的影响因素及护理需求 涂国红 李艳敏 王浩 （解放军总医院 南楼心脏监护室，北京 100853） 【摘 要】 目的 探讨老年急性冠脉综合症（ACS）患者伴发焦虑抑郁状况的影响因素及护理需求情况。 方法 采用Zung焦虑自评量表（SAS）、Zung抑郁自评量表（SDS）和病区自行设计的统一观察表等对256例老年ACS患者进行测评和调查，了解病人的焦虑、抑郁发生情况，并分析焦虑抑郁发生的影响因素及各类临床表现和护理需求情况。结果 老年ACS患者均存在不同程度的焦虑抑郁状况，其中焦虑症状发生121例占60.16%，抑郁症状47例占，同时合并焦虑抑郁症状为33例，焦虑抑郁总发生率为78.52%。logistic回归分析结果显示：伴发焦虑抑郁状况主要与疾病相关知识、行为方式、医院环境、社会支持系统等因素有密切关系（p0.05），患者的各类护理需求中，吸氧时间、扣背次数、按摩次数、心理健康教育较无症状者明显增多（p0.05） 结论对于老年ACS伴发焦虑抑郁患者应加强各项护理，尤其是加强心理护理，有针对性的进行个体健康教育，对有效减少或防止老年ACS焦虑和抑郁的发生，促进疾病的好转、改善愈后和提高患者的生活质量具有重要意义。 【关键词】 老年；急性冠脉综合症；焦虑 ； 抑郁；护理需求 The survey of influential factors related to anxiety and depression in senile patients with acute coronary syndrome and related nursing requiements Tu Guo-hong，Li Yan-min, Wang Hao CCU，Nan Lou, PLA General Hospital，Beijing 100853, China 【Abstract】 Objection: To study The survey of influential factors related to anxiety and depression in senile patients with acute coronary syndrome and related nursing requiements. Methods: Zung self-rating anxious scale (SAS), Zung self-rating depressive scale (SDS) and self-designed observation scale were applied to access the mental state of 256 senile patients with acute coronary syndrome (ACS). The incidence of anxiety and depression, related influential factors and clinical manifestations, as well as nursing requirements were evaluated. . Results: Different degrees of anxiety and depression were found in all the patients.121 cases (60.16% ) presented with anxious symptoms, 47 cases presented with depressiive symptoms, while 33 cases presented wit both anxious and depressive symptoms. The incidence of anxiety and depression were 78.52%. logistic regression analysis showed factors such as disease related knowledge, behaviors, hospital environment, and social supporting systems were closely related to the incidence of anxiety and depression. Patients with anxiety or/and depression needed more nursing requirements such as the time of oxygen , times o