中国医学创新目次冠状动脉粥样硬化性心脏病患者疾病进展和负情绪相关性分析.docVIP

中国医学创新目次冠状动脉粥样硬化性心脏病患者疾病进展和负情绪的相关性分析 　　【摘要】 目的：分析冠状动脉粥样硬化性心脏病患者的疾病进展与负情绪的相关性。方法：选取2014年6月-2015年6月本院心内科收治的冠心病患者283例作为研究对象，根据冠脉造影显示冠脉狭窄程度将其分为低危组（98例）、中危组（75例）、高危组（110例），采取面对面形式，使用焦虑自评量表（SAS）、抑郁自评量表（SDS）、症状自评量表（SCL-90）进行问卷调查，并进行追踪随访，分析冠脉狭窄程度与负性情绪（焦虑、抑郁）得分值之间的相关性。结果：中危组及高危组负性情绪得分值明显高于低危组，比较差异均有统计学意义（P0.05）；高危组在抑郁得分值方面明显高于中危组，比较差异有统计学意义（P0.05）；负情绪与冠心病患者疾病进展存在正相关（r=0.459，P0.05）。结论：冠心病与负情绪在疾病的进展过程中存在正相关，二者互为因果，相互促进，早期及时有效地进行心理干预对改善冠心病预后、提高患者生活质量具有重要的意义。 　　【关键词】 冠心病； 负情绪； 疾病进展； 相关性 　　【Abstract】 Objective： To analyze the correlation between disease progression and negative mood in patients with coronary atherosclerotic heart disease. Method： From June 2014 to June 2015，283 patients with coronary heart disease admitted to our hospital were divided into low-risk group （98 cases）， moderate-risk group （75 cases） and high-risk group（110 cases）.They were given face-to-face form， the self-rating anxiety scale（SAS），self-rating depression scale （SDS） and symptom-self-rating scale （SCL-90）.The relationship between the severity of coronary artery stenosis and the score of negative emotion （anxiety and depression） was analyzed. Result： The scores of negative emotion in the moderate-risk group and high-risk group were significantly higher than those in the low-risk group（P0.05）.The score of depression in the high-risk group was significantly higher than that in the moderate-risk group（P0.05）. There was a positive correlation between negative mood and disease progression in patients with coronary heart disease（r=0.459，P0.05）.Conclusion： There is a positive correlation between coronary heart disease and negative emotion in the progression of the disease. Both of them are causal and promote each other. Early and effective psychological intervention is of great significance to improve the prognosis of coronary heart disease and improve the quality of life of patients. 　　【Key words】 Coronary heart disease； Negative mood； Disease progression； Correlation 　　First-author’s address：Wuchuan