摘要
目的 探讨心房颤动（简称房颤）患者焦虑、抑郁情绪的发生情况及其与患者生活质量（QOL）的关系.方法 入选房颤患者80例,根据主诉、病史、体格检查及其他辅助检查排除器质性心脏病及可引发心房颤动的其他器质性疾病,选取同年龄、同性别的80名健康人（无器质性疾病及精神疾病）作为对照组,采用美国简明健康测量量表（SF-36）评估两组受试者生活质量评分,采用医院焦虑、抑郁量表（HADS）评估两组受试者的情绪情况,通过SPSS 12.0软件对患者生活质量评分和焦虑抑郁评分进行统计分析.结果 根据HADS评分结果,房颤患者情绪反应阳性（焦虑或抑郁）53例,占66.3％,情绪反应阴性27例,占33.7％；对照组情绪反应阳性5例,占6.25％,两组比较差异有统计学意义（x2 =62.31,P＜0.01）.将80例房颤患者分为情绪异常组和情绪正常组,两组患者生活质量评分比较差异有统计学意义（P＜0.05）.分别以焦虑、抑郁情绪评分和患者生活质量各维度评分进行相关分析,发现房颤患者生活质量各维度评分与焦虑、抑郁情绪反应程度呈负相关（P＜0.05）.结论 房颤患者常伴有焦虑或抑郁情绪反应；且焦虑、抑郁情绪反应程度越严重,患者生活质量下降越明显.
Objective To explore the emotional disorders（ anxiety and depression） and their influence on the quality of life（QOL） of the patients with atrial fibrillation. Methods 80 Atrial fibrillation patients without structural heart disease and other structural diseases which cause atrial fibrillation（ excluded by the patients＇ chief complaint, history, physical examination, and assistant examination were collected. Another 80 healthy persons （ without structural and mental diseases ） with the same age and gender made the according group. The QOL was evaluated by the 36-Itrem Short-Form health survey （ SF-36）, their emotional disorders were evaluated by the Hospital Anxiety and Depression Scale （HADS）. The scores of their QOL and HADS were analysed by SPSS 12.0. Results There were 80 atrial fibrillation parients,38 were male and 42 were female,43 patients with paroxysmal atrial fibrillation and 37 patients with chronic atrial fibeillation. Their average age was （50.36 ±10.51 ） years. According to the results of HADS,there were 53（66.3% ） atrial fibrillation patients had emotional disorders（anxiety or depression） , 27（33.7% ） patients did not have emotional disorders,and there were 5 persons（6.25% ） had had emotional disorders, and there significant difference between the two groups about the emotional disorder（ χ2 = 62.31 ,P 〈 0.01 ）. The patients with atrial fibrillation were divided into two groups （abnomal emotional group and nomal emotional group） , there were significant difference between the two groups on the QOL scores（ P 〈 0.05 ）. There were negative relationship between the scores of HADS and QOL （ P 〈 0.05 ）. Conclusion Atrial fibrillation patients usually have emotional disoders （ anxiety or depression）. The emotional disorders have nagtive influence on the QOL of atrial fibrillation patients.
出处
《临床内科杂志》
CAS
2013年第3期194-196,共3页
Journal of Clinical Internal Medicine
关键词
心房颤动
生活质量
焦虑
抑郁
Atrail fibrillation
The quality of life
Anxiety
Depression
