摘要
目的了解拟行射频消融术房颤患者及其家属焦虑、抑郁现状,并分析影响因素。方法采用便利抽样法,选取2020年10—12月首都医科大学附属北京安贞医院心律失常中心收治的拟行射频消融术治疗的197例房颤患者及其家属为研究对象,采用一般资料调查表、广泛性焦虑障碍量表(GAD-7)、9项患者健康问卷(PHQ-9)对其进行调查。采用二项Logistic回归分析探讨拟行射频消融术房颤患者及其家属焦虑、抑郁的影响因素。结果197例拟行射频消融术房颤患者PHQ-9得分为(3.9±3.8)分,GAD-7得分为(2.7±3.1)分;抑郁症状的检出率为34.5%(68/197),焦虑症状的检出率为20.3%(40/197)。患者家属PHQ-9得分为(1.9±3.0)分,GAD-7得分为(1.8±2.9)分;焦虑症状的检出率为15.2%(30/197),抑郁症状的检出率为16.2%(32/197)。二项Logistic回归分析结果显示,近1个月发作次数≥4次、近1个月房颤发作时长≥6 h是患者抑郁症状的影响因素(P<0.05);近1个月发作次数≥4次是患者焦虑症状的影响因素(P<0.05);患者的焦虑状态是家属焦虑症状的影响因素(P<0.05)。结论拟行射频消融术房颤患者及其家属的焦虑、抑郁现状不容乐观。近期房颤频繁发作是患者焦虑、抑郁症状的影响因素,同时患者的焦虑状态是家属焦虑症状的影响因素,医护人员应同时关注拟行射频消融术房颤患者及其家属的焦虑、抑郁,并及早给予有效的干预。
Objective To understand the current situation of anxiety and depression in patients with atrial fibrillation who are going to undergo radiofrequency ablation and their family members and analyze the influencing factors.Methods Using the convenient sampling method,a total of 197 patients with atrial fibrillation and their family members who were admitted to Arrhythmia Center of Beijing Anzhen Hospital Affiliated to Capital Medical University and planned to undergo radiofrequency ablation from October to December 2020 were selected as the research objects.The general information questionnaire,Generalized Anxiety Disorder(GAD-7)and Patient Health Questionaire-9 items(PHQ-9)were used to investigate them.Binomial logistic regression analysis was used to investigate the influencing factors of anxiety and depression in patients with atrial fibrillation who were going to undergo radiofrequency ablation and their family members.Results The PHQ-9 score of 197 patients with atrial fibrillation undergoing radiofrequency ablation was(3.9±3.8),the GAD-7 score was(2.7±3.1),the detection rate of depressive symptom was 34.5%(68/197)and the detection rate of anxiety symptom was 20.3%(40/197).The PHQ-9 score of family members of patients was(1.9±3.0),the GAD-7 score was(1.8±2.9),the detection rate of anxiety symptom was 15.2%(30/197)and the detection rate of depressive symptoms was 16.2%(32/197).Binomial Logistic regression analysis showed that the number of attacks in the past 1 month was greater than or equal to 4 times and the duration of atrial fibrillation episodes in the past 1 month was greater than or equal to 6 hours as the influencing factors of depressive symptoms(P<0.05).The number of seizures more than or equal to 4 in the past month was the influencing factor of anxiety symptoms of patients(P<0.05).The anxiety state of patients was the influencing factor of anxiety symptoms of family members(P<0.05).Conclusions The current situation of anxiety and depression in patients with atrial fibrillation who are going to un
作者
田园
李思彤
李梦梦
周文悦
马长生
Tian Yuan;Li Sitong;Li Mengmeng;Zhou Wenyue;Ma Changsheng(Arrhythmia Center,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)
出处
《中华现代护理杂志》
2022年第12期1613-1617,共5页
Chinese Journal of Modern Nursing
关键词
房颤
患者
家属
焦虑
抑郁
Atrial fibrillation
Patients
Family members
Anxiety
Depression
