医学临床研究
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医学临床研究  2024, Vol. 41 Issue (9): 1350-1353    DOI: 10.3969/j.issn.1671-7171.2024.09.019
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慢性心力衰竭住院患者心理障碍患病率、诊治率调查情况分析
龚山, 金超, 欧雅莉, 余国龙*
中南大学湘雅医院心内科,湖南 长沙 410008
Analysis of the Prevalence and Diagnosis and Treatment Rate of Psychological Disorders in Hospitalized Patients with Chronic Heart Failure
GONG Shan, JIN Chao, OU Yali, et al
Department of Cardiology, Xiangya Hospital, Central South University, Changsha Hunan 410008
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摘要 【目的】探讨慢性心力衰竭(CHF)患者焦虑、抑郁、躯体化症状患病率和医生诊治率及其影响因素。【方法】选择2018年5月至10月和2020年9月至12月本院收治的220例CHF住院患者,采用广泛性焦虑筛查量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)、15项患者健康问卷(PHQ-15)和自制一般资料和临床资料调查表对CHF进行评估,观察医生对患者焦虑、抑郁、躯体化症状识别与治疗情况。【结果】CHF患者心理障碍患病率达72.7%,抑郁、焦虑、躯体化症状患病率分别为53.6%、39.5%和71.8%。仅27.5%心理障碍患者被医师识别,其中焦虑23.0%、抑郁18.7%、躯体化症状16.4%被识别,医师仅对15%患者给予药物与非药物治疗。Logistic回归分析显示,女性、NYHA分级、5年内住院次数是CHF住院患者并心理障碍的影响因素(P<0.05)。对101例CHF患者进行随访,平均随访(27±3)个月,心理障碍患者规范化抗焦虑抑郁治疗仅11.1%,13例(13.8%)因心脏病死亡。【结论】CHF住院患者心理障碍患病率高,最常见的是躯体化症状,其次为焦虑、抑郁;患者并发心理障碍受性别、自身疾病等多因素影响;大多数CHF患者合并心理障碍未被临床医师识别与治疗。
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龚山
金超
欧雅莉
余国龙
关键词 心力衰竭/并发症情感障碍/并发症慢性病预后    
Abstract:【Objective】To explore the prevalence of anxiety, depression, and somatic symptoms in patients with chronic heart failure (CHF), as well as the diagnosis and treatment rate of doctors and their influencing factors. 【Methods】A total of 220 hospitalized CHF patients admitted to our hospital from May to October 2018 and September to December 2020 were selected. The Generalized Anxiety Scale (GAD-7), Patient Health Questionnaire Depression Scale (PHQ-9), 15 item Patient Health Questionnaire (PHQ-15), and self-made general and clinical information questionnaires were used to evaluate CHF. The doctors' recognition and treatment of patients' anxiety, depression, and somatic symptoms were observed. 【Results】The prevalence of psychological disorders in CHF patients reached 72.7%, while the prevalence of depression, anxiety, and somatic symptoms were 53.6%, 39.5%, and 71.8%, respectively. Only 27.5% of patients with psychological disorders were identified by physicians, including 23.0% with anxiety, 18.7% with depression, and 16.4% with somatic symptoms. Physicians only provided medication and non medication treatment to 15% of patients. Logistic regression analysis showed that female gender, NYHA classification, and number of hospitalizations within 5 years were influencing factors for CHF inpatients and psychological disorders (P<0.05). A total of 101 CHF patients were followed up for an average of (27±3) months, and only 11.1% of patients with psychological disorders received standardized anti anxiety and depression treatment. Thirteen patients (13.8%) died from heart disease. 【Conclusion】CHF hospitalized patients have a high incidence of psychological disorders, with somatic symptoms being the most common, followed by anxiety and depression; The patient's psychological disorders are influenced by multiple factors such as gender and their own illness; Most CHF patients do not have psychological disorders recognized and treated by clinical physicians.
Key wordsHeart Failure/CO    Affective Disorders/CO    Chronic Disease    Prognosis
收稿日期: 2024-01-01     
中图分类号:  R541.61  
通讯作者: * E-mail:yuguolong123@aliyun.com   
引用本文:   
龚山, 金超, 欧雅莉, 余国龙. 慢性心力衰竭住院患者心理障碍患病率、诊治率调查情况分析[J]. 医学临床研究, 2024, 41(9): 1350-1353.
GONG Shan, JIN Chao, OU Yali, et al. Analysis of the Prevalence and Diagnosis and Treatment Rate of Psychological Disorders in Hospitalized Patients with Chronic Heart Failure. JOURNAL OF CLINICAL RESEARCH, 2024, 41(9): 1350-1353.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.09.019     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I9/1350
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