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

doi:10.3969/j.issn.1671-7171.2024.09.019

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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 words： Heart Failure/CO Affective Disorders/CO Chronic Disease Prognosis

Received: 01 January 2024

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R541.61

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	GONG Shan
	JIN Chao
	OU Yali
	et al

Cite this article:

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[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(9): 1350-1353.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.09.019 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I9/1350

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