| Objective To understand the prevalence of depression and anxiety in patients with coronary heart disease, and analyze whether it is with gender, age and education level have significant difference, to evaluate the influence of hypertension, diabetes and hyperlipidemia on anxiety and depression in patients with coronary heart disease, to understand the quality of life of patients with coronary heart disease combined with anxiety and depression, to compare the effects of anxiety and depression on the quality of life of patients with coronary heart disease, and analyze the correlation between the severity of anxiety and depression and the quality of life in patients with coronary heart disease, to explore the significance of mental and psychological factors in the pathogenesis of coronary heart disease and the quality of life, to provide evidence for the treatment of anxiety and depression in patients with coronary heart disease complicated with mental disorders.Methods 119 cases of coronary heart disease were selected according to the coronary angiography, and according to the World Health Organization recommended standards for age, age 65 years of age or higher definition for the older group, < 65 defined non elderly group. Anxiety, depression and quality of life scores were assessed by self rating Anxiety Scale(SAS), self rating Depression Scale(SDS), and SF-12 health questionnaire, and through the results of the questionnaire, patients with coronary heart disease were divided into anxiety group, non anxiety group, depression group and non depression group, carries on the statistical analysis.Results(1) In the study of 119 cases, 92 people were with hypertension(77.3%),47 were with diabetes mellitus(39.5%), and 42 were with hyperlipidemia(35.3%), suffering from anxiety disorders a total of 37 people(31.09%), including mild anxiety in 31 people(26.05%), moderate anxiety in 4 people(3.36%), severe anxiety in 2 people(1.68%); patients with depressive disorder were 40 people(33.61%), including mild depression in 33 people(27.73%), moderate depression in 5 people(4.20%), severe depression in 2 people(1.68%); simple anxiety 14 people(11.76%), simple depressive 17 people(14.29%), anxiety, depression is a total of 23 people(19.33%).(2) In patients with coronary heart disease, there was no significant difference in the incidence of anxiety and depression between the two groups of men and women, and there was no statistical significance(P>0.05); anxiety and depression scores in the non elderly group were 42.7±5.7, 42.2±7.8, in the elderly group were 48.4±8.3,47.8±8.6, and the differences were statistically significant(P<0.05); there was significant difference in the incidence of anxiety and depression between the non elderly group and the elderly group(P<0.05);anxiety and depression scores in the junior middle school education level and below group were 44.9±7.5, 45.5±9.4, in the above of junior high school group were 40.7±4.1,38.6±4.6, and the differences were statistically significant(P<0.05); there was significant difference in the incidence of anxiety and depression between the junior middle school education level and below group and the above of junior high school group(P<0.05).(3) There was no significant difference in the incidence and severity of anxiety and depression between the patients with hypertension, diabetes and hyperlipidemia, and there was no significant difference(P>0.05).(4) In patients with coronary heart disease, each dimension and total score of quality of life in the non anxiety group were higher than those in the anxiety group, and the difference was statistically significant(P<0.05).(5) In patients with coronary heart disease, each dimension and total score of quality of life in the non depressed group were higher than those in the depression group, and the difference was statistically significant(P<0.05).(6) The scores of anxiety and depression were negatively correlated with each dimension and total score of quality of life, and the correlation was statistically significant (P<0.05).Conclusion 1.In patients with coronary heart disease, there is no gender difference in the occurrence of anxiety and depression.2.In patients with coronary heart disease, age and educational level have an impact on anxiety, depression score, older patients were more anxious and depressed, the lower the education level, the higher the anxiety and depression score.3.There was no statistical difference in incidence with and without hypertension, diabetes and hyperlipidemia in patients with coronary heart disease to anxiety and depression.4.In patients with coronary heart disease, the quality of life of each dimension and the total score in patients with anxiety and depression were lower than those without anxiety and depression. 5.The scores of all dimensions and total quality of life of patients with coronary heart disease were significantly negatively correlated with anxiety and depression scores, the higher the scores of anxiety and depression, the corresponding reduction in quality of life scores. |
PDF Full Text Request