School of Nursing, University of Western Sydney & Nursing Research Unit, Sydney West Area Health Service, Australia.
Aust Crit Care. 2007 May;20(2):69-76. doi: 10.1016/j.aucc.2007.03.002. Epub 2007 May 7.
To document incidence of depression, anxiety, and stress in women more than 6 months following an acute coronary syndrome.
Participants were identified from a coronary care unit database. The Depression Anxiety Stress Scales 21 (DASS 21) was sent to potential participants via postal survey.
A metropolitan teaching hospital in Melbourne, Australia.
The cohort of women was aged between 55 and 70 years. They had been admitted to hospital with a diagnosis of acute coronary syndrome (ACS) between 6 and 14 months prior to participating in this study.
Scores on Depression, Anxiety, and Stress Scale (DASS 21).
Of the 117 posted questionnaires, 39 women with a mean age of 63 (S.D. 4.97) responded to the survey, representing a response rate of 33.3%. Most participants scored within normal levels of depression (66.7%), anxiety (60.5%), and stress (70.3%), however, mild to extremely severe levels of each construct (33.4%, 39.6%, and 29.7%, respectively) were found.
The reporting of elevated levels of depression, anxiety and stress in a subset of women more than 6 months following an ACS event underscores the importance of ongoing screening for risk factors impacting on psychological well-being and the inclusion of this information in education and counseling strategies in both the inpatient and outpatient settings. Based on these pilot data, consideration of a screening system in the immediate post discharge period for women at risk and an education or support service are recommended.
记录急性冠状动脉综合征（acute coronary syndrome，ACS）后 6 个月以上女性的抑郁、焦虑和压力发生率。
参与者从冠心病监护病房（coronary care unit，CCU）数据库中确定。通过邮寄调查向潜在参与者发送抑郁焦虑压力量表 21 项（Depression Anxiety Stress Scales 21，DASS 21）。
澳大利亚墨尔本的一家都市教学医院。
该队列的女性年龄在 55 至 70 岁之间。她们在参加本研究前 6 至 14 个月被诊断为急性冠状动脉综合征（ACS）而住院。
抑郁、焦虑和压力量表（Depression Anxiety Stress Scale 21，DASS 21）的评分。
在寄出的 117 份问卷中，有 39 名年龄平均为 63 岁（标准差 4.97）的女性对调查做出了回应，应答率为 33.3%。大多数参与者的抑郁评分（66.7%）、焦虑评分（60.5%）和压力评分（70.3%）处于正常水平，但仍有轻度至极度严重程度的每种症状（分别为 33.4%、39.6%和 29.7%）。
ACS 事件发生后 6 个月以上的女性中出现了抑郁、焦虑和压力水平升高的报告，这突显了对影响心理健康的危险因素进行持续筛查的重要性，并且应将这些信息纳入住院和门诊环境中的教育和咨询策略中。基于这些初步数据，建议在女性出院后立即对有风险的女性进行筛查系统检查，并提供教育或支持服务。
