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冠心病患者抑郁的患病率及其分级

PREVALENCE OF DEPRESSION AND ITS GRADING IN PATIENTS WITH CORONARY HEART DISEASE.

作者信息

Rasputina L, Rasputin V, Ovcharuk M, Serhiichuk O, Broniuk A

机构信息

Pyrohov Memorial National Medical University, Vinnytsia; Public institution "Vinnytskyi rehionalnyi tsentr sertsevo-sudynnoi patolohii", Ukraine.

出版信息

Georgian Med News. 2016 Oct(259):48-53.

PMID:27845286
Abstract

The purpose of our work was to determine a prevalence of depression and its distribution by grades in patients with a coronary heart disease, namely - with the myocardial infarction. The study involved 125 patients of average age 64.2±4.7 years, treated at cardiology department for myocardial infarction. The first stage was a depression screening using PHQ - 2 questionnaire. In case of positive answer to at least one question, we assessed the severity of depression using a PHQ-9 tool. We established, that PHQ-2 questionnaire questions for screening depressive disorders were positively answered by 80 patients (64.3%). Total signs of depression of various severity grades was diagnosed in 68 patients (54.4%). Minimal depression was diagnosed in 25 (36.8%) patients, mild depression - in 20 (29.4%) patients, moderately severe disease - in 16 (23.6%) patients, and severe depression - in 7 (10.2%) patients. The severity of depression was clearly related to age, gender of patients, comorbid diseases, and a history of MI and revascularization.

摘要

我们研究的目的是确定冠心病患者(即心肌梗死患者)中抑郁症的患病率及其按病情严重程度的分布情况。该研究纳入了125例平均年龄为64.2±4.7岁、因心肌梗死在心脏病科接受治疗的患者。第一阶段是使用PHQ-2问卷进行抑郁症筛查。如果至少有一个问题回答为阳性,我们则使用PHQ-9工具评估抑郁症的严重程度。我们发现,80例患者(64.3%)对用于筛查抑郁症的PHQ-2问卷问题回答为阳性。68例患者(54.4%)被诊断出有不同严重程度等级的抑郁症症状。25例(36.8%)患者被诊断为轻度抑郁症,20例(29.4%)患者为中度抑郁症,16例(23.6%)患者为中重度抑郁症,7例(10.2%)患者为重度抑郁症。抑郁症的严重程度与患者的年龄、性别、合并症以及心肌梗死和血运重建病史明显相关。

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