AbuRuz Mohannad Eid
Clinical Nursing Department, College of Nursing, Applied Science Private University, Amman, Jordan,
J Multidiscip Healthc. 2018 Jul 30;11:367-373. doi: 10.2147/JMDH.S170327. eCollection 2018.
Anxiety and depression are prevalent among patients with heart failure. However, their effect on the quality of life (QoL) is not well investigated in developing countries. Therefore, the purpose of this study was to test the effect of anxiety and depression on QoL among Jordanian patients with heart failure.
Two hundred patients with a confirmed diagnosis of heart failure from 1 governmental and 1 private hospital in Amman, Jordan, were recruited between March and August, 2017. A descriptive, cross-sectional design was used. Anxiety and depression were measured using the Arabic version of the Hospital Anxiety and Depression Scale. QoL was measured using the Arabic version of the Short Form-36.
Patients reported poor QoL in both physical component summary (M ± SD; 35.8±9.6) and mental component summary (M ± SD; 41.5±11.3). Prevalence rates for anxiety and depression were 62% and 65%, respectively. In stepwise regression analysis, anxiety and depression were independent predictors for poor QoL in both summaries, <0.001.
Patients with heart failure have poor QoL and high anxiety and high depression prevalence rates. Inclusion of routine assessment and management of anxiety and depression in heart failure protocols is highly recommended.
焦虑和抑郁在心力衰竭患者中普遍存在。然而，在发展中国家，它们对生活质量（QoL）的影响尚未得到充分研究。因此，本研究的目的是测试焦虑和抑郁对约旦心力衰竭患者生活质量的影响。
2017年3月至8月期间，从约旦安曼的1家政府医院和1家私立医院招募了200例确诊为心力衰竭的患者。采用描述性横断面设计。使用医院焦虑抑郁量表阿拉伯语版测量焦虑和抑郁。使用简短健康调查问卷36项阿拉伯语版测量生活质量。
患者在身体成分总结（M±SD；35.8±9.6）和心理成分总结（M±SD；41.5±11.3）方面均报告生活质量较差。焦虑和抑郁的患病率分别为62%和65%。在逐步回归分析中，焦虑和抑郁是两个总结中生活质量差的独立预测因素，P<0.001。
心力衰竭患者生活质量较差，焦虑和抑郁患病率较高。强烈建议在心力衰竭治疗方案中纳入焦虑和抑郁的常规评估和管理。
