先天性心脏病患者心理困扰的患病率及预测因素。
Prevalence and predictors of psychological distress in congenital heart disease patients.
机构信息
Cardiology Service, Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.
Medical and Surgical Sciences Department, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.
出版信息
J Clin Psychol. 2020 Sep;76(9):1705-1718. doi: 10.1002/jclp.22948. Epub 2020 Mar 9.
OBJECTIVE
To determine psychological distress in congenital heart disease (CHD) patients.
METHODS
Cross-sectional study among consecutive CHD patients recruited from a single hospital outpatient clinic to determine anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS) questionnaire.
RESULTS
One hundred and sixty-nine CHD patients [29 (19-39) years old, 100 (59%) males] were studied. A total of 25% and 9% of CHD patients showed anxiety and depression symptoms, respectively. Patients with an HADS score ≥ 8 had a significantly worse New York Heart Association (NYHA) functional class, needed more psychological support, had more mental health history, and took more anxiolytic/antidepressant medication than the CHD patients with an HADS score below 8. A worse NYHA functional class [OR, 1.88 (1.01-3.52)] proved to be a predictor of a borderline/abnormal HADS score.
CONCLUSION
Psychological distress has a high prevalence among CHD patients and having an NYHA Class II and III is a significant predictor of an HADS score ≥ 8.
目的
评估先天性心脏病（CHD）患者的心理困扰。
方法
对单家医院门诊连续收治的 CHD 患者进行横断面研究，根据医院焦虑抑郁量表（HADS）问卷评估焦虑和抑郁。
结果
共纳入 169 例 CHD 患者（29 岁±9 岁，100 例男性）。分别有 25%和 9%的 CHD 患者存在焦虑和抑郁症状。HADS 评分≥8 的患者 NYHA 心功能分级较差，需要更多的心理支持，有更多的心理健康史，且服用抗焦虑/抗抑郁药物的比例高于 HADS 评分＜8 的患者。较差的 NYHA 心功能分级（OR，1.88（1.01-3.52））是 HADS 评分≥8 的边缘/异常的预测因子。
结论
CHD 患者的心理困扰发生率较高，NYHA 心功能分级 II 级和 III 级是 HADS 评分≥8 的显著预测因子。
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