Department of Health Sciences, University of Opole, 68 Katowicka Street, 45-060 Opole, Poland.
Medical and Diagnostic Centre (MDC), 9 Niklowa Street, 08-110 Siedlce, Poland.
Int J Environ Res Public Health. 2021 Mar 20;18(6):3231. doi: 10.3390/ijerph18063231.
The aim of this cross-sectional study was to analyze selected variables differentiating rural from urban populations, as well as identify potentially increased levels of depression and anxiety in patients with chronic cardiovascular disease. The study was carried out in 193 patients. The study used the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), the Health Behavior Inventory Questionnaire (HBI), the WHOQOL-BREF Quality of Life Questionnaire, and the Hospital Anxiety and Depression Scale-Modified Version (HADS-M). Spearman's rank correlation coefficient test and logistic regression were used for analyses. In rural patients, we observed a relationship between anxiety and age (1/OR = 1.04; 95% CI: 0.91-0.99), the assessment of satisfied needs (1/OR = 293.86; 95% CI: 0.00001-0.56), and quality of life (QoL) in physical (OR = 1.56; 95% CI: 1.11-2.33), social (1/OR = 1.53; 95% CI: 0.04-0.94), and environmental domains (OR = 1.67; 95% CI: 1.06-3.00), as well as between depression and QoL in physical (1/OR = 1.39; 95% CI: 0.50-0.97) and psychological (OR = 1.37; 95% CI: 1.01-1.93) domains. In city patients, we observed a relationship between the drug and Qol in the physical (1/OR = 1.25; 95% CI: 0.62-0.98) and psychological (OR = 1.49; 95% CI: 1.13) domains. Younger patients living in a rural area with a lower assessment of met needs, a higher level of QoL in physical and environmental domains, and a lower social domain, as well as patients living in a city with a lower QoL in the physical domain and a higher psychological domain, have a greater chance of developing anxiety and depressive disorders.
本横断面研究旨在分析区分农村和城市人群的选定变量，并确定慢性心血管疾病患者中潜在的抑郁和焦虑水平升高。该研究在 193 名患者中进行。研究采用了坎伯韦尔需求评估简短评估表（CANSAS）、健康行为问卷（HBI）、世界卫生组织生活质量问卷（WHOQOL-BREF）和修订版医院焦虑和抑郁量表（HADS-M）。采用斯皮尔曼等级相关系数检验和逻辑回归进行分析。在农村患者中，我们观察到焦虑与年龄（1/OR=1.04；95%CI：0.91-0.99）、需求评估满意度（1/OR=293.86；95%CI：0.00001-0.56）和生活质量（QoL）在生理（OR=1.56；95%CI：1.11-2.33）、社会（1/OR=1.53；95%CI：0.04-0.94）和环境领域（OR=1.67；95%CI：1.06-3.00）之间存在关系，以及抑郁与生活质量（QoL）在生理（1/OR=1.39；95%CI：0.50-0.97）和心理（1/OR=1.37；95%CI：1.01-1.93）领域之间存在关系。在城市患者中，我们观察到药物与 Qol 在生理（1/OR=1.25；95%CI：0.62-0.98）和心理（OR=1.49；95%CI：1.13）领域之间存在关系。居住在农村地区的年轻患者，其需求评估较低，生理和环境领域的 QoL 较高，社会领域较低，以及居住在城市地区的患者，其生理领域的 QoL 较低，心理领域较高，他们更有可能患上焦虑和抑郁障碍。
