本文選題：抑郁障礙　切入點：冠心病　出處：《臨床心血管病雜志》2016年08期 　論文類型：期刊論文

【摘要】：目的:了解紅河州哈尼族、彝族冠心病患者合并抑郁障礙的發(fā)病情況及其所采取的應(yīng)對方式的現(xiàn)況,探討應(yīng)對方式管理對哈尼族、彝族冠心病患者抑郁情緒與生存質(zhì)量的影響。方法:應(yīng)用一般情況調(diào)查表、綜合性醫(yī)院抑郁量表(HAD)、醫(yī)學(xué)應(yīng)對問卷(MCMQ)、健康狀況問卷(SF-36)對204例哈尼族、彝族冠心病患者進(jìn)行調(diào)查研究。將伴抑郁障礙的78例患者隨機(jī)分為對照組38例,研究組40例,對研究組進(jìn)行應(yīng)對方式管理干預(yù),比較干預(yù)前后兩組患者的生存質(zhì)量及抑郁情緒。結(jié)果:1紅河州哈尼族、彝族冠心病患者抑郁障礙的患病率為38.24%。2與不伴抑郁障礙組相比,哈尼族、彝族冠心病伴抑郁障礙的患者更多使用的是消極的應(yīng)對方式,差異具有統(tǒng)計學(xué)意義(P0.01)。3進(jìn)行應(yīng)對方式管理干預(yù)后研究組生存質(zhì)量較前提高、亦明顯高于對照組,差異有統(tǒng)計學(xué)意義(P0.01)。結(jié)論:紅河州哈尼族、彝族冠心病患者伴發(fā)抑郁障礙有較高的患病率。冠心病伴發(fā)抑郁障礙可使哈尼族、彝族冠心病患者生存質(zhì)量下降。對伴有抑郁障礙的患者進(jìn)行應(yīng)對方式的管理干預(yù),可提高冠心病患者的生存質(zhì)量及身心健康水平。
[Abstract]:Objective: to investigate the prevalence of depression in patients with coronary heart disease (CHD) and the current situation of coping styles in Hani nationality and Yi nationality in Honghe Prefecture, and to explore the management of coping style in Hani nationality. The influence of depression and quality of life in patients with coronary heart disease in Yi nationality. Methods: 204 cases of Hani nationality were investigated with general situation questionnaire, general hospital depression scale, medical response questionnaire (MCMQ) and health status questionnaire (SF-36). 78 patients with depression were randomly divided into control group (n = 38) and study group (n = 40). Results the prevalence rate of depression was 38.24.2 in Hani nationality of Honghe Prefecture and Yi nationality before and after intervention, compared with that in Hani nationality without depression disorder group. The patients with coronary heart disease (CHD) and depression in Yi nationality were more likely to use negative coping styles, and the difference was statistically significant. The quality of life of the study group was significantly higher than that of the control group after intervention in coping style management. Conclusion: there is a high prevalence of depression in Hani nationality and Yi nationality in Honghe Prefecture. The quality of life of patients with coronary heart disease of Yi nationality was decreased, and the quality of life and the level of physical and mental health of patients with coronary heart disease could be improved by intervention of coping style in patients with depression disorder.
【作者單位】： 云南省紅河哈尼族、彝族自治州第一人民醫(yī)院心內(nèi)科;
【分類號】：R541.4;R749.4
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本文編號：1561809