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目的:通过对老年心肌梗死(AMI)患者抑郁状态的调查及影响因素的分析,为进一步开展针对性干预措施提供依据。方法:选择296例老年急性心肌梗死患者,采用自编调查问卷、中文版SF-12生活质量量表、匹兹堡睡眠质量指数问卷(PSQI)、抑郁自评量表(SDS)调查患者的一般资料、生活质量、睡眠质量、抑郁状态。通过多因素非条件Logistic回归分析老年AMI抑郁情绪的影响因素。结果:296例老年急性心肌梗死患者抑郁的发生率为63.2%,其中经济状况良好、好的生活质量、对心肌梗死相关知识的充分了解是老年急性心肌梗死抑郁的保护因素,而有睡眠问题是老年心肌梗死患者出现抑郁的危险因素。老年AMI抑郁组患者的心律失常、心力衰竭、心源性休克发生率为41.7%、39.0%、19.8%,均明显高于非抑郁组患者的23.9%、21.1%、10.1%,P<0.05。结论:老年心肌梗死患者抑郁情绪普遍存在并影响患者预后,通过采取针对性干预措施缓解患者的抑郁情绪,有利于改善老年AMI患者的预后。
OBJECTIVE: To provide a basis for further carrying out targeted interventions through the investigation of depression status and analysis of influencing factors in elderly patients with myocardial infarction (AMI). Methods: A total of 296 elderly patients with acute myocardial infarction were selected and their general data were investigated by self-made questionnaire, Chinese SF-12 quality of life scale, Pittsburgh Sleep Quality Index (PSQI) and Self-rating Depression Scale (SDS) Quality of life, quality of sleep, depression Influential factors of depression in elderly AMI were analyzed by multivariate nonconditional Logistic regression. Results: The incidence of depression in 296 elderly patients with acute myocardial infarction was 63.2%, of which the economic status was good, the quality of life, knowledge of myocardial infarction was sufficient to protect depression in elderly patients with acute myocardial infarction, and sleep problems Risk factors for depression in elderly patients with myocardial infarction. The incidences of arrhythmia, heart failure and cardiogenic shock were 41.7%, 39.0% and 19.8% in the AMI depression group, which were significantly higher than those in the non-depression group (23.9%, 21.1% and 10.1%, P <0.05). Conclusion: Depression is common in elderly patients with myocardial infarction and affects the prognosis of patients. It may be helpful to improve the prognosis of elderly patients with AMI by taking targeted interventions to alleviate depression.