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应用DCPR评估老年冠心病患者感染SARS-Cov-2后的心身相关障碍

何欢 孙中华 翁阳阳 贾坚 曲晨

何欢, 孙中华, 翁阳阳, 贾坚, 曲晨. 应用DCPR评估老年冠心病患者感染SARS-Cov-2后的心身相关障碍[J]. 中华全科医学, 2024, 22(4): 544-547. doi: 10.16766/j.cnki.issn.1674-4152.003445
引用本文: 何欢, 孙中华, 翁阳阳, 贾坚, 曲晨. 应用DCPR评估老年冠心病患者感染SARS-Cov-2后的心身相关障碍[J]. 中华全科医学, 2024, 22(4): 544-547. doi: 10.16766/j.cnki.issn.1674-4152.003445
HE Huan, SUN Zhonghua, WENG Yangyang, JIA Jian, QU Chen. DCPR was used to assess psychosomatic disorders after SARS-Cov-2 in elderly patients with coronary heart disease[J]. Chinese Journal of General Practice, 2024, 22(4): 544-547. doi: 10.16766/j.cnki.issn.1674-4152.003445
Citation: HE Huan, SUN Zhonghua, WENG Yangyang, JIA Jian, QU Chen. DCPR was used to assess psychosomatic disorders after SARS-Cov-2 in elderly patients with coronary heart disease[J]. Chinese Journal of General Practice, 2024, 22(4): 544-547. doi: 10.16766/j.cnki.issn.1674-4152.003445

应用DCPR评估老年冠心病患者感染SARS-Cov-2后的心身相关障碍

doi: 10.16766/j.cnki.issn.1674-4152.003445
基金项目: 

江苏省老年医学临床技术应用研究项目 LR2021005

详细信息
    通讯作者:

    曲晨,E-mail: quchen@njmu.edu.cn

  • 中图分类号: R541.4

DCPR was used to assess psychosomatic disorders after SARS-Cov-2 in elderly patients with coronary heart disease

  • 摘要:   目的  为改善老年冠心病患者的生活质量提供个性化的干预措施,采用心身研究的诊断标准(DCPR)评估老年冠心病患者在感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)后产生的心身相关障碍程度。  方法  采用简单随机抽样的方法,选取南京医科大学第二附属医院2022年9月—2023年6月收治的101例老年冠心病患者作为研究对象,根据是否感染SARS-CoV-2分组,分为感染组(69例)和未感染组(32例)。采用DCPR量表评估患者目前的心身状态,并使用成组t检验、Wilcoxon秩和检验、χ2检验和logistic回归分析等统计学方法进行分析。  结果  感染组更容易产生抑郁情绪[轻度抑郁:27(39.10%) vs. 5(15.60%);中重度抑郁:9(13.10%) vs. 1(3.10%)]和心身症状[37(53.60%) vs. 25(78.10%),χ2=5.537,P<0.05];2组幸福感总分、睡眠困扰总分、心理困扰总分、异常疾病行为总分比较差异均有统计学意义(P<0.05)。  结论  感染SARS-CoV-2是老年冠心病患者产生心身相关障碍的影响因素之一,利用DCPR可以更全面地评估并有助于及时提出合理、具有针对性的干预措施。

     

  • 图  1  感染SARS-CoV-2预测老年冠心病患者产生心身相关障碍的ROC曲线

    Figure  1.  ROC curve of SARS-CoV-2 infection predicting psychosomatic disorders in elderly patients with coronary heart disease

    表  1  2组老年冠心病患者基本资料及心身相关障碍各量表比较

    Table  1.   Comparison of basic situation and various scales of psychosomatic disorders in 2 two groups of elderly patients with coronary heart disease

    项目 类别 未感染组(n=32) 感染组(n=69) 统计量 P
    年龄(x±s,岁) 73.28±9.48 71.20±9.53 1.021a 0.310
    性别[例(%)] 男性 15(46.88) 31(44.93) 0.033b 0.855
    女性 17(53.12) 38(55.07)
    婚姻状况[例(%)] 已婚 32(100.00) 63(91.30) 1.607b 0.205
    未婚、丧偶或离异 0 6(8.70)
    职业[例(%)] 退休 25(78.10) 59(85.50) 0.851b 0.356
    在职 7(21.90) 10(14.50)
    文化程度[例(%)] 文盲 2(6.30) 2(2.90) -0.595c 0.552
    小学 1(3.10) 9(13.00)
    初中 5(15.60) 12(17.40)
    高中(包括职高和中专) 18(56.30) 33(47.80)
    本科(包括大专和高职) 6(18.80) 13(18.80)
    GAD-7[例(%)] 正常 31(96.90) 56(81.20) -2.147c 0.032
    轻度焦虑 1(3.10) 7(10.10)
    中度焦虑 0 0
    中重度焦虑 0 6(8.70)
    重度焦虑 0 0
    PHQ-9[例(%)] 正常 26(81.30) 33(47.80) -3.149c 0.002
    轻度抑郁 5(15.60) 27(39.10)
    中度抑郁 0 0
    中重度抑郁 1(3.10) 9(13.10)
    重度抑郁 0 0
    PSSS[例(%)] 正常 7(21.90) 32(46.40) 5.537b 0.019
    存在心身相关障碍 25(78.10) 37(53.60)
    PSI[M(P25, P75),分] 压力总分 0.00(0.00,1.00) 0.00(0.00,1.00) -0.700c 0.484
    幸福感总分 6.00(6.00,6.00) 6.00(5.00,6.00) -2.233c 0.026
    睡眠困扰总分 2.00(0.25,3.75) 3.00(1.00,5.00) -2.251c 0.024
    心理困扰总分 4.00(2.00,5.00) 6.00(4.00,10.00) -3.928c <0.001
    异常的疾病行为总分 0.00(0.00,0.00) 0.00(0.00,2.00) -2.622c 0.009
    生活质量总分 3.00(2.25,4.00) 3.00(2.50,3.00) -1.089c 0.276
    总体幸福评分 9.00(8.00,10.00) 8.00(8.00,9.00) -1.900c 0.057
    注:at值,b为χ2值,cZ值。
    下载: 导出CSV

    表  2  因变量赋值情况

    Table  2.   Assignment of the dependent variable

    因变量 赋值方法
    GAD-7 正常=0,轻度焦虑=1,中度焦虑=2,中重度焦虑=3,重度焦虑=4
    PHQ-9 正常=0,轻度抑郁=1,中度抑郁=2,中重度抑郁=3,重度抑郁=4
    PSSS 正常=0,存在心身相关障碍=1
    下载: 导出CSV

    表  3  是否感染SARS-CoV-2对老年冠心病患者产生心身相关障碍的logistic回归分析

    Table  3.   Logistic regression analysis of psychosomatic disorders in elderly patients with coronary heart disease caused by SARS-CoV-2 infection

    因变量 B SE Waldχ2 P OR 95% CI
    GAD-7 -1.993 1.067 3.490 0.062 0.136 0.017~1.103
    PHQ-9 -1.552 0.510 9.279 0.002 0.212 0.078~0.575
    PSSS 1.128 0.491 5.275 0.022 3.089 1.180~8.087
    下载: 导出CSV
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  • 收稿日期:  2023-09-16
  • 网络出版日期:  2024-05-29

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