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Prevalence and influencing factors of anxiety and depression among hospitalized patients with cardiovascular diseases in Dalian City |
MO Wenping CHEN Li LI Na GUAN Hong |
Department of Nursing, the Second Affiliated Hospital of Dalian Medical University, Liaoning Province, Dalian 116027, China |
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Abstract Objective To investigate the current situation of anxiety and depression in hospitalized patients with cardiovascular diseases in different grade hospitals in Dalian, and to analyze the influencing factors. Methods A total of 1334 cases of patients with cardiovascular diseases in 20 different grade hospitals in Dalian City were investigated at the same time at 8∶00 November 15, 2017 to 8∶00 November 16, 2017 (within 24 hours). The general information questionnaire, self-rating anxiety scale (SAS), self-rating depression scale (SDS), self-management behavior scale and social support scale (SSRS) were used to investigate. Multiple linear regression analysis was used to analyze the influencing factors. Results The scores of SAS and SDS of hospitalized patients with cardiovascular diseases in Dalian were higher than those of the national norm, and the differences were highly statistically significant (P < 0.01). The scores of SAS in patients with heart failure were the highest, the scores of SDS in patients with intervention were the highest. There were significant differences in SAS scores among different hospital grades, gender, occupation, education level, residence, economic status, living conditions and major economic source groups (P < 0.05). There were significant differences in SDS scores among patients with different hospital grades, age, occupation, education, economic status, living conditions and major economic sources (P < 0.05). SAS score was negatively correlated with total scores of self-management and SSRS (r = -0.165, -0.210, all P < 0.01), SDS score was negatively correlated with total scores of self-management and SSRS (r = -0.164, -0.254, all P < 0.01). The results of multiple linear regression analysis showed that the living condition, SDS score, self-management and SSRS score were the influencing factors of anxiety (P < 0.05), and occupation, age, hospital grade, SAS score, self-management and SSRS score were the influencing factors of depression (P < 0.05). Conclusion The level of anxiety and depression of inpatients with cardiovascular diseases in Dalian is high. Medical staff should pay more attention to the patients living alone, without stable work and in grass-roots hospital, and give targeted treatment and intervention to improve the negative mood of patients.
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