目的:探讨急性心肌梗死(acute myocardial infarction,AMI)患者焦虑抑郁状态及相关影响因素.方法:连续入选2011年1月至2012年1月我院心内科住院的AMI患者214例,采用综合医院焦虑抑郁评分量表对所有患者行心理测评,评价焦虑抑郁状态的发生率,对年龄、性别、医保类型及合并疾病等影响因素进行分析.结果:214例患者中,焦虑73例,占34.1％；抑郁患者63例,占29.4％；焦虑抑郁共50例,占23.4％.女性患者、报销比例≤40％者焦虑发生率更高,差异具有统计学意义(P＜0.05)；女性、报销比例≤40％者、合并糖尿病者抑郁发生率更高,差异具有统计学意义(P＜0.05).Logistic回归分析发现,女性是发生焦虑抑郁的影响因素；抑郁的影响因素还包括报销比例≤40％和合并糖尿病史.结论:AMI并发焦虑抑郁状态,为多种影响因素共同作用结果.对于此类患者,应引起临床医师重视,尽早给予心理干预,改善预后.%Objective: To investigate prevalences and influential factors of anxiety and depression in patients with acute myocardial infarction (AMI). Methods; We collected 214 patients with AMI that admitted in our hospital from January of 2011 to January of 2012. All the subjects were assessed with Hospital Anxiety and Depression Scale. To evaluate the incidences of anxiety and depression influencing factors such as age,gender, type of health insurance,other diseases etc. Results; Of all the subjects,about 34. 1% were identifed as anxiety ,29. 4% as depression. The rate of the comorbidity of anxiety and depression was 23. 4%. Patients of AMI with anxiety symptom were more seen in femal and medical reimbursement ≤40%. Patients of AMI with depressive symptom were more seen in femal 、medical reimbursement ≤40% and with history of Diabetes. Multivariate logistic regression analysis showed female was the major influences of anxiety and depression. Medical reimbursement ≤40% ; with history of Diabetes were impact factors on depression visibly. Conclusion; There existed high prevalence of anxiety and depression disorders with AMI. And more importance should be paid on this phenomenon.u0000and
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