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目的:了解红河州哈尼族、彝族冠心病患者合并抑郁障碍的发病情况及其所采取的应对方式的现况,探讨应对方式管理对哈尼族、彝族冠心病患者抑郁情绪与生存质量的影响。方法:应用一般情况调查表、综合性医院抑郁量表(HAD)、医学应对问卷(MCMQ)、健康状况问卷(SF-36)对204例哈尼族、彝族冠心病患者进行调查研究。将伴抑郁障碍的78例患者随机分为对照组38例,研究组40例,对研究组进行应对方式管理干预,比较干预前后两组患者的生存质量及抑郁情绪。结果:1红河州哈尼族、彝族冠心病患者抑郁障碍的患病率为38.24%。2与不伴抑郁障碍组相比,哈尼族、彝族冠心病伴抑郁障碍的患者更多使用的是消极的应对方式,差异具有统计学意义(P<0.01)。3进行应对方式管理干预后研究组生存质量较前提高、亦明显高于对照组,差异有统计学意义(P<0.01)。结论:红河州哈尼族、彝族冠心病患者伴发抑郁障碍有较高的患病率。冠心病伴发抑郁障碍可使哈尼族、彝族冠心病患者生存质量下降。对伴有抑郁障碍的患者进行应对方式的管理干预,可提高冠心病患者的生存质量及身心健康水平。
Objective: To investigate the prevalence of depression in Hani and Yi patients with CHD in Honghe Prefecture and the current situation of coping styles. The effects of coping style management on the depression and quality of life in Han and Yi patients with coronary heart disease were analyzed. Methods: A total of 204 cases of Hani and Yi patients with coronary heart disease were investigated by questionnaire of general condition, general hospital depression scale (HAD), medical response questionnaire (MCMQ) and health status questionnaire (SF-36). 78 patients with depressive disorder were randomly divided into control group (38 cases) and study group (40 cases). The management group was treated with coping style and the quality of life and depression were compared between the two groups before and after intervention. Results: 1 The prevalence of depressive disorder in Hani and Yi patients with CHD in Honghe Prefecture was 38.24%. 2 Compared with non-depressive disorder group, Hani and Yi patients with CHD and depression had more negative coping styles, the difference was statistically significant (P <0.01). 3 coping style management quality of life of the study group after the intervention increased, also significantly higher than the control group, the difference was statistically significant (P <0.01). Conclusion: Hani, Yi people with coronary heart disease in Honghe Prefecture have a higher prevalence of depression. Coronary heart disease with depression can make the quality of life of Hani and Yi patients with coronary heart disease decline. Management interventions for coping styles in patients with depressive disorders can improve the quality of life and physical and mental health of patients with coronary heart disease.