目的:分析慢性心力衰竭(心衰)患者焦虑、抑郁的发生率,及其与生活质量、认知情绪调节的相关性.方法:应用健康调查简表、抑郁自评量表、焦虑自评量表、认知情绪调节问卷对北京大学人民医院200例住院慢性心衰患者进行调查.结果:慢性心衰患者焦虑发生率71.0％,抑郁发生率64.5％.纽约心脏协会(NYHA)心功能分级,认知情绪调节中的理性分析、责难自己,生活质量中的生理职能、总体健康、情感职能是慢性心衰患者焦虑的影响因素;NYHA心功能分级,认知情绪调节中的理性分析、灾难化、积极重新关注,生活质量中总体健康、社会职能、生理职能是慢性心衰患者抑郁的影响因素.结论:慢性心衰患者焦虑、抑郁发生率较高,心功能分级、生活质量及认知情绪调节是该类患者焦虑、抑郁发生的影响因素.%Objective: To analyze the incidences of anxiety, depression in patients with chronic heart failure (CHF) and their correlations to quality of life and cognitive emotion regulation. Methods: The forms of short health survey item (SF-36), self-rating depression scale (SDS), self-rating anxiety scale (SAS) and cognitive emotion regulation questionnaire (CERQ) were used to conduct a survey in 200 CHF patients admitted in our hospital. Results: The incidences of anxiety and depression were 71.0％ and 64.5％ in CHF patients. NYHA grading, rational analysis, self-blame in cognitive emotion regulation and physical role, general health, emotional role in quality of life were the impact factors for anxiety. NYHA grading, rational analysis and catastrophizing, positive reappraisal in cognitive emotion regulation and general health, social functional role, physical role in quality of life were the impact factors for depression. Conclusion: The incidences of anxiety and depression were high in CHF patients; NYHA grading, quality of life and the cognitive emotion regulation were the impact factors for anxiety and depression occurrence in CHF patients.
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