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Depressive symptoms in patients with acute coronary syndrome

机译:急性冠脉综合征患者的抑郁症状

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ABSTRACTObjective:To trace an epidemiological profile, to verify presence of depressive symptoms in patients with previous diagnosis of acute coronary syndrome and to identify factors that contribute to maintenance of depressive symptoms in the sample. Methods:A cross-section study carried out at the Cardiology Outpatients Clinics of Universidade Federal de S?o Paulo. An instrument prepared by the authors was used, which was based on similar studies with patient identification data, questions related to the psychological follow-up, relationship with family members and friends, in addition to use of the Beck Depression Inventory.Methods:A cross-section study carried out at the Cardiology Outpatients Clinics of Universidade Federal de S?o Paulo. An instrument prepared by the authors was used, which was based on similar studies with patient identification data, questions related to the psychological follow-up, relationship with family members and friends, in addition to use of the Beck Depression Inventory.Results:A total of 200 patients were interviewed, 127 (63.5%) were male. The mean age was 60.19 years with a standard deviation of 9.38, minimum age of 36 years and maximum of 81 years; 164 (82%) denied any follow-up with a psychologist or psychiatrist in the phase after acute coronary syndrome diagnosis and treatment. In the utilization of Beck Depression Inventory, 67 (33.5%) presented scores between 0 and 4, indicating mild depressive symptoms; 72 (36%) had scores between 5 and 9, indicating mild to moderate depressive symptoms, and 61 (30.5%) presented scores greater than 9, which point out moderate to severe depressive symptoms.Conclusion:The evaluation and multiprofessional follow-up can help patients cope with the illness in addition to providing greater compliance to drug therapy and beginning changes in life habits.
机译:摘要目的:追踪流行病学概况,以验证先前诊断为急性冠脉综合征的患者是否存在抑郁症状,并确定有助于维持样品中抑郁症状的因素。方法:在圣保罗联邦大学的心脏病门诊诊所进行横断面研究。使用了作者编写的工具,该工具基于类似的研究,包括患者识别数据,与心理随访有关的问题,与家人和朋友的关系以及贝克抑郁量表的使用。在圣保罗联邦大学心脏病门诊诊所进行的横断面研究。使用了作者编写的工具,该工具基于类似的研究,包括患者识别数据,与心理随访有关的问题,与家人和朋友的关系以及贝克抑郁量表。在200位患者中,有127位(63.5%)是男性。平均年龄为60.19岁,标准偏差为9.38,最小年龄为36岁,最大年龄为81岁; 164名(82%)拒绝在急性冠脉综合征诊断和治疗后的阶段中接受任何心理学家或精神科医生的随访。在贝克抑郁量表的使用中,有67(33.5%)的得分在0到4之间,表示轻度抑郁症状。 72(36%)的得分在5到9之间,表明轻度至中度抑郁症状,61(30.5%)的得分在9以上,表明中度至重度抑郁症状。结论:评估和多专业随访可以除了提供更大的药物治疗依从性和开始改变生活习惯之外,还可以帮助患者应对疾病。

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