Depression in patients with heart failure: physiologic effects, incidence, and relation to mortality.
Depression in patients with heart failure: physiologic effects, incidence, and relation to mortality.
复制标题
心力衰竭患者的抑郁：生理影响、发生率以及与死亡率的关系。
DOI：
10.1097/00044067-200302000-00002
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Lann,AnitaLippman
中科院分区：
文献类型：
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作者：
Thomas,SueAnn;Friedmann,Erika;Khatta,Meenakshi;Cook,LindaK;Lann,AnitaLippman
在美国，心力衰竭影响着480万人。心肌梗死后抑郁患者的发病率和死亡率增加。只有几项研究调查了抑郁症对心力衰竭患者的影响。心力衰竭患者抑郁的发生率从13%到77.5%不等。患有心力衰竭的男性比一般人更容易抑郁。心力衰竭住院患者的抑郁发生率高于病情稳定的门诊患者。在心力衰竭患者中，抑郁与死亡率有关。抑郁症患者发生的生理变化可能是导致死亡率上升的原因之一。护士在心力衰竭患者的管理中发挥着重要作用，并在检测和治疗这些患者的抑郁方面发挥着关键作用。抑郁症的减轻可能会降低心力衰竭患者的道德水平。
Heart failure affects 4.8 million people in the United States. Patients depressed after myocardial infarction have increased morbidity and mortality. Only a few studies have investigated the effects of depression in patients with heart failure. The incidence of depression in heart failure ranges from 13% to 77.5%. Men with heart failure are more likely to become depressed than the general population. Depression incidence is higher in hospitalized patients with heart failure than in stabilized outpatients. In patients with heart failure, depression is associated with mortality. Physiologic changes, which occur in depressed patients, have been implicated as possibly contributing to the increased mortality. Nurses have a major role in the management of patients with heart failure and can be pivotal in the detection and treatment of depression in these patients. Reduction in depression is likely to decrease morality in patients with heart failure.