台灣慢性心衰竭病人憂鬱狀況及其影響因素

Depression and Related Factors of Patients with Chronic Heart Failure in Taiwan

本研究目的在瞭解台灣慢性心衰竭病人憂鬱狀況，及人口學變項與臨床疾病特徵對憂鬱之影響。採橫斷面調查法，收集門診心衰竭病人憂鬱、人口學與臨床疾病特徵資料。憂鬱以主要症狀量表憂鬱次量表與病人健康量表簡要版測量之。結果共有122位門診個案(64.3±12.9歲；78.7%男性；診斷時間43.0±35.8月；36.1% NYHA III/IV)參與本研究，有明顯憂鬱症狀(0.67± 0.82/5.07±5.18分)，其中，女性、單身與收縮功能正常之慢性心衰竭病人憂鬱情形較嚴重。醫療照顧者把握短暫門診就醫時間，迅速篩檢高危險群體並予適當協助，將有助於改善心衰竭病人心理健康與疾病預後。

The goal of the study was to understand the prevalence of depression and related factors of depression among patients with chronic heart failure in Taiwan. Cross-sectional research investigation was utilized in the current study. Patients with heart failure at the outpatient settings were recruited. Depression was measured by the Brief Symptom Inventory - Depression subscale (BSI- depression) and Patient Health Questionnaire- 9 (PHQ-9). The study recruited 122 heart failure patients (age 64.3±12.9 years; 78.7% male; months since diagnosed 43.0±35.8; 36.1% NYHA III/IV). The patients showed considerable depression (BSI- depression: 0.67±0.82/ PHQ- 9: 5.07±5.18). Female, single, and hear failure with preserved systolic function patients had more severe depression. Health care providers should pay more attention to the depressed patients to improve the medical quality and offer more appropriate remedies for them.