Nursing requirements and status of anxiety and depression incidence among senile patients with acute coronary syndrome

Abstract

Objective To study the influencing tactors of senile acute coronary syndrome ( ACS) patients with anxiety and depression and related nursing requiements.Methods Totals of 256 senile ACS patients were investigated with Zung self-rating anxious scale (SAS),Zung self-rating depressive scale (SDS) and self-designed observation scale to understand the incidence of anxiety and depression.Related influencing factors,nursing requirements were analysed.Results Different degrees of anxiety and depression were found in all the patients.121 cases (47.26％) presented with anxious symptoms,47 cases( 18.36％ ) presented with depressiive symptoms,and 33 cases ( 12.89％ ) presented with both anxious and depressive symptoms.The incidence of anxiety and depression were 78.51％.Logistic regression analysis showed factors such as knowledge related disease,behaviors,hospital environment,and social supporting systems were closely related to the incidence of anxiety and depression ( P ＜ 0.05 ).Patients with anxiety or (and) depression had more problems such as hypochondriacal idea,discomfort complaint,inattention and so on compared with that no symptom patients( P ＜ 0.05 ).Patients with anxiety or(and) depression needed more nursing requirements such as the time of oxygen,back paddling,massage and psychological intervention than patients without those mental symptoms( P ＜ 0.05 ).Conclusions It is important to strengthen psychological nursing and targeted health education in order to reduce the incidence of anxiety and depression among senile ACS patients,improve their disease and life quality. Key words: Anxiety; Depression ; Senium; Acute coronary syndrome; Nursing requirement