骨折住院患者的焦虑抑郁及其相关因素  

Anxiety and depression in fracture inpatients and the related factors

作　　者：凌敏 孙月吉[2] 张新宇[3] 刘启贵[2] 单慧华[4] 刘素芳[5] 秦玉荣[6] 

机构地区：[1]大连铁路卫生学校护理教研室,辽宁省大连市116001 [2]大连医科大学精神卫生教研室,辽宁省大连市116023 [3]大连医科大学护理系,辽宁省大连市116023 [4]大连医科大学附属第二医院骨科,辽宁省大连116027 [5]解放军第二一〇医院骨科,辽宁省大连市116021 [6]大连市第二人民医院骨科,辽宁省大连市116011

出　　处：《中国临床康复》2006年第2期33-36,共4页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:采用问卷调查法分析骨折住院患者的焦虑抑郁及其相关因素,为骨科临床心理干预提供依据。方法:于2003-05/2004-04选择大连医科大学附属第二医院骨科,大连市第二医院骨科,大连市第四医院骨科,解放军第二一○医院骨科的住院骨折患者200例为骨折组观察对象。对照组主要在大连医科大学中山学院工作人员、家属及学生中选取躯体功能健康者110人。采用自制的一般情况调查表获悉骨折患者的基本情况。焦虑状况评定采用焦虑自评量表,每项症状按1～4级评分,各项得分相加得总粗分,将总粗分乘以1.25即得标准分,50分为临界值。抑郁评定采用抑郁自评量表,每项症状按1～4级评分,各项得分相加得总粗分,将总粗分乘以1.25即得标准分,53分为临界值。人格评定采用成人艾森克人格问卷,共85题,分内外向、神经质、精神质和掩饰4个因子,直接对粗分进行比较分析。对来自各种社会资源如家庭、朋友和其他方面支持的感受程度的评定采用领悟社会支持量表,包括12个自评项目,采用1～7级计分法,以支持总分参加分析,分数越高领悟支持总程度越好。采用访谈式问卷调查。骨折组患者调查时间统一选在入院后3～7d内进行。对照组学生在测定期间无考试。结果数据进行t检验、χ2检验、秩和检验、Pearson相关分析、一元及多元线性回归分析。结果:骨折组发放问卷200份,收回合格问卷185份,有效率92.5%;对照组发放问卷110份,收回合格问卷101份,有效率91.8%。①骨折患者焦虑和抑郁的发生率分别为45.4%(84/185)和50.3%(93/185);对照组中分别仅有10.9%(11/101)、22.8%(23/101)存在焦虑、抑郁情绪,二者差异有高度显著性(P<0.01)。焦虑合并抑郁的发生率为33.5%(62/185);相关分析揭示焦虑与抑郁高度正相关(相关系数为0.605,P<0.01);焦虑、抑郁分别与神经质、精神质、住院费用、住院天数呈显著�AIM： To analyze anxiety, depression and related factors in fracture inpatients by means of questionnaire investigation, so as to provide evidence for orthopedic clinical psychological intervention. METHODS： From May 2003 to April 2004, 200 inpatients with fracture were selected as objects from Department of Orthopedics, the Second Affiliated Hospital of Dalian Medical University, Department of Orthopedics of Dalian Second People＇s Hospital Department of Orthopedics, Dalian Fourth People＇s Hospital, and Department of Orthopedics of the 210 Hospital of Chinese PLA. Totally 110 healthy subjects were selected from personnel, relatives and students in Zhongshan college of Dalian Medical University as the control group. The general information of the inpatients were investigated with the self-designed general questionnaire. Anxiety was assessed with self-rating anxiety scale （SAS）, consisted of 20 items, each symptom scored by 1 to 4 grades, . each score add together to get the total crude score and the total crude score multiplied by 1.25 as the standard score, the value of delimitation was 50. Depression was assessed with self- rating depression scale （SDS）, consisted of 20 items, each symptom scored by 1 to 4 grades, each score add together to get the total crude score and the total crude score multiplied by 1.25 as the standard score, the value of delimitation was 53. Personality was evaluated with adult Eysenek personality questionnaire （EPQ）. consisted of 85 items and 4 factors including introversion and extraversion, neuroticism, psychoticism and conceal, the crude scores were compared directly. Degree of perceived social support came from various social sources, for example family, friends and others, was evaluated on perceived social support scale （PSSS）, including 12 items, each item scored by 1 to 7 grades, analyzed by total support score, the higher the better, lnpatients with fracture were interviewed by questionnaire investigation, 3-7 days after admission; students in the control

关 键 词：焦虑 抑郁 骨折 相关因素 

分 类 号：R274.1[医药卫生—中医骨伤科学]