支气管哮喘患者抑郁情绪的出现及其影响因素  

Incidence of Depression in Asthmatic Patients and Influencing Factors

作　　者：李志平[1] 彭丽红[1] 钟韵[1] 黄建强[1] 郭禹标[1] 

机构地区：[1]中山大学附属第一医院呼吸内科,广州510080

出　　处：《中国康复》2007年第1期21-22,共2页Chinese Journal of Rehabilitation

摘　　要：目的:探讨支气管哮喘患者的抑郁情绪出现情况及其影响因素。方法:64例门诊治疗1-2个月的支气管哮喘患者给予填写抑郁自评量表(CES-D)和哮喘患者生存质量量表(AQLQ),按有否抑郁情绪判断标准排序并进行统计学处理。结果:64例患者中有抑郁情绪表现的占20.3%;CES-D和生存质量量表评分有与无抑郁情绪的患者差异有显著性意义,相关分析显示两者呈明显负相关关系(P<0.05);构成生存质量的5个要素中,哮喘症状、心理状况、对刺激原的反应及对自身健康的关心评分有抑郁患者明显低于无抑郁患者(P<0.05),且心理状况和对自身健康的关心分与CES-D得分呈明显的负相关关系(P<0.01和0.05)。结论:支气管哮喘患者的抑郁情绪与其生存质量有着密切的负相关关系,要减轻和消除其抑郁情绪,一方面要积极有效地控制疾病,另一方面在防治疾病过程中要善于自我调节心理,医务人员在治疗疾病同时也应重视患者的心理状况,给予必要心理指导。Objective： To explore the incidence of depression in asthmatic patients and influencing factors. Methods： Sixty four confirmedly diagnosed asthmatic patients were subjected to outpatient treatment for 1- 2 months, and then CES-D questionnaire and quality of life （QOL） questionnaire were completed by these patients. Data were collected and statistically analyzed according to CES-D scores, which were sorted to divide all the patients into two groups., depression group and no-depression group. Results.. The incidence of depression in asthmatic patients was 20. 3%. There were significant differences in scores of QOL between depression group and no-depression group. There was a negative correlation between scores of CES-D and scores of QOL （P〈0.05）. For all the 5 elements of QOL questionnaire, significant differences were found between the two groups in asthmatic symptoms, psychologic status, the response to irritants and the concern for self health status except for limitation of activities. And negative correlation was found between scores of psychologic status and scores of CES-D （P〈0. 05）. So was scores of the concern for self health status and scores of CES-D （P〈0.05）. Conclusion： The depressed mental state of asthmatic patients was related to the inferior QOL. In order to relieve and eliminate the negative effects of depressed emotion in these patients, doctors should provide active treatment to control the disease. In addition, we should help our patients establish positive attitudes toward the disease and get them to know that it is important to adjust their psychological status.

关 键 词：支气管哮喘 抑郁 生存质量 心理 

分 类 号：R562.25[医药卫生—呼吸系统] R395[医药卫生—内科学]