综合医院内外科住院患者焦虑抑郁状况调查  

Investigations of depression-anxiety status among medical and surgical inpatients in tertiary general hospitals

作　　者：陈波[1] 李代秀[1] 张集慧[1] 鲁建瑞[1] 牛慧[1] 

机构地区：[1]包头医学院第三附属医院心理康复科 ,内蒙古包头014030

出　　处：《临床心身疾病杂志》2013年第1期30-32,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的调查综合医院内外科住院患者的焦虑抑郁发生状况，为临床干预提供依据。方法对综合医院300例内外科住院患者采用综合医院焦虑抑郁量表进行调查分析。结果300例患者焦虑情绪检出率为11．00％，抑郁情绪检出率为28．67％；内科患者抑郁情绪检出率显著高于外科（x2=11．02，P〈0．01），不同性别、文化程度、职业患者抑郁情绪检出率比较差异有极显著性（P〈0．01）。内科不同科室患者焦虑、抑郁情绪检出率比较差异均无显著性（x2=3．12、6．37，P〉0．05）；外科不同科室患者焦虑情绪检出率比较差异无显著性（x2=4．04，P〉0．05），抑郁情绪检出率比较差异有极显著性（x2=14．47，P〈0．01）。结论综合医院住院患者伴发焦虑、抑郁情绪的发生率较高，临床医生在诊治躯体疾病的同时，应及时地对患者伴发的焦虑抑郁情绪进行有针对性的干预，以促进患者心身的全面康复。Objective To Survey depression-anxiety status among medical and surgical inpatients in gener- al hospitals in order to provide basis for clinical intervention. Methods Assessments were carried out with the Hospital Anxiety and Depression Scale （HADS） among 300 medical and surgical inpatients in general hospitals. Results Detection rates of anxious and depressive emotion were respectively 11. 00% and 28.67%; detection rate of depressive emotion was significantly higher in dept. of internal medicine than surgery （x2= 11.02, P〈0. 01）, there were very significant differences in detection rates of depressive e- motion among patients with different genders, educational levels and occupations （P〈0.01）. There were no significant differences in the detection rate of anxious and depressive emotion among different depart- ments of internal medicine （x2= 3.12,6.37, P〉0.05） ; there were no significant differences in the detec- tion rate of anxious emotion among different departments of surgery （X2 =4.04, P〉0.05） and were very significant differences in depressive emotion among different dept. of surgery （X2= 14.47, P〈0. 01）. Conclusion The incidence of anxious and depressive emotion are higher among inpatients with somatic dis- eases in general hospitals, purposeful interventions should be promptly given to ones accompanied with anxious-depressive emotion at the same time of diagnosing and treating somatic diseases in order to promo- ting patients ＇ psychosomatic comprehensive rehabilitation.

关 键 词：综合医院 住院患者 躯体疾病 焦虑情绪 抑郁情绪 综合医院焦虑抑郁量表 

分 类 号：R181.34[医药卫生—流行病学]