综合医院焦虑抑郁量表应用于支气管哮喘患者心理评估  

Hospital anxiety and depression scale among asthmatic patients applied to judge the psychological status

作　　者：周俐[1] 李俐[1] 丘梅青 谢少波[1] 梁少敏[1] 刘艳萍 

机构地区：[1]广州市中医医院呼吸内科,广州市510180 [2]广州市民政局精神病医院心理科,广州市510270

出　　处：《国际呼吸杂志》2013年第21期1613-1616,共4页International Journal of Respiration

摘　　要：目的在综合医院呼吸科病房和门诊应用综合医院焦虑抑郁量表（Hospital Anxiety and Depression Scale，HADS），对支气管哮喘（简称哮喘）患者进行自评和辅助询问评估心理特征。方法对确诊为哮喘并反复发作门诊或住院部患者，应用医院焦虑抑郁情绪测定量表（HADS，14项）按流行病学调查问卷方法，由病区工作人员采用交谈和观察辅助问答方法进行。按量表评分评级初步筛选健康、焦虑和或抑郁患者。拟入选本研究300例，其中心理组200例。结果有效病例168例，100例有抑郁状况，阳性率59．17％；29例为焦虑状况，阳性率17．16％。哮喘患者的焦虑程度受各因素的影响从大到小分别为年龄、每次住院天数和住院次数、病情严重程度；哮喘患者的抑郁程度受各因素的影响从大到小分别为年龄、住院次数。而与其他因素无明显相关性。结论哮喘患者存在焦虑、抑郁情绪的发生。程度受各因素的影响从大到小分别为年龄、每次住院天数和住院次数、病情严重程度。及早心理评估，介入临床治疗有助于减少心理疾病发生，对哮喘规范防治有益。Objective Respiratory diseases in general hospital wards and in outpatient clinics are applied hospital anxiety and Depression Scale （Hospital Anxiety and Depression Scale, HADS）, in patients with bronchial asthma （asthma） of self-evaluation and auxiliary questions assessing the psychological characteristics. Methods On the diagnosis of asthma and recurrent attacks of outpatient or inpatient department of the hospital anxiety and depression of patients, application of measurement scales （HADS, 14） according to the epidemiological questionnaire method, by ward staff use of conversation and observation method for auxiliary. According to the scale ratings of preliminary screening, anxiety and depression of patients or health. To be selected for this study in 300 patients, including 200 cases of psychological group. Results Effective in 168 cases, 100 cases with depression, the positive rate was 59.17% in 29 cases for anxiety, positive rate is 17.16%. Asthma patient anxiety levels by various factors from big to small were age, length of stay and hospitalization, severity of illness; depression levels of asthma patients affected by various factors the influence from big to small were age, times of hospitalization. No significant correlation with other factors. Conclusions The presence of anxiety, depression in patients with asthma occurrence. Affected by various factors from big to small were age, length of hospital stay, and frequency of hospitalization, severity of illness. Early psychological assessment, interventional treatment helps to reduce the psychological diseases, asthma affects specification control, is the effective management of asthma treatment is important method.

关 键 词：综合医院焦虑抑郁量表 支气管哮喘患者 心理 评估 

分 类 号：R562.25[医药卫生—呼吸系统]