手术患者术前抑郁状况及其影响因素调查分析  

Depression status and its influence factors among preoperative patients

作　　者：汪康宁[1] 王智炜 李嘉辉[2] 邓玉萍[2] 张高华[3] 陈大翠 熊莽 廖秋玲[1] 邓务生 胡利人[3] 

机构地区：[1]广东医学院研究生学院,广东湛江524023 [2]广东医学院第一临床学院,广东湛江524023 [3]广东医学院公共卫生学院,广东湛江524023

出　　处：《海南医学》2015年第22期3405-3407,共3页Hainan Medical Journal

基　　金：2014年广东医学院大学生创新实验项目(编号:2014ZZZF005);2015年度广东大学生科技创新培育专项资金立项项目(编号:pdjh2015b0240)

摘　　要：目的探讨手术患者术前抑郁现状及其影响因素,为其心理干预提供理论依据。方法采用抑郁自评量表(SDS)对734例术前患者进行调查。结果 734例手术患者术前无抑郁558例(76.02%),轻度抑郁162例(22.07%),中度抑郁12例(1.63%),重度抑郁2例(0.27%),抑郁总发生率为24.00%。单因素分析显示,性别、年龄、文化程度、职业、月收入、付费方式、吸烟及饮酒状况与抑郁状态相关(P<0.05)。Logistic回归分析显示,性别、年龄、收入和吸烟状况是手术患者术前出现抑郁状态的影响因素(P<0.05)。结论手术患者术前抑郁情绪的影响因素主要有性别、年龄、收入、吸烟等,应引起医护人员及其家人的重视,降低其术前抑郁的发生率。Objective To explore depression status in preoperative patients and its influence factors, and provide theoretical basis for psychological intervention. Methods A total of 734 preoperative patients were investigated by self-rating depression scale（SDS）. Results Among the 734 patients, there were 558（76.02%） without depression,162（22.07%） of mild depression, 12（1.63%） of moderate depression, and 2（0.27%） of severe depression. The incidence of depression was 24.00%. Single factor analysis showed that gender, age, education level, career, income level,payment ways, smoking, and drug were correlated with depression among preoperative patients（P〈0.05）. Logistic regression analysis showed that gender, age, income level and smoking were the influence factor of depression in preoperative patients. Conclusion The main influence factors of depression for preoperative patients are gender, age, income level and smoking, which should be paid attention to by medical staff and family in order to reduce the incidence of depression.

关 键 词：抑郁 影响因素 术前 抑郁自评量表(SDS) 

分 类 号：R61[医药卫生—外科学]