慢性阻塞性肺气肿患者住院期间焦虑和抑郁现状及影响因素  

The current situation and influence factors of anxiety and depression of patients with chronic obstructive pulmonary emphysema during hospitalization

作　　者：刘萍[1] 刘国清[2] 张韵[2] 

机构地区：[1]广东省惠州市第二人民医院医技科,广东惠州516001 [2]广东省惠州市第一人民医院呼吸科,广东惠州516001

出　　处：《中国医药导报》2016年第2期117-120,共4页China Medical Herald

基　　金：广东省惠州市科技计划项目(2015Y058)

摘　　要：目的探讨慢性阻塞性肺气肿患者住院期间焦虑和抑郁的发生情况及与其相关的影响因素。方法采用整群抽样方法选择2014年1月-2015年1月在惠州市第一人民医院和惠州市第二人民医院住院治疗的符合本研究需要的慢性阻塞性肺气肿患者77例，采用焦虑抑郁自评量表测定调查对象的焦虑抑郁情况；采用家庭支持自评量表判断患者的家庭支持情况；采用多因素Logistic回归分析对慢性阻塞性肺气肿患者的焦虑抑郁相关因素进行分析。结果患者焦虑评分[（51．54±8．25）分]与中国常模[（33．80±5．90）分]比较，差异有统计学意义（t=6．96，P〈0．05）。患者抑郁评分[（51．67±7．63）分]与中国常模[（41.88±10．57）分]比较，差异有统计学意义（t=6．17，P〈0．05）。不同性别（t=3．66，P〈0．05）、不同文化程度（t=3．78，P〈0．05）、不同医疗付费方式（t=5．76，P〈0．05）、不同家庭支持水平（t=3．57，P〈0．05）的慢性阻塞性肺气肿患者的焦虑情况比较，差异均有统计学意义。不同性别（t=3．43，P〈0．05）、不同文化程度（t=3．99，P〈0．05）、不同医疗付费方式（t=3．44，P〈0．05）、不同家庭支持水平（t=4．61，P〈0．05）的慢性阻塞性肺气肿患者的抑郁情况比较，差异均有统计学意义。多因素Logistic回归分析结果显示，患者性别（DR=0．434，P=0．031）、文化程度（DR=1．738，P=0．041）、医疗付费方式（OR=1．302，P=0．023）、家庭支持水平（OR=1．658，P=0．021）与焦虑有关；患者性别（OR=0．565，P=0．012）、文化程度（OR=2．871,P=0．027）、医疗付费方式（OR=1．047，P=0．021）、家庭支持水平（OR=1．485，P=0．006）与抑郁有关。结论慢性阻塞性肺气肿患者住院期间存在焦虑抑郁情绪，与性别、文化程度、医疗付费方式、家庭支持水平显著相关。Objective To explore the current situation and influence factors of anxiety and depression of patients with chronic obstructive pulmonary emphysema during hospitalization. Methods Seventy seven cases of patients with chronic obstructive pulmonary emphysema conforming to this research needs in the First People＇s Hospital of Huizhou City and the Second People＇s Hospital of Huizhou City from January 2014 to January 2015 were selected as objects using cluster sampling method. The anxiety and depression of the objects were investigated with anxiety and depression self-rating scale; the patient＇s family support was judged with the family support checklist; multivariate Logistic regression analysis was used to analyze the related factors of anxiety and depression of patients with chronic obstructive pulmonary emphysema. Results Anxiety score [（51.54±8.25） points] of the patients and Chinese norm [（33.80±5.90） points] was compared, the difference was statistically significant （t = 6.96, P 〈 0.05）. Depression score of the patients [（51.67±7.63） points] and Chinese norm [（41.88±10.57） points] was compared, the difference was statistically significant （t = 6.17, P 〈 0.05）. The anxiety of patients with chronic obstructive pulmonary emphysema of different gender （t = 3.66, P 〈 0.05）, different education level （t = 3.78, P 〈 0,05）, different medical payment （t = 5.76, P 〈 0.05）, different levels of family support （t = 3.57, P 〈 0.05） were compared, the differences were statistically significant. The depression of patients with chronic obstructive pulmonary emphysema of different gender （t = 3.43, P 〈 0.05）, different education level （t =3,99, P 〈 0.05）, different medical payment （t = 3.44, P 〈0.05）, different levels of family support （t = 4.61, P 〈 0：05） were compared, the differences were statistically significant. The results of multivariate Logistic regression analysis showed that patient gender tOR= 0.434, P = 0.031）, educational leve

关 键 词：慢性阻塞性肺气肿 焦虑 抑郁 焦虑自评量表 抑郁自评量表 家庭支持自评量表 多因素LOGISTIC回归分析 

分 类 号：R563.1[医药卫生—呼吸系统]