骨科车祸创伤患者入院急性期抑郁焦虑状况评估  

Assessment of depression and anxiety state in traffic accident trauma patients during the acute stage at admission

作　　者：张晶璟 林英[2] 程文红[3] 

机构地区：[1]上海市闵行区精神卫生中心,上海201112 [2]上海市第一人民医院创伤骨科,上海200080 [3]上海市第一人民医院心理科,上海200080

出　　处：《中国临床医学》2016年第4期511-513,共3页Chinese Journal of Clinical Medicine

基　　金：上海市卫生和计划生育委员会局级课题(20134147)~~

摘　　要：目的:了解骨科创伤患者入院急性期的抑郁焦虑状况,为其心理干预提供依据。方法:对骨科收住的373例车祸创伤患者进行HAMA、HAMD量表评分,统计量表评分阳性的病例数,了解创伤患者急性期心理状况。结果:骨科车祸创伤入院急性期患者HAMD和HAMA量表评分阳性率共占13.14%。骨科车祸创伤入院患者HAMA阳性病例多于HAMD阳性病例[HAMA阳性病例为49例(13.14%),HAMD阳性病例为5例(1.34%),P<0.05]。女性患者HAMA、HAMD量表评分均高于男性[HAMA评分:女性为(7.62±6.33)分,男性为(5.11±4.77)分,P<0.01;HAMD评分:女性为(5.71±4.84)分,男性为(4.49±3.74)分,P<0.01]。女性患者HAMA量表评分阳性病例数多于男性[女性30例(25.00%),男性19例(7.51%),P<0.01];HAMD阳性男女性病例数差异无统计学意义。结论:骨科车祸创伤急性期焦虑以女性更为常见、更为严重,需积极干预。Objective：To assess depression and anxiety state in traffic accident trauma patients during the acute stage at admission and provide evidence for further psychological intervention .Methods：373 patients with traffic accident trauma hospitalized in the orthopedic trauma ward were measured by Hamilton depression scale（HAMD） and Hamilton anxiety scale （HAMA） .The number of cases with positive statistics was counted to understand the psychological status of trauma patients at the acute stage .Results：The positive rate of HAMA and HAMD scale was totally 13 .14% in all patients .The number of patients with positive statistics measured by HAMA scale was higher than that measured by HAMD scale （49[13 .14% ] vs 5[1 .34% ] ,P〈0 .05） .The scores of HAMD and HAMA scale were higher in female patients than those in male patients .The score of HAMA scale in female patients was 7 .62 ± 6 .33 ,but 5 .11 ± 4 .77 in male patients （P〈0 .01） .The score of HAMD scale in female patients was 5 .71 ± 4 .84 ,but 4 .49 ± 3 .74 in male patients （P〈 0 .01） .The number of cases with positive statistics measured by HAMA scale in female patients was more than that in male patients （Female：30 cases [25% ] ,Male：19 cases [7 .51% ] ,P〈0 .01） .There was no significant difference between male and female patients in positive cases measured by HAMD scale .Conclusions：Anxiety is more common and severe in female traffic accident trauma patients at the acute stage , and these patients need active intervention .

关 键 词：骨科车祸创伤 急性期 抑郁 焦虑 

分 类 号：R641[医药卫生—外科学]