综合医院住院患者整体抑郁焦虑状况  

Investigation on Overall Depression and Anxiety Status of General Hospital Inpatients

作　　者：冯艳春[1] 张修莉[2] 刘继霞[1] 李金业[1] 

机构地区：[1]黑龙江省大庆龙南医院,163453 [2]黑龙江省大庆油田总医院

出　　处：《中国健康心理学杂志》2017年第5期683-687,共5页China Journal of Health Psychology

摘　　要：目的:运用"阳光心灵-中国抑郁焦虑健康教育项目"模式调查综合医院住院患者的抑郁、焦虑发生率,不同科室、病种之间的差异,以及年龄、性别、婚姻状况与抑郁、焦虑发生率的关系。方法:选取大庆龙南医院19个病区的1339名住院患者,指导患者完成PHQ-9、GAD-7和基本调查问卷的填写。结果:1住院患者抑郁焦虑发生率47.4%,单纯抑郁43.6%,单纯焦虑33%,合并抑郁焦虑30%;2焦虑发生率前3位的科室依次是胸外科、肾内科、血液肿瘤(χ2=121.81,P<0.001);抑郁发生率前3位的是胸外科、呼吸内科、血液肿瘤科,(χ2=136.88,P<0.001);合并抑郁焦虑前3位的是胸外科、消化内科和肿瘤科(χ2=128.10,P<0.001);3疾病中以"待查"患者抑郁发生率最高(χ2=120.41,P<0.001);4女性住院患者的焦虑得分显著高于男性患者(P<0.01);年龄与抑郁、焦虑均相关,随着年龄的增大,抑郁和焦虑得分都显著升高(P<0.001);5离异、丧偶患者在抑郁上的得分高于已婚和未婚患者(F=19.01,P<0.001)。离异、丧偶患者在焦虑上的得分高于已婚患者(F=10.83,P<0.001)。结论:1焦虑抑郁问题广泛存在于各科室、病种的住院患者中,只是在发生率上存在明显差异;2"疾病待查"患者与已明确诊断的患者相比更容易出现抑郁;婚姻不幸对人情绪影响较大,如离异、丧偶者更容易出现抑郁焦虑问题;女性患者与男性相比更容易焦虑;3"阳光心灵-中国抑郁焦虑健康教育项目"模式用于综合医院抑郁焦虑的筛查和治疗评估,简便实用,对于临床非精神科医生而言便于复制,并为精神疾病的联络会诊、治疗干预提供可靠依据。Objective：To investigate the incidence of depression and anxiety in the inpatients of general hospitals by the model of＂Sunshine Soul—China Depression and Anxiety Health Education Project＂,and to analyze the differ-ences of incidence of depression and anxiety in different departments and diseases,age,gender,marital status.Meth-ods：A total of 1339 inpatients in 19 wards of Longnan Hospital of Daqing were selected to complete the PHQ—9, GAD—7 and basic questionnaire.Results：①The incidence of depression and anxiety was 47.4%（297 cases）,43.6%（273 cases）of simple depression,33% of simple anxiety,（207 cases）and 30%（188 cases）with depression and anxie-ty.②The occurrence rates of anxiety in the top 3 departments were department of thoracic surgery,department of nephrology,the blood tumor（χ2=121.81,P〈0.001）;The incidence of depression in the top 3 were department of thoracic surgery,internal respiratory medicine,department of hematology and oncology,（χ2=136.88,P〈0.001）;The occurrence rates of combined with depression and anxiety in the top 3 were in the department of thoracic surger-y,department of gastroenterology and oncology （χ2=128.10,P〈0.001）.③ The incidence of depression was the highest among the patients who had＂unexplained＂disease（χ2=120.41,P〈0.001）.④ The anxi-ety scores of female patients were significantly higher than those of male patients（P〈0.01）.Age was correlated with depression and anxiety,and the scores of depression and anxiety increased significantly with increasing age （P〈0.001）.⑤ Divorced and widowed patients had higher scores on depression than married and unmarried patients（F=19.01,P〈0.001）.Divorced and widowed patients had higher scores of anxiety than married patients（F=10.83,P〈0.001）.Conclusion：1 Anxiety and depression problems exist widely in various departments,inpatients of the dis-ease,but there are significant differences in the incidence of clinical subj ects.2＂Unexplained disease＂patients

关 键 词：抑郁 焦虑 阳光心灵 综合医院 住院患者 

分 类 号：R395.6[哲学宗教—心理学]