影响慢性阻塞性肺疾病患者焦虑、抑郁障碍因素的Logistic回归分析  

Logistic regression analysis of factors affecting anxiety and depressive disorder in patients with chronic obstructive pulmonary disease

作　　者：商勇[1] 陆燕春[1] Shang Yong,Lu Yanchun(Department of Respiration,the First People＇s Hospital of Kashi Area,Kashi City,Xinjiang 84400)

机构地区：[1]新疆喀什市喀什地区第一人民医院呼吸科,844000

出　　处：《中国社区医师》2018年第16期55-57,59,共4页Chinese Community Doctors

摘　　要：目的:探讨影响慢性阻塞性肺疾病(COPD)患者焦虑、抑郁障碍的危险因素。方法:收治COPD患者267例,分析患者一般情况和病情严重程度与抑郁焦虑发生的相关性。结果:本研究中,单纯抑郁患者6例,单纯焦虑患者4例,抑郁合并焦虑患者87例。单因素分析显示,年龄、婚姻状况、饮酒、高血压、高脂血症等因素不是影响COPD患者抑郁、焦虑发病的危险因素(P>0.05),年龄、职业、是否在职、家庭月收入、费用支付方式、生活情况、居住地、吸烟、合并糖尿病、合并疾病支付方式、前6个月病情加重次数、家庭关怀、病情了解、教育程度等是影响COPD患者抑郁、焦虑发病的危险因素(P<0.05)。Logistic分析显示费用支付方式、居住地、家庭关怀、病程、FEV1%、6MWT等是影响COPD患者发生抑郁、焦虑的独立危险因素(P<0.05),家庭月收入和教育程度是COPD患者发生抑郁、焦虑的保护因素(P<0.05)。结论:抑郁、焦虑是COPD患者的常见并发症,加强对具有危险因素患者进行心理评估,并进行及时干预和合理的心理疏导,对提高COPD的治疗效果和改善预后有益。Objective：To explore the risk factors affecting anxiety and depressive disorder in patients with chronic obstructive pulmonary disease.Methods：267 patients with COPD were selected.We analyzed the relationship between the patient’s general situation and the severity of the disease with the incidence of depression and anxiety.Results：In this study,there were 6 patients with simple depression,4 patients with simple anxiety and 87 patients with depression and anxiety.Univariate analysis showed that age,marital status,alcohol consumption,hypertension and hyperlipidemia were not risk factors affecting anxiety and depressive disorder in patients with COPD（P〉0.05）.Age,occupation,on or not on the job,family income,payment method,life situation,residence,smoking,complicated with diabetes,payment method of combined disease,the number of aggravations in the first 6 months,family care,understanding of the condition and degree of education were risk factors affecting anxiety and depressive disorder in patients with COPD（P〈0.05）.Logistic analysis showed that the way of payment,residence,family care,course of disease,FEV1%,6 MWT were independent risk factors affecting anxiety and depressive disorder in patients with COPD（P〈0.05）.Family monthly income and educational level were protective factors affecting anxiety and depressive disorder in patients with COPD（P〈0.05）.Conclusion：Depression and anxiety were common complications of COPD patients,strengthening psychological assessment of patients with risk factors and timely intervention and rational psychological counseling were beneficial to improve the therapeutic effect and prognosis of COPD.

关 键 词：慢性阻塞性肺疾病 焦虑 抑郁 危险因素 

分 类 号：R563.9[医药卫生—呼吸系统]