抑郁障碍患者躯体化症状及临床特征的调查研究  

The investigation on the somatic symptoms and clinical characteristics in patients with depressive disorder

作　　者：陈丽 贾守梅 赵缨[1] 施忠英[2] 陆月梅 李萍[3] 赵琦 苗宇 李洋 Chen Li;Jia Shoumei;Zhao Yin;Shi Zhongyin;Lu Yuemei;Li Ping;Zhao Qi;Miao Yu;Li Yang(School of Nursing,Fudan University,Shanghai 200032;Shanghai Mental Health Center,Shanghai 200030;Putuo District Mental Health Center,Shanghai 200065;Medical College of Fudan University,Shanghai 200032)

机构地区：[1]复旦大学护理学院,上海200032 [2]上海市精神卫生中心,上海200030 [3]上海市普陀区精神卫生中心,上海200065 [4]复旦大学医学院,上海200032

出　　处：《护士进修杂志》2019年第11期974-978,992,共6页Journal of Nurses Training

基　　金：CMB护理青年教师科研基金项目(编号:13-168-201603)

摘　　要：目的调查抑郁障碍患者躯体化症状的发生情况并分析原因。方法2016年11月-2017年9月,采用方便抽样法,使用一般情况问卷、躯体症状问卷(SSI)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMD)对本市两所214例抑郁障碍患者的一般资料、躯体化症状、抑郁、焦虑情绪进行调查。所有调查资料输入SPSS22.0进行描述性和相关性统计分析。结果患者躯体症状的均分为(49.63±15.53)分,26.2%的患者躯体化症状已达中重度。抑郁障碍患者的躯体化症状与食欲降低显著相关;患者药副反应出现的症状越多,其总的躯体化症状得分就越高。Pearson相关分析显示,抑郁障碍患者的躯体化症状各维度与抑郁焦虑情绪均存在正相关关系(P<0.01)。结论抑郁障碍患者躯体化症状发生率很高,躯体症状与抑郁情绪存在显著的正相关关系,护理人员应重视患者的躯体化症状管理,从而促进抑郁障碍患者的全面康复。Objective To investigate the occurrence of somatization symptoms and its characteristics in patients with depressive disorder.Method Using convenient sampling method, 214 hospitalized patients were recruited and investigated using the somatic symptom Inventory (SSI), the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA)and the general questionnaire from November 2016 to September 2017.Results The average SSI score of patients is over 49.63±15.53.26.2% of the patients were in the moderate to severe level in somatic symptoms.The somatic symptoms of patients with depressive disorders were significantly correlated with diet and side effects of medication.There was a significant correlation between somatic symptoms and depressive mood in patients with depressive disorders.Conclusion Somatic symptoms are more common in patients with depressive disorder.There is a significant correlation between the degree of somatic symptoms and depression in patients with depressive disorders.Somatic symptoms management should be paid more attention to promote the comprehensive rehabilitation of patients with depressive disorders.

关 键 词：抑郁障碍 躯体症状 抑郁情绪 焦虑情绪 护理 

分 类 号：R473.74[医药卫生—护理学]