气管-支气管结核患者焦虑和抑郁的现状及其影响因素  

Prevalence and Influencing Factors for Anxiety and Depression in Patients with Tracheobronchial Tuberculosis

作　　者：付颖辉 张庆[3] 杨雪[2] 侯刚[1] FU Yinghui;ZHANG Qing;YANG Xue;HOU Gang(Department of Respiratory and Critical Medicine,The First Hospital,China Medical University,Shenyang 110001,China;Department of Tuberculosis,Shenyang Thoracic Hospital,Shenyang 110034,China;Endoscopic Centre,Shenyang Thoracic Hospital,Shenyang 110034,China)

机构地区：[1]中国医科大学附属第一医院呼吸和危重症医学科,沈阳110001 [2]沈阳市胸科医院结核科,沈阳110034 [3]沈阳市胸科医院内窥镜中心,沈阳110034

出　　处：《中国医科大学学报》2019年第7期633-637,共5页Journal of China Medical University

基　　金：辽宁省高等学校创新团队项目(LT2013015)

摘　　要：目的探讨气管-支气管结核(TBTB)患者焦虑和抑郁的现状及相关影响因素。方法采用结构式问卷对辽宁省3家医院TBTB患者进行横断面调查。通过医院焦虑抑郁量表(HADS)评估患者抑郁和焦虑的情况。结果336例TBTB患者中18.15%有抑郁症状,19.05%有焦虑症状。呼吸困难评分增加是抑郁症状的危险因素;呼吸困难评分增加和临床症状4种及以上是焦虑症状的危险因素(均P<0.05)。结论TBTB患者常见抑郁症状和焦虑症状;呼吸困难评分增加及临床症状4种及以上是抑郁症状和焦虑症状的危险因素;筛查具有这些危险因素的TBTB患者至关重要。Objective To determine the prevalence and the associated risk factors for anxiety and depression in patients with tracheobronchial tuberculosis( TBTB).Methods A cross-sectional survey was performed among patients with TBTB in three hospitals in Liaoning Province using a structured questionnaire.The patients were assessed for depression and anxiety using the Hospital Anxiety and Depression Scale( HADS).Results According to the HADS results,of the surveyed 336 patients with TBTB,18.15% were diagnosed with depression and 19.05% were diagnosed with anxiety.High dyspnea score was the risk factor related to depression,whereas anxiety- related risk factors included high dyspnea score and clinical symptoms lasting ≥4( P < 0.05 for all).Conclusion Patients with TBTB commonly develop depression and/or anxiety disorders,with the related high-risk factors being high dyspnea score and clinical symptoms lasting ≥4.Screening for depression and anxiety in these patients is critical for identifying those who need further psychological assessment and support.

关 键 词：气管-支气管结核 抑郁 焦虑 危险因素 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]