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作 者:任伟伟 张慧[1] 刘丽红 赵丽 储继娉 杨岩 REN Weiwei;ZHANG Hui;LIU Lihong;ZHAO Li;CHU Jiping;YANG Yan(The Second People's Hospital of Fuyang City,Fuyang,Anhui 236015,China)
出 处:《中国热带医学》2020年第9期843-848,共6页China Tropical Medicine
摘 要:目的了解新型冠状病毒肺炎患者及疑似患者焦虑、抑郁状况和患病率,分析其影响因素。方法选取2020年1月20日—2020年2月20日在阜阳市第二人民医院感染科住院隔离治疗的新型冠状病毒肺炎确诊病例及疑似病例123例,采用问卷调查、焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者焦虑、抑郁状况,运用非条件Logistic回归分析其影响因素。结果患者SAS评分(37.23±12.59)、SDS评分(51.94±5.38)均高于全国常模(P<0.001),焦虑、抑郁所占比例分别为32.5%(40/123)、41.5%(51/123)。单因素χ2检验分析显示,患者性别、年龄、年收入及出院诊断结果是焦虑的影响因素,年收入是抑郁的影响因素。多因素Logistic回归分析,年收入<1万、1~<3万元、3~<5万是焦虑的危险因素,年龄组30~<50岁是抑郁的危险因素。结论住院新型冠状病毒肺炎患者及疑似患者焦虑、抑郁水平较高,患者年收入是焦虑的影响因素,年龄是抑郁的影响因素,需要对住院患者进行心理评估,采取有针对性的、个性化的干预措施。Objective To understand the current situation of anxiety and depression in hospitalized patients with COVID-19 and suspected patients,and to analyze the influencing factors.Methods The confirmed and suspected 123 cases with COVID-19 hospitalized in the Department of Infection in the Second People's Hospital of Fuyang City during January 20,2020 and February 20,2020 were selected.The anxiety and depression of the patients were evaluated by questionnaires,selfrating anxiety scale(SAS)and self-rating depression scale(SDS),non-conditional logistic regression was used to analyze the influencing factors.Results The SAS(37.23±12.59)and SDS(51.94±5.38)scores of the patients were significantly higher than those of the national norm(P<0.001).The prevalence rates of anxiety and depression were 32.5%(40/123)and 41.5%(51/123),respectively.Univariate analysis showed that gender,age,annual income and discharge diagnosis were the influencing factors for anxiety,while annual income was the influencing factor for depression.Multivariate logistic regression analysis showed that annual income<10000 yuan,10000-<30000 yuan,30000-<50000 yuan was a risk factor for anxiety,and the age group of 30 to 50 years old was a risk factor for depression.Conclusions Patients hospitalized with COVID-19 and suspected patients has higher levels of anxiety and depression.The patient's annual income is the influencing factor of anxiety,and the patient's age is the influencing factor of depression.Inpatients need to be psychologically assessed in order to implement targeted,personalized interventions.
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