烧伤患者抑郁症状的危险因素分析  

Analysis of Risk Factors of Depressive Symptoms in Burn Patients

作　　者：田播文 赵正阳 孟银秋 宋均辉 李兴照[1] 方越洋 王冬梅[2] 张向阳 孙业祥[1] TIAN Bowen;ZHAO Zhengyang;MENG Yinqiu;SONG Junhui;LI Xingzhao;FANG Yueyang;WANG Dongmei;ZHANG Xiangyang;SUN Yexiang(Burns Department,The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230022,China;Institute of Psychology,Chinese Academy of Sciences,Beijing 100101,China)

机构地区：[1]安徽医科大学第一附属医院烧伤科,安徽合肥230022 [2]中国科学院心理研究所,北京100101

出　　处：《中国烧伤创疡杂志》2022年第3期179-183,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

基　　金：中国科学院对外合作重点项目(GJHZ2020)。

摘　　要：目的探索烧伤患者抑郁症状的相关危险因素。方法选取2019年4月至2020年1月安徽医科大学第一附属医院收治的206例烧伤患者作为研究对象,收集患者性别、年龄、婚姻状况、文化程度、体重指数、烧伤严重程度、烧伤面积以及汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、急性应激障碍量表(ASDS)、失眠严重程度指数量表(ISI)评分,Logistic回归分析烧伤患者伴发抑郁症状的危险因素,Spearman相关性分析各因素与烧伤患者伴发抑郁症状的相关性。结果206例烧伤患者共收集有效问卷194份(94.17%),194例患者中伴发抑郁症状者111例(57.22%),设为抑郁组;未伴发抑郁症状者83例(42.78%),设为非抑郁组。Logistic回归分析结果显示,HAMA、ASDS高评分是烧伤患者伴发抑郁症状的独立危险因素(95%CI为1.170~1.573、1.000~1.080,P<0.001、P=0.049);Spearman相关性分析结果显示,烧伤面积、HAMA评分、ASDS评分、ISI评分与烧伤患者伴发抑郁症状呈显著正相关性(r=0.269、0.765、0.618、0.517,P均<0.001)。结论HAMA、ASDS高评分是烧伤患者伴发抑郁症状的独立危险因素。Objective To investigate the risk factors associated with depressive symptoms in burn patients.Methods 206 burn patients, admitted into The First Affiliated Hospital of Anhui Medical University between April 2019and January 2020, were enrolled as research subjects, and data, such as patients’ sex, age, marital status, literacy level,body mass index, severity of burns, total burned surface area, and scores of Hamilton depression scale(HAMD), Hamilton anxiety scale(HAMA), acute stress disorder scale(ASDS) and insomnia severity index(ISI), were collected. Logistic regression analysis was conducted to analyze the risk factors relating to depressive symptoms in burn patients, and Spearman correlation analysis was carried out to evaluate the correlation between these factors and depressive symptoms in burn patients.Results A total of 194 qualified questionnaires(94. 17%) were collected from the 206 patients. Of the 194patients, 111 patients(57. 22%) developed depressive symptoms, setting as depression group, and the other 83 patients(42. 78%) without depressive symptoms were set as non-depression group. The Logistic regression analysis showed that the high scores of HAMA and ASDS were the independent risk factors of depressive symptoms in burn patients(95%CI: 1. 170-1. 573, 1. 000-1. 080,P< 0. 001,P= 0. 049);the results of Spearman correlation analysis found that total burned surface area, HAMA score, ASDS score, ISI score had significant positive correlation with the depressive symptoms in burn patients(r= 0. 269, 0. 765, 0. 618 and 0. 517, allP< 0. 001).Conclusion High scores of HAMA and ASDS are the independent risk factors of depressive symptoms in burn patients.

关 键 词：烧伤 抑郁 焦虑 急性应激障碍 失眠严重程度指数 危险因素 

分 类 号：R644[医药卫生—外科学] R749.4[医药卫生—临床医学]