新冠疫情期间普通肺炎患者的焦虑、抑郁状况  

The status of anxiety and depression in common pneumonia patients during the COVID-19 pandemic

作　　者：王红丽 杨亚敏 郑莉方 WANG Hongli;YANG Yamin;ZHENG Lifang(Department of Respiratory and Critical Care,Kaifeng People's Hospital,Kaifeng 475000,China)

机构地区：[1]开封市人民医院呼吸与危重症科,开封475000

出　　处：《国际精神病学杂志》2023年第2期275-277,共3页Journal Of International Psychiatry

摘　　要：目的 调查新冠疫情期间普通肺炎患者焦虑、抑郁现状及影响因素。方法 选择2020年1月~2022年7月100例普通肺炎患者为研究对象,采用综合性医院焦虑抑郁量表(HAD)评估患者的焦虑、抑郁情绪并分组,比较两组患者性别、学历等一般资料,通过多因素Logistic回归分析调查焦虑、抑郁的影响因素。结果 100例普通肺炎患者检出焦虑66例,检出抑郁54例;抑郁组、非抑郁组以及焦虑组、非焦虑组病情严重程度、学历、年龄、家属陪护、新型冠状病毒肺炎(COVID-19)疾病知识水平、医疗费用支付方式、家庭月收入差异具有统计学意义(P>0.05),性别、婚姻差异无统计学意义(P>0.05);多因素分析显示,小学以下学历、无家属陪护、COVID疾病知识水平低、年龄> 60岁是焦虑的影响因素;重症肺炎、小学以下学历、无家属陪护、医疗费用自费是抑郁的影响因素。结论 新冠疫情期间普通肺炎患者焦虑、抑郁发生率较高,影响因素包括学历、家属陪护等,应给予针对性的心理干预以及健康教育等降低焦虑、抑郁发生率。Objective To investigate the anxiety and depression status of patients with common pneumonia during the COVID-19 pandemic and its influencing factors.Methods A total of 100 patients with common pneumonia from January 2020 to July 2022 were selected as the research objects.Anxiety and depression of patients were evaluated with the anxiety and depression scale(HAD)of the general hospital,and general data such as gender and educational background of patients with anxiety and depression were compared.The influencing factors of anxiety and depression were investigated through multi-factor Logistic regression analysis.Results Anxiety was detected in 66 cases and depression in 54 cases from 100 general pneumonia patients.There were significant differences in the severity of illness,education,age,accompanying family,illness knowledge level of novel coronavirus pneumonia(COVID-19),payment method of medical expenses,and monthly household income between depressed and non-depressed groups as well as between anxious and non-anxious groups(P>0.05).There were no significant differences in gender or marriage(P>0.05).Multivariate analysis showed that primary school education or less,no family accompanying with them,low level of knowledge of covid diseases,and age>60 years were the influencing factors for anxiety.Severe pneumonia,less than primary school education,no family members accompanying care,and out of pocket medical expenses were the influencing factors of depression.Conclusion The incidence of anxiety and depression in general pneumonia patients was higher during the COVID-19 pandemic,and the influencing factors including education and accompanying family members should be given targeted psychological interventions as well as health education to reduce the incidence of anxiety and depression.

关 键 词：新型冠状病毒肺炎 疫情期间 普通肺炎 焦虑 抑郁 

分 类 号：R749.21[医药卫生—神经病学与精神病学]