北京市大兴区不同慢性病抑郁焦虑症状现状及其影响因素研究  

Current situation and influencing factors of depressive and anxiety symptomsamong residents with multiple chronic diseases in Daxing District,Beijing

作　　者：潘峰[1] 张晓悦 甘亚弟[1] 巩俐彤[1] 张蓝超 常春[2] PAN Feng;ZHANG Xiao-yue;GAN Ya-di;GONG Li-tong;ZHANG Lanchao;CHANG Chun(Daxing District Center for Disease Prevention and Control,Beijing 102600,China)

机构地区：[1]北京市大兴区疾病预防控制中心,北京102600 [2]北京大学医学部公共卫生学院,北京100191

出　　处：《中国健康教育》2023年第10期948-954,共7页Chinese Journal of Health Education

摘　　要：目的 分析不同类型慢性病发生抑郁焦虑症状的差异及其影响因素,为改善慢性病患者心理健康、提高生存质量提供依据。方法 依托2017年北京市大兴区社区诊断项目开展问卷调查,采用χ2检验进行单因素分析,采用多元Logistic回归分析各类慢性病和慢性病共病对抑郁焦虑症状的影响。结果 共调查各类慢性病患者2502例。其中247例(9.9%)抑郁症状为轻度,76例(3.0%)为中度及以上;139例(5.6%)焦虑症状为轻度,45例(1.8%)为中度及以上。多因素分析显示,相对于未患该病种的人群,患呼吸系统疾病人群容易出现轻度抑郁和焦虑症状,患肌肉骨骼疾病、消化系统疾病人群容易出现轻度和中度及以上抑郁和焦虑症状,患慢性泌尿系统疾病易出现中度以上焦虑症状(P<0.05)。相对于女性、<30岁、未就业或退休、只患一种慢性病的人群,男性、41~50岁、51~60岁、60岁及以上是轻度抑郁和轻度焦虑症状的保护因素,慢性病共病是轻度抑郁和轻度焦虑症状的危险因素,41~50岁是中度及以上抑郁症状的保护因素,男性是中度及以上焦虑症状的保护因素,就业、慢性病共病是中度及以上抑郁和焦虑症状的危险因素(P<0.05)。结论 慢性病对患者的影响是多维的,慢性病患者尤其是共病者,更容易出现抑郁焦虑症状,应加强对慢性病患者心理健康的干预,提升健康宣教水平,及时疏导患者的抑郁焦虑情绪,保持良好的心态。Objective To explore the differences in depressive and anxiety symptoms among residents with chronic diseases,and to provide evidence for improving mental health and quality of life of patients with chronic disease.Methods A questionnaire survey was conducted based on the 2017 Community Diagnosis Project in Daxing District,Beijing.Chisquare tests were used for univariate analysis,and multivariate logistic regression was used to analyze the impact of various chronic diseases and comorbidities on depressive and anxiety symptoms.Results A total of 2502 patients with chronic diseases were surveyed.Among them,247 participants(9.9%)had mild depressive symptoms,and 76 participants(3.0%)had moderate or severe symptoms.Additionally,139 participants(5.6%)had mild anxiety symptoms,and 45 participants(1.8%)had moderate or severe symptoms.The logistic model showed that compared to the general population without chronic disease,patients with respiratory diseases were more likely to experience mild depressive and anxiety symptoms,while patients with musculoskeletal and digestive system diseases were more likely to experience mild and moderate or severe depressive and anxiety symptoms.Chronic urinary system diseases were associated with moderate or severe anxiety symptoms(P<0.05).Compared to females,participants under 30 years old,unemployed or retired,and those with only one chronic disease,males,individuals aged 41-50 years old,51-60 years old,and over 60 years old were protective factors against mild depressive and anxiety symptoms.Comorbidity with chronic diseases was a risk factor for mild depressive and anxiety symptoms.Individuals aged 41-50 years old were a protective factor against moderate or severe depressive symptoms,and being male was a protective factor against moderate or severe anxiety symptoms.Employment and comorbidity with chronic diseases were risk factors for moderate or severe depressive and anxiety symptoms(P<0.05).Conclusion The impact of chronic diseases on patients is multidimensional,and patients with

关 键 词：慢性病 抑郁 焦虑 慢性病共病 

分 类 号：R193[医药卫生—卫生事业管理]