慢性阻塞性肺疾病老年患者焦虑、抑郁与CAT评分的相关性及其危险因素分析  

Correlation between anxiety and depression and CAT score and analysis of risk factors in elderly patients with chronic obstructive pulmonary disease

作　　者：余艳 许影 钱奕文 余飞 陈建 李乾兵[1] Yu Yan;Xu Ying;Qian Yiwen;Yu Fei;Chen Jian;Li Qianbing(Department of Pulmonary and Critical Care Medicine,First People s Hospital of Anqing City,Anqing,Anhui,246003,P.R.China;Department of Clinical Medicine,Wannan Medical College,Wuhu,Anhui,241000,P.R.China)

机构地区：[1]安徽省安庆市第一人民医院呼吸与危重症医学科,安徽安庆246003 [2]皖南医学院临床医学系(内科学),安徽安庆246003

出　　处：《老年医学与保健》2024年第5期1394-1397,1407,共5页Geriatrics & Health Care

基　　金：皖南医学院安徽省危重症呼吸疾病临床医学研究中心开放课题(LC202209)。

摘　　要：目的评估慢性阻塞性肺疾病(COPD)患者焦虑、抑郁状况,同时记录COPD评估测试量表评分(CAT),探讨COPD患者焦虑、抑郁与CAT评分的相关性并分析COPD并发焦虑抑郁的危险因素。方法选取2021年12月—2023年11月安徽省安庆市第一人民医院呼吸与危重症医学科收治的COPD患者,根据焦虑和抑郁量表评分分为存在焦虑抑郁的和非焦虑抑郁患者各75例进行研究,记录患者年龄、吸烟史、文化程度、年发病次数、并发症、夜间睡眠时间等相关资料,所有患者均进行CAT评分、汉密顿焦虑量表、汉密顿抑郁量表评分及肺功能检测,使用SPSS 28.0软件对相关数据进行统计分析。结果对纳入研究的2组各75例COPD患者相关资料进行分析,年龄、文化程度、吸烟史与COPD患者发生合并焦虑抑郁无关(P>0.05);年发病次数、并发症、夜间睡眠时间、肺功能、CAT评分可能与COPD患者发生合并焦虑或抑郁有关(P<0.05),年发病次数、并发症、夜间睡眠时间、肺功能、CAT评分是影响COPD患者发生合并焦虑或抑郁的独立危险因素(P<0.05),CAT评分与HAMA评分、HAMD评分呈正相关(r=0.853、0.871,P<0.05)。结论COPD患者发生合并焦虑或抑郁的危险因素有年发病次数、并发症、夜间睡眠时间、肺功能、CAT评分;COPD患者的CAT评分与焦虑、抑郁水平呈正相关,CAT评分可用于诊断COPD患者病情,还可作为对患者抑郁、焦虑水平的评估参考,及时预测患者不良情绪,为临床诊疗提供帮助。Objective To evaluate the anxiety and depression status of patients with chronic obstructive pulmonary disease(COPD),assess their COPD Assessment Test(CAT)score,explore the correlation between anxiety and depression and CAT score,and analyze the risk factors for COPD complicated with anxiety and depression.Methods The COPD patients admitted to Department of Pulmonary and Critical Care Medicine of First People s Hospital of Anqing City from December 2021 to November 2023 were selected.According to the anxiety and depression scale scores,they were divided into 75 patients with anxiety and depression and 75 ones without anxiety and depression,respectively.Their age,smoking history,education level,annual number of episodes of illnesses,complications,nighttime sleep time and other relevant data were recorded.All patients underwent CAT scoring,Hamilton Anxiety Scale and Hamilton Depression Scale scoring,and pulmonary function testing.SPSS 28.0 software was used for statistical analysis of relevant data.Results It was found that age,education level and smoking history were not associated with the occurrence of comorbid anxiety and depression in COPD patients(P>0.05).Annual number of episodes of illnesses,complications,nighttime sleep time,lung function,and CAT score might be related to the occurrence of comorbid anxiety or depression in COPD patients(P<0.05).Annual number of episodes of illnesses,complications,nighttime sleep time,lung function,and CAT score were independent risk factors for COPD patients to develop comorbid anxiety or depression(P<0.05).The CAT score was positively correlated with the HAMA score(r=0.853,P<0.05)and HAMD score(r=0.871,P<0.05).Conclusion The risk factors for comorbid anxiety or depression in COPD patients include annual number of episodes of illnesses,complications,nighttime sleep time,lung function,and CAT score.Their CAT score is positively correlated with anxiety score and depression score.CAT score can be used to diagnose the condition of COPD patients,and can also be used as a refere

关 键 词：老年 慢性阻塞性肺疾病 慢性阻塞性肺病评估测试量表(CAT)评分 焦虑 抑郁 相关性 

分 类 号：R563.9[医药卫生—呼吸系统]