三甲医院呼吸内科慢性疾病患者抑郁症状现况调查

Prevalence and related factors of depressive symptoms among chronic respiratory disease patients of tertiary hospitals in Jiangsu Province

目的:了解三甲医院呼吸内科慢性疾病患者的抑郁症状现况及相关因素。方法:选择2014年7月-9月在江苏省8家三甲医院呼吸内科就诊的1713例门诊及住院患者为调查对象,采用自编调查问卷收集患者一般人口学特征和疾病特征信息,采用综合医院抑郁焦虑量表(HADS)的抑郁分量表(HADD)对抑郁症状进行筛查,以得分≥9分判定为具有抑郁症状。采用logistic回归模型分析抑郁症状的相关影响因素。结果:抑郁症状总体检出率为46.0%。Logistic回归分析结果显示:未婚(OR=0.45)、受教育程度较高(初中/高中/中专OR=0.65、大专及以上OR=0.28)、BMI≥24(OR=0.71)可能是抑郁症状的保护因素(P<0.05);BMI<18.5(OR=1.52)、家庭人均年收入10000元及以上(OR=1.37~1.96)、日常活动受限(OR=1.72)、主观睡眠质量不好/非常差(OR=1.45)、负性生活事件(OR=1.62)可能是抑郁症状的危险因素(P<0.05)。结论:在江苏省,三甲医院呼吸内科慢性疾病患者抑郁症状检出率较高。婚姻状况、受教育程度、收入、BMI、日常活动是否受限、主观睡眠质量、负性生活事件可能是影响呼吸内科慢性疾病患者抑郁症状的相关因素。

Objective： To investigate the prevalence, and the factors that influence depressive symptoms a- mong chronic respiratory disease patients in tertiary hospital. Methods： A total of 1713 outpatients and inpatients with chronic respiratory disease were selected from 8 tertiary hospitals in Jiangsu Province from July to September, 2014 and screened according to the Hospital Anxiety Depression Scale-D （HAl）S-D）. A questionnaire developed by this research group, was used to collect demographic and clinical information. Logistic regression was used to identi- fy factors that were associated with depressive symptoms. Results： The overall rate of depressive symptoms was 46.0%. Multiple logistic analysis showed that spinsterhood （OR = 0.45）, higher education level （middle school / high school/technical school OR = 0. 65; college degree or aboveOR = 0. 28）, BMI ≥ 24 （OR = 0. 71） were associat- ed with decreased risk of depressive symptoms （P 〈 0. 05）. BMI 〈 18. 5 （OR = 1.52, ）, average income of family I〉 10000 RMB （OR = 1.37 - 1.96）, limited daily activities （OR = 1.72）, poorer sleep quality （OR = 1.45）, and nega-tive life events （OR = 1.62） were associated with increased risk of depressive symptoms （P 〈0. 05）. Conclusion： The prevalence of depressive symptoms among chronic respiratory disease patients in tertiary hospitals in Jiangsu Province was higher. Marital status, education level, income, BMI, limited daily activities, subjective sleep quality, negative life events may be the related factors of depressive symptoms of chronic respiratory diseases patients.