综合医院患者焦虑抑郁状况及其相关因素分析

A analysis of anxiety symptom and depressive symptom and related factors in the patient in general hospital

目的探讨综合医院各科住院躯体疾病患者焦虑、抑郁症状发生率及其影响因素。方法对来自太原市三所综合医院内科、外科、妇产科、中医科及五官、皮肤等科室共计1084例住院患者,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、艾森克人格问卷(EPQ)及自编一般情况调查表进行测评与调查。结果综合医院住院患者SDS、SAS评分显著高于国内正常人群,其焦虑症状发生率为386(35.61%),抑郁症状发生率为713(65.77%)。焦虑、抑郁症状在外科、小学及以下文化程度、家庭收入低、完全自费者中发生率高,其各组间比较差异均有极显著性(P<0.00)。Logistic回归分析提示:文化程度、神经质(N)维度、精神质(P)维度是焦虑、抑郁发生的相关影响因素。结论在综合医院住院患者中有较高的焦虑抑郁症状发生率,且受社会、心理等多种因素的影响,因此在对患者躯体疾病的治疗中应兼顾情绪问题的诊断与治疗。

Objective To investigate the incidence rate of depressive and anxious of inpationts with somatic diseases in general hospital andstudy related factors. Methods 1084 inpatient in general hospital( Medical Department,Surgery,Department of gynaecology and obstetrics,Department of traditional chinese medicine , Department of five sensory organs and dermatology )from taiyuan city were measured and survey withSDS,SAS,EPQ and a General state Questionnaire. Results The score of SDS and SAS in the inpatient in general hospital were significantly higherthen those in the chiese norm.The incidence rate of anxiety symptom and depressive symptom in the patients was 35.61% and 65.77% respectively.The higher incidence rate of anxiety symptom and depressive symptom was in surgery,lower culture degree,lower income of family and at one′s ownexpense completely.Logistic regression analysis showed that the culture degree and the P score and N score were the related factors of incidence rateof anxiety symptom and depressive symptom. Conclusions The higher incidence rate of anxiety symptom and depressive symptom in the inpatientin general hospital,And which were influenced of diverse factors,Such as society,psychological.Therefore,the diagnosis and treatment of emotionalproblem are gived consideration to two or more things as well as the somatic disease in the inpatients are treated.