下肢骨折住院患者焦虑、抑郁情绪及其影响因素的研究

Study on emotional disorders and their influential factors of patients hospitalized with lower extremity fracture

采用访谈法，应用ＳＴＡＩ、ＣＥＳ－Ｄ对１１１例下肢骨折住院患者的焦虑、抑郁情绪进行评估，并对其影响因素进行了探讨。研究表明，患者存在焦虑与抑郁，其分值与对照组比较有显著性差异。焦虑与抑郁两症状存在高度正相关。多元分析结果显示，患者的躯体健康状况、经济压力、年龄、疾病知识水平尤其是患者对骨折的认识，以及患者的社会支持状况对焦虑、抑郁起着主要影响作用。

adult patients hospitalized with lower extremity fracture(LEF) at three teaching hospitals of Beijing Medical University were interviewed by using STAI and CES-D. The results showed that the prevalence of depression in this group using CES-D is 69.4%, and there was a high correlation between STAI scores and CES-D scores. Multivariante analyses indicated that physical status,financial crisis,age,knowledge about disease,especially the patients' perceived threat of fracture,and social supports were the main factors that contribute to the patients'emotional distress.Author's address