神经内科住院患者心理状况筛查研究

Survey of Emotional Features of Hospitalized Patients in Neurological Department

目的调查神经内科新住院患者抑郁和焦虑的发生情况及2周住院治疗后抑郁、焦虑症状变化。方法对51例神经内科新入院患者采用综合性医院焦虑与抑郁量表(HAD)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、简明健康状况调查表中文版(SF-36)和临床疗效总评量表(CGI-SI)进行测评,2周末再次评估。结果51例患者中有46例完成两次评估。1/4～1/3的患者入院时有不同程度的抑郁症状。入院常规治疗2周后,所有患者的抑郁、焦虑量表得分与入院时比较差别无显著性意义(P>0.05)。女性患者抑郁、焦虑症状比男性患者明显。脑血管病患者明确的抑郁和焦虑的发生率分别为23.33%和36.66%。结论神经内科新入院患者中多有明显的抑郁、焦虑症状。住院2周的躯体疾病治疗并未使抑郁、焦虑症状明显缓解,提示临床应重视对抑郁焦虑症状的及时筛查和处理。

Objective To investigate the incidence of depression/anxiety among the newly admitted patients and the changes of depression/anxiety symptom after 2 weeks hospitalization treatment in neurological department. Methods The hospital anxiety and depression scale （HAD）, Hamilton depression scale （HAMD）, Hamilton anxiety scale （HAMA）, the MOS item short form health survey （ SF - 36） and clinieal global impression - severity of illness （ CGI - SI） were used to survey 46 newly hospitalized patients, and after two weeks of routine hospitalization treatment the performance was conducted again. Results Totally 46 cases of 51 patients finished the two times of examination. Some one fourth to one third of the patients had depression/ anxiety symptoms to different degree when hospitalized. After two weeks of hospitalization with routine treatment, no significant change of depressive/anxiety symptoms was observed at the end point （ P 〉 0.05 ）. Females presented more obvious depressive/ anxiety symptoms than the males. 23.33% and 36.66% of patients with cerebral - vascular disease had positive symptoms of depression/anxiety. Conclusion Most of newly hospitalized patients in neurological department had obvious depressive/anxiety symptoms. No significant alleviation of depressive/anxiety symptoms occurred after two weeks of routine hospitalization treatment, which suggests a prompt screening of depressive/anxiety symptoms should be clinically paid attention to.