急诊科住院患者抑郁、焦虑症状与生命质量的评估

A survey of depressive and anxiety symptoms and quality of life of inpatients in an emergency department

目的:了解综合医院急诊科住院的躯体疾病患者抑郁、焦虑症状的检出率以及生命质量。方法:总共评估某综合医院急诊科住院的躯体疾病患者278例,意识清楚,自愿合作并完成调查,采用的调查工具包括综合医院焦虑抑郁量表(HADs)、总体健康自评问卷(GHQ-12)、健康状况调查问卷(SF-36)。结果:以HADs评分≥8分者为阳性,抑郁症状阳性者比例为29.9%(n=83),焦虑症状阳性者比例为25.5%(n=71);以≥11分为肯定者,肯定有抑郁症状群为12.6%(n=35),肯定有焦虑症状群7.6%(n=21)。以GHQ-12≥4分者为划界分,可能存在心理障碍者比例为36.3%。SF-36的多个维度分值明显低于正常人群常模。多元线性回归分析显示,年龄、性别、合并有抑郁、焦虑症状、就诊次数与SF-36分值显著相关,提示抑郁焦虑症状越严重,生命质量越低。结论:综合医院的急诊科躯体疾病住院患者频繁罹患抑郁、焦虑症状,抑郁焦虑症状群影响患者生命质量。

Objective：To investigate the prevalence of depressive,anxiety symptoms and quality of life of inpatients with physical diseases in a general hospital emergency department. Method：Two hundred and seventy eight inpatients with clear consciousness and their consents in a general hospital emergency department were evaluated by a set of implementations that were composed of the hospital anxiety and depression scale （ HADs） and the general health questionnaire（ GHQ-12） ,36-item short form general health scale（ SF-36）. Results：29. 9% （ n = 83） had depressive symptoms and 25. 5% （ n = 71） had anxiety symptoms by using 8 points as cutting-score of HADs. 12. 6% （ n = 35） had confirmed depressive symptoms with 11 points as cutting-score,and 7. 6% （ n = 21） anxiety. 36. 3% had a GHQ-12 score reflecting mental distress with 4 points as cut-ting-score. The scores of multiple dimensions of SF-36 were significantly lower than the norm; and had significant relationship with age,gender,depression and anxiety scores of HADs,frequency of visiting hospital by analysis with multiple linear regression model. The results suggested that the more severe the depression or anxiety was,the lower the quality of life. Conclusion：The inpatients with physical diseases in a general hospital emergency department frequently suffered from depressive and anxiety symptoms,which may have significant influence on quality of life.