门诊支气管哮喘患者合并焦虑、抑郁情绪分析

Analysis of anxiety and depression in asthma outpatients

目的探讨非急性发作期支气管哮喘患者哮喘控制程度与焦虑和(或)抑郁情绪的关系。方法选择2010年12月至2011年4月间我中心随访的支气管哮喘非急性发作期患者,同时采用综合医院焦虑抑郁量表(HAD)和哮喘控制测试(ACT)评分表进行测评。结果共有103例门诊非急性发作期支气管哮喘患者完成测评,40.8%(42/103)的患者合并焦虑和(或)抑郁情绪,这些不良情绪的发生与性别、病程均无关(P>0.05)。未达到哮喘控制的患者占56.3%(58/103),其中58.6%(34/58)的患者普遍存在焦虑和(或)抑郁;达到部分或完全控制的患者占43.7%(45/103),仅17.8%(8/45)的患者存在焦虑和(或)抑郁情绪;不同哮喘控制水平的患者合并焦虑和(或)抑郁情绪存在显著差异(P=0.000)。结论非急性发作期支气管哮喘患者普遍合并焦虑和(或)抑郁情绪,患者哮喘控制水平与这些不良情绪密切相关。

Objective To investigate the relation between disease control degree in patients with stable phase asthma and anxiety and/or depression,for developing a targeted psychological intervention therapy and supporting asthma control.Methods Asthma patients in chronic phase who were regularly followed up in our hospital from Dec 2010 to Apr 2011 were enrolled in Hospital Anxiety and Depression（HAD） test and Asthma Control Test（ACT） at the same time.Results A total of 103 patients completed the evaluation.There were 40.8%（42/103） of patients with anxiety and/or depression,and these negative emotions were not related to sex or the course of disease（P0.05）.Uncontrolled asthma patients accounted for 56.3%（58/103）,of which 58.6%（34/58） generally had anxiety and/or depression.Partial and complete controlled asthma patients accounted for 43.7%（45/103）,of which only 17.8%（8/45） were combined with anxiety and/or depression.There was significant difference in patients with anxiety and/or depression between controlled and uncontrolled asthma patients.Conclusion Asthma patients in stable phase generally have anxiety and/or depression.These negative emotions are closely related to different degrees of asthma control.