慢性呼吸系统疾病患者自我感受负担与抑郁状态的相关性研究

Study on the relationship between self-perceived burden and depression for patients with chronic respiratory diseases

目的 调查慢性呼吸系统疾病患者自我感受负担（self-perceived burden,SPB）和抑郁状况,并探讨两者之间的相关性.方法 采用自我感受负担量表（the self-perceived burden scale,SPBS）和自评抑郁量表（the self-rating depression scale,SDS）,对北京市某三甲综合医院呼吸内科住院的95例慢性呼吸系统疾病患者进行调查,并采用Pearson相关分析法确定两者之间的相关性.结果 受调查的患者SPBS得分为（33.64±10.23）分,处于中度水平,90.5％的患者存在不同程度的自我感受负担,34.7％的患者处于重度水平;本次受调查的患者抑郁自评得分为（50.23±11.93）分,严重度指数为0.63,处中至重度水平,74.7％的患者存在不同程度抑郁,33.7％的患者处重度水平;患者自我感受负担量表评分与抑郁状态呈显著正相关.结论 慢性呼吸系统疾病患者存在明显的自我感受负担和抑郁,并且两者密切相关.常年反复发作且逐年加重的慢性呼吸系统疾病使患者产生较重的心理负担感和负性情绪.护理人员应采取一定的护理措施,对患者加强心理干预,帮助其乐观面对疾病,改善消极的情绪状态,促进身心健康.

Objective To investigate the state of self-perceived burden （SPB） and depression and to explore the relationship between them for patients with chronic respiratory diseases.Methods 95 patients with chronic respiratory diseases were investigated by the Self-Perceived Burden Scale （SPBS） and Self-Rating Depression Scale （SDS）.Results The average score of SPBS was （33.64±10.23） points,which was at the middle level,90.5% of patients showed different levels of burden,and 34.7% of patients were at the high level.The average score of SDS was （50.23±11.93）,the index was 0.63,which was at the middle to high level,74.7% of patients showed different levels of depression,and 33.7% of patients were at the high level.There was a positive conrelation between SPB and depression.Conclusions Patients with chronic respiratory diseases had obvious SPB and depression,and there was a close relationship between them.With chronic respiratory diseases breaking out repeatedly and more severe year by year,most patients have high level of burden and negative emotions.Nurses should take proper measures and psychological interventions to help patients face to the diseases optimistically,and to improve patients＆#39; emotion state and enhance their physical and mental health.