慢性阻塞性肺疾病病人焦虑、抑郁情绪及主观幸福感的研究

Study on anxiety,depression and subjective well-being of patients with chronic obstructive pulmonary disease

[目的]了解慢性阻塞性肺疾病(COPD)病人主观幸福感和焦虑、抑郁现状,并分析其相关性。[方法]以焦虑自评量表、抑郁自评量表和总体幸福感量表为测评工具,对西安市164例COPD住院病人进行调查。[结果]164例病人中存在焦虑情绪42例(25.61%)、抑郁情绪76例(46.34%),主观幸福感评分低于常模平均值1 0 6例(64.63%);主观幸福感评分与焦虑、抑郁评分均呈负相关(r值分别为-0.772,-0.729)。[结论]COPD病人焦虑、抑郁情绪较严重,主观幸福感较低,且主观幸福感与焦虑、抑郁密切相关,应加强COPD病人的心理干预。

Obj ective：To know about the status quo of subj ective well be-ing,anxiety and depression in chronic obstructive pulmonary disease （COPD） patients,and to analyze the correlation among these indexes.Methods：A questionnaire survey was conducted among 164 hospitalized COPD patients with the Self rating Anxiety Scale （SAS）,Self rating Depression Scale （SDS）and General Subj ective Well being Scale （GWB）.Results：Among the 164 COPD patients,there were 42 patients （25.61%）who suffered anxi-ety and 76 patients （46.34%）who suffered depression.And there were 106 patients （64.63%）whose subjective well being scores were lower than the average of Chinese norm.The subj ective well being scores were negatively correlated with the score of anxiety（r=-0.772）and depression（r=-0.729）re-spectively.Conclusion：COPD patients have serious anxiety and their depres-sion,and their subj ective well being is poor,subj ective well being is closely related to anxiety and depression.COPD patients’psychological intervention should be strengthened.