社区获得性肺炎合并负性情绪的危险因素分析

Analysis of Risk Factors for Patients with CAP and the Negative Emotions

目的:探讨社区获得性肺炎(CAP)患者合并负性情绪的情况及其可能的危险因素。方法:选取2013年7月-2014年7月于某三级医院呼吸内科诊治的CAP患者387例,登记一般人口学资料,进行PSI肺炎严重度评分,住院72 h时采用医院抑郁焦虑量表(HADS)测量相关变量并进行分析。结果:治疗72 h时109例患者存在负性情绪,占28.16%,其在文化程度、PSI评分、疗效、付费方式和家属负性情绪方面与其他278例患者比较差异均有统计学意义(P<0.01)。结论:CAP患者合并负性情绪的比例高并受多种因素的影响。

Objective：To discuss the condition and the risk factors for patients with CAP and the negative emotions.Method：387 patients with CAP from July 2013 to July 2014 in a tertiary hospital respiratory medicine were selected,the general demographic information was registered,pneumonia severity index were performed,and after 72 hours of standard treatment,the datas were analyzed by HADS.Result：After 72 hours,109 patients existed the negative emotions. Relative to the other patients without negative emotions,the variations in educational level,PSI score,curative effect,income and negative emotions in family in these patients had significant difference（P〈0.01）.Conclusion：The proportion of patients with CAP and negative emotions is high. There are many factors affect the condition.