修改汉密尔顿焦虑量表以试用于有创机械通气患者的观察

Amend Hamilton anxiety scale and observe trial on patients receiving invasive mechanical ventilation

目的:修改汉密尔顿焦虑量表(HAMA)使之适用于正在接受有创机械通气患者焦虑状态的评估。方法:分别采用修改后的HAMA对50例正在接受有创机械通气患者的焦虑状态进行评估,与脱机后患者采用Zung焦虑自评量表(SAS)评估结果进行比较、分析。结果:采用修改后的HAMA对患者焦虑状态评估结果与患者采用SAS的自评结果无统计学差异,结论有一致性。以SAS评估结果为标准,修改后的HAMA对患者有无焦虑的评估有高敏感性和特异性。结论:删去躯体性焦虑评估项目的 HAMA适用于正在接受有创机械通气患者焦虑状态的评估。

Objective：Amend Hamilton Anxiety Scale（HAMA）and suit it for assessment of anxiety status on patients receiving invasive mechanical ventilation.Method：Doctors and nurses in ICU assess anxiety of 50 patients receiving invasive mechanical ventilation with amended HAMA.Compare it with the result of assessing patients out of ventilator with Zung Anxiety Rating Scale（SAS）and make an analysis.Result：There is no statistically significant difference between the result of choosing the amended HAMA to assess anxiety of patients and the self-assessment result of SAS.The conclusion is of consistency.There is high sensitivity and specificity assessing anxiety of patients with amended HAMA when SAS evaluation result as the standard.Conclusion：HAMA,which is reducing items about autonomic nervous system symptoms is suitable for assessing anxiety of patients who are receiving invasive mechanical ventilation.