综合医院消化内科门诊患者焦虑抑郁大样本调查研究

Large-sample survey on anxiety and depression of outpatients of digestion department of internal medicine in a comprehensive hospital

目的探讨综合医院消化内科门诊患者焦虑抑郁的发病情况。方法对2012年10月-2014年9月间每周二、四到我院消化内科门诊就诊的患者,按5∶1的比例随机抽取研究对象共1836例,用综合医院焦虑抑郁量表（HAD）进行焦虑及抑郁症状的筛查,以8分为界进行分析,并以＂综合性医院内科门诊患者HAD常模＂作为对照组。结果所有入选者均完成了HAD量表测试,其HAD焦虑平均得分为（4.69±3.57）分,抑郁平均得分为（4.25±3.71）分,两者均显著高于对照组的（3.30±2.40）分和（2.60±2.20）分（P〈0.01）;总的焦虑或/和抑郁症状发生率为28.76%（528/1836）;女性组的焦虑发生率为24.20%,显著高于男性组的17.45%（P〈0.01）,而女性组的抑郁发生率（18.47%）与男性组（16.78%）比较差异无显著性（P〉0.05）;女性组的焦虑得分显著高于男性组（P〈0.01）,而两组的抑郁得分无显著差异（P〉0.05）。结论综合医院消化内科门诊患者焦虑、抑郁症状发生率均较高,女性较男性具有更多的焦虑症状。

Objective To explore the incidence of anxiety and depression of outpatients of digestive department of internal medicine in a comprehensive hospital. Methods From the outpatients to receive treatment in Outpatient Clinic of Digestive Department of Internal Medicine in our hospital, 1836 ones were selected randomly as research subjects in a proportion of 5：1; Hospital Anxiety and Depression （HAD） scale was used to screen the symptom of anxiety and depression, and eight score s were determined as a critical score. The HAD norm of the patients in department of internal medicine in comprehensive hospitals was used as the control group. HAD scale tests were performed on all subjects, and the average score of anxiety was （4.69± 3.57） and that of depression was （4.25±3.71）, both of which were significantly higher than those in the control group （3.30±2.40 and 2.60±2.20, respectively） （P 〈 0.01）. The overall incidence of anxiety and/or depression was 28.76% （528/1836）; the incidence of anxiety in the female group of 24.20% was significantly higher than that in the male group of 17.45% （P 〈 0.01）, but that of depression in the female group of 18.47% had no significant deference from that in the male group of 16.78% （P 〉 0.05）; the scores of anxiety in the female group were significantly higher than those in the male group （P 〈 0.01）, but the scores of depression had no significant difference between the female and male groups （P 〉 0.05）. Conclusion The incidences of anxiety and depression of outpatients in digestion department of internal medicine in comprehensive hospital are high, and the females have more anxiety symptoms than the males.