口腔种植患者负性情绪的相关因素研究

Influencing factors of anxiety and depression in patients with oral implantation

目的探讨口腔种植患者负性情绪的相关危险因素,为该类患者负性情绪的预防提供可参考依据。方法选择2009年1月-2014年6月来贵阳市口腔医院口腔科行口腔种植的253例患者作为研究对象,在种植前根据汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)调查结果分为负性情绪组与健康组,采用回顾性方法记录相关信息,筛选出影响负性情绪的相关因素,应用Logistic回归分析进行多因素回归分析。结果253例需要行口腔种植的患者中,33例患者出现负性情绪,发生率为13.0%,其中HAMA>7分10例,HAMD>8分15例,HAMA>7分且HAMD>8分8例。负性情绪组HAMA与HAMD得分均明显高于健康组,差异有统计学意义(P<0.05)。单因素显示受教育程度、女性、农合/自费、性格内向、收入<1 500元、丧偶或离婚、在职、学生/职员与口腔种植前患者负性情绪的发生存在相关性,两组间比较差异有统计学意义(P<0.05)。多因素显示女性、自费、性格内向、收入<1 500元/月、丧偶或离婚、工作为公司职员是口腔种植前患者负性情绪发生的独立危险因素(P<0.05)。结论多种因素可引起口腔种植前患者负性情绪的发生,女性、自费、性格内向、收入<1 500元、丧偶或离婚、职员可引起口腔种植前患者负性情绪发生。

[Objective] To explore the influencing factors of anxiety and depression in patients with oral implantology. [Methods] A total of 253 patients with oral implantation from January 2009 to June 2014 were included. All the patients were divided into negative emotion group and health group according to the Hamilton Anxiety Scale （Hamilton Anxiety Scale, HAMA） and Hamilton Depression Rating Scale （Hamilton＂ Scale, HAMD）. The relevant factors influencing the negative emotions were analyzed by logistic regression analysis. [ Results ] There were 33 patients with negative emotions, the incidence was 13.0% （33 / 253）. The HAMA and HAMD scores in the negative emotion group were significantly higher than those in the healthy group with significant differences （P 〈 0.05）. Single factor analysis showed that the level of education, women, agriculture, own expense, introverted character, monthly income 〈1,500, widowhood or divorce, working, student and staff member were in correlation with negative emotions before oral implantation. Multiple factor analysis showed that women, own expense, introverted character, monthly income〈l,500, widowhood or divorce, and staff member were the independent risk factors for negative emotions of the patients before oral implantation （P 〈 0.05）. [ Conclusions ] Many factors can cause negative emotions in patients with oral implantation, in which women, own expense, introverted character, monthly income〈 1,500, widowhood or divorce, and staff member are the independent risk factors.