青岛市肺结核患者焦虑、抑郁状况调查及危险因素分析

Tuberculosis patients' anxiety and depression status survey and risk factors analysis of Qingdao city

目的了解肺结核患者焦虑、抑郁情绪状况并对相关因素进行分析。方法采用zung焦虑、抑郁自评量表对270例肺结核患者和270名健康体检人员进行问卷调查,评价焦虑、抑郁情况,并对有关因素进行相关性分析。结果肺结核患者焦虑情绪发生率为62.59%、抑郁情绪发生率为66.30%,均高于对照组,差异有统计学意义(χ2=73.570、132.588,P<0.05)。经多因素logistic回归分析,男性、未婚、患病前未接受过结核病宣传教育是焦虑情绪发生的危险因素,并且接受健康教育情况同时是抑郁发生的危险因素。结论肺结核患者存在明显的焦虑、抑郁情绪,应加强健康教育,并积极对肺结核患者进行心理疏导,防止其出现焦虑、抑郁情绪。

Objective To understand the anxiety and depression status of patients with tuberculosis and analyze the risk factors. Methods A total of 270 patients with tuberculosis and 270 healthy examined personnel were inquired and assessed with zung self- rating anxiety scale （SAS） and self- rating depression scale （SDS） for prevalence and severity of anxiety and depression , some effects were investigated and compared, and their correlations were analyzed. Results The prevalence of anxiety （62. 59% ） and depression （66. 30% ） were higher than those of the control group, the differences was statistically significant （X2 = 73.570, 132. 588, P 〈 0. 05 ） . The scores of man, spinsterhood and not received tuberculosis publicity and education were risk factors of anxiety. In the meantime not received tuberculosis publicity and education was risk factor of depres- sion. Conclusions Anxiety and depression can be easily observed in patients with tuberculosis, it is necessary to strengthen the health education and to positive losis, so as to control their mood of anxiety and ly dredge the psychological guidance to patients with tubercu- depression positively.