重症监护室患者的焦虑状况与急性生理和慢性健康状况评估Ⅱ评分的相关性

Correlation between Anxiety and Acute Physiology and Chronic Health Evaluation Ⅱ Scores of Patients in Intensive Care Unit

目的:探讨重症监护室(ICU)患者的焦虑状况与急性生理和慢性健康状况评估(APACHE)Ⅱ评分的相关性。方法:纳入ICU患者150例,采用医院焦虑抑郁量表(HADS)对患者进行测评。分别根据性别、年龄、住院费用报销方式、病房类型、是否机械通气及APACHEⅡ评分分组,比较不同组别患者的HADS评分,并分析HADS焦虑总分与APACHEⅡ评分的相关性。结果:性别、年龄、报销方式、机械通气、APACHEⅡ评分均与患者焦虑状态有关,APACHEⅡ评分与ICU患者焦虑程度成正相关。结论:ICU患者焦虑情绪与多因素有关,其焦虑情绪可以加重患者病情及影响患者预后。

Objective： To explore the correlation between anxiety and acute physiology and chronic health evalua-tion （APACHE） II scores of patients in intensive care unit （ICU）. Methods： One hundred and fifty patients in ICU were enrolled. The Hospital Anxiety and Depression Scale （HADS） on the patients’ own mental state and subjec-tive feelings of all patients were assessed. Patients were divided into groups according to gender, age, ward, cost, mechanical ventilation. The APACHE II scores and the HADS scores of the groups were compared. The correlation between HADS and APACHE II scores were analyzed. Results： The anxiety state of patients in ICU was influenced by the gender, age, cost, mechanical ventilation, and APACHE II scores. The APACHE II score was positively cor-related with the degree of anxiety of patients in ICU. Conclusion： The anxiety emotion of patients in ICU is related to many factors. The anxiety emotions can aggravate patients’ condition.