某市市级综合医院住院患者抑郁症检出率及临床特征

Prevalence and Clinical Characteristics of Depression in City General Hospital Inpatients

目的:了解保定市市级综合医院住院患者中抑郁症的检出率及临床特征,为相关部门开展精神卫生相关工作提供依据。方法:采用随机整群抽样方法抽取保定市市级综合医院住院患者共658名,进行一般情况问卷调查及医院用抑郁量表筛查,对量表筛查>8分者采用抑郁和焦虑自评量表评定并用简明国际神经精神障碍访谈检查中文版(Mini International Neuropsychiatric Interview,MINI)诊断。结果:MINI共诊断抑郁症患者81例,市级综合医院住院患者中抑郁症校正检出率为12.8%;抑郁症检出率排在前5位的科室是心内科15例(14.4%)、神经内科18例(14.3%)、肿瘤内科13例(14.1%)、消化及内分泌科12例(12.6%)和妇科7例(11.7%);抑郁症组与非抑郁症组在性别、年龄、文化程度、职业、医疗来源、婚姻状况等方面的差异均无统计学意义(P>0.05);抑郁症组的抑郁自评量表总分高于非抑郁症组(t=32.07,P<0.001);抑郁症组与非抑郁症组在焦虑自评量表总分比较差异有显著统计学意义(t=7.65,P<0.001)。结论:保定市综合医院患者中抑郁症的检出率偏高,综合医院抑郁症患者多伴发焦虑。

Objective：To investigate the prevalence and clinical characteristics of depression in Baoding municipal general hospital inpatients for the relevant departments to carry out the work to provide the basis of mental health.Methods：A hospital-based cross-sectional study was conducted in three-ranked general hospitals in Baoding city,a total of 1306 patients completed general survey and self-rated Hospital Anxiety and Depression Scale.The patients whose HAD scores were 8and above were interviewed by psychiatrists,psychiatric diagnoses were made according to the DSM-IV criteria by using the Mini International Neuropsychiatric Interview（M IN I）.Results：81hospitalization cases were checked.the adjusted occurrence rate of depressive disorder of the inpatients in city general hospitals was 12.8%;Occurrence among the top five departments were cardiology department,neurology department,digest and endocrinology department,oncology and gynecology department.Conclusion：The occurrence of the major depressive disorder among the inpatients in general hospitals in Baoding City is higher,many patients with depression are associated with anxiety.