中医妇科门诊患者焦虑及抑郁状态的现状调查

Investigation of current condition of anxiety and depression in TCM gynecology outpatients

目的探讨中医妇科门诊患者的焦虑及抑郁的发生情况,优化诊治工作,更好地服务患者。方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评定190名中医妇科门诊患者的心理状态。结果中医妇科患者焦虑均分高于正常常模组(P<0.05),抑郁评分与全国常模相比则无统计学差异(P>0.05),有焦虑及抑郁症状的患者分别为6.3%及10%。结论中医妇科门诊患者的焦虑症状较正常人群高,医生在临床诊治过程应重视对患者心理状态的评价,并进行相应的心理干预及人文关怀,以提高患者对治疗的依从性和满意度,为其身体及心理健康打下良好基础。

Objective To explore the occurrences of anxiety and depression in female TCM gynecology outpatients, and thus to make improvements in diagnosis, treatment, and service for the patients. Methods We adopted Self-rating Anx- iety Scale （SAS） and Self-rating Depression Scale （SDS） to evaluate the mental status of 190 TCM gynecology outpatients. Results Anxiety scores in TCM gynecology group were higher than those in the normal group （ P 〈 0. 05 ）, while there was no statistical difference in depression scores between these two groups （P 〉 0. 05 ）. Among the outpatients, 6. 3% had symp- toms of anxiety, and 10% had symptoms of depression. Conclusion TCM gynecology outpatients show more anxiety symp- toms than normal people. We should pay attention to the assessment of those patients＇ mental status in the process of diagnosis and treatment, and offer psychological intervention and humane care to those patients accordingly. In this way, we could enhance patients＇ compliance and satisfaction, and help them build a solid foundation in physical health as well as in mental health.