375例稳定期抑郁症患者情绪管理能力调查分析

Survey on the emotion management ability on 375 patients with stable depressive disorder

目的探究稳定期抑郁症患者情绪管理能力及影响因素,旨在为提升稳定期抑郁症患者情绪管理能力提供理论参考依据。方法选取2016年1~12月上海市浦东新区精神卫生中心及嘉定区精神卫生中心诊治的375例稳定期抑郁症患者为研究对象,采用一般情况问卷、抑郁自评量表、焦虑自评量表、梅耶-沙洛维-库索情绪智力测验的情绪管理分测验对其进行调查,采用SPSS19.0统计软件包进行基本统计及二分类Logistic回归分析。结果稳定期抑郁症患者情绪管理T分为(47.34±9.12)分,其中,情绪管理能力差占14.67%。文化程度(β=-1.42,OR=0.844)、工作情况(β=-0.29,OR=0.751)、社会支持(β=-0.18,OR=0.518)、家庭关怀(β=-0.37,OR=0.654)、定期随访(β=-0.41,OR=0.677)是稳定期抑郁症患者情绪管理能力的保护因素,焦虑标准分(β=0.82,OR=2.276)是稳定期抑郁症患者情绪管理能力的危险因素。结论稳定期抑郁症患者情绪管理能力差者较多,多种因素影响稳定期抑郁症患者情绪管理能力。为此,加强情绪管理知识的相关宣教,鼓励坚持低负荷的工作,家属和社会多多关心和照顾患者,医务人员定期随访患者确保药物治疗及心理干预落实到位,改善其预后和生活质量。

Objective To explore the emotion management ability of stable depressive disorder patients and its influence factors, in order to provide theoretical reference for promoting the emotion management ability. Methods A total of 375 stable depressive disorder patients treated in Mental Health Center of Pudong New District of Shanghai and Mental Health Center of Jiading District of Shanghai from January 2016 to December 2016 were chosen as the research objects. The patients were surveyed by the self-made general data questionnaire, Self-rating Anxiety Scale（SAS）, Self-rating depression Scale（SDS）, Mayer-Salovey-Caruso Emotional Intelligence Test-branch Managing Emotions Scale. The data were analyzed by SPSS19.0 statistical package for basic statistics and Logistic regression analysis. Results The emotional management T scores of stable depressive disorder patients were（47.34 ± 9.12）. Among them, patients with poor emotional management ability accounted for 14.67%. Cultural degree（β =-1.42,OR=0.844）,work（β=-0.29, OR=0.751）, social support（β=-0.18, OR=0.518）, family care（β=-0.37, OR=0.654）, regular follow-up（β=-0.41, OR=0.677） were the protective factors of emotional management ability in patients with stable depressive disorder, while anxiety standard score（β=0.82, OR=2.276） was the risk factor. Conclusion Lots of stable depressive disorder patients have poor emotional management ability, and many factors affect the emotional management ability. Therefore, education of emotion management, low-load work, the families and the community care, regularly follow-up from the medical staff can help improve the prognosis and quality of life of the depressive disorders patients.