手外伤工伤康复患者入院时焦虑抑郁情绪及其影响因素分析

Influencing factors of anxiety and depression in patients with industrial hand injury atadmission

目的调查手外伤工伤康复患者入院时焦虑抑郁的情况,探讨其相关影响因素。方法采用一般资料调查表、Zung氏焦虑自评量表(self-rating anxiety scale,SAS)、Zung氏抑郁自评量表(self-rating depression scale,SDS)和上肢功能评分表对154例手外伤工伤康复住院患者进行调查。结果 154例患者中焦虑发生率40.9%(63/154),抑郁发生率37.0%(57/154),同时存在焦虑抑郁患者占21.4%(33/154),高于健康人群水平;年龄、受教育程度和手功能状况是手外伤工伤康复患者焦虑抑郁的影响因素(均P<0.05)。结论手外伤工伤康复患者入院时焦虑抑郁发生率明显高于健康人群水平,并与患者的年龄、受教育程度及手功能状况密切相关,医护人员可给与针对性心理干预以促进其康复和回归社会。

Objective To study anxiety and depression status in patients with industrial hand injury at admission and look into the influencing factors. Method A total of 154 patients who had industrial hand injury were enrolled in the investigation by self-rating anxiety scale（SAS） and self-rating depression scale（SDS） into mental status of patients once at admission. Results The incidence rates of anxiety and depression were 40.9%（63/154） and 37.0%（57/154）, respectively. 21.4%（33/154） of the patients had both anxiety and depression. The data from SPSS22.0 software and multivariate Logistic regression analysis showed that anxiety and depression were closely related to age, hand function and education. Conclusion The incidences of anxiety and depression in patients with hand injury and work-related injury is significantly higher than that of healthy people, which is closely related to their age, education and hand function.