急性胰腺炎患者心理健康状况及其影响因素

Investigation on psychological status of patients with acute pancreatitis and analysis of influencing factors

目的探讨急性胰腺炎(AP)患者的心理健康状况及其影响因素。方法选取2018年12月至2019年2月间海军军医大学附属长海医院收治的AP患者,按数字表法随机抽取120例,采用自制的一般情况调查表、抑郁自评量表、焦虑自评量表、应对方式评定量表进行问卷调查,评定患者的心理健康状况,并进行统计学分析。结果收回有效问卷109份,其中抑郁发生率为44.0%,焦虑发生率为20.2%。男性患者的焦虑、抑郁水平显著低于女性,31~50岁患者焦虑、抑郁水平显著低于其他年龄段,有子女的AP患者焦虑水平显著低于无子女的患者。解决问题式的应对方式与抑郁、焦虑水平呈显著负相关;自责式的应对方式与抑郁、焦虑水平呈显著正相关;合理化式的应对方式与抑郁水平呈正相关。结论AP患者心理健康状况不容乐观,不同的应对方式是影响患者焦虑、抑郁水平的重要因素。

Objective To investigate the pshcyological status and influencing factors of patients with acute pancreatitis. Methods Acute pancreatitis patients admitted in Changhai Affiliated Hospital of Navy Medical University from December 2018 to February 2019 were enrolled, and 120 patients were selected using random number table method. Self-made general questionnaire, self-rating depressing scale, self-rating anxiety scale and coping style questionnaire were used for investigation and patients′ psychological status was evaluated. Results In this survey, 109 questionnaires were collected and eligible for final analysis. The incidence of depression in patients with acute pancreatitis was 44.0%, and the incidence of anxiety was 20.2%. Male patients had significantly lower anxiety and depression than women. The levels of anxiety and depression in the 31-50 age group were significantly lower than those in other age groups. The level of anxiety in patients with pancreatitis with children was significantly lower than in patients without children. The coping style of " solving problem" was significantly negatively correlated with depression and anxiety level. The " self-blame" coping style was significantly positively correlated with depression and anxiety level. The " rationalized" coping style was positively correlated with the level of depression. Conclusions The mental health status of patients with acute pancreatitis was not optimistic. Different coping styles were important factors affecting the level of anxiety and depression.