老年骨质疏松症患者心理弹性与焦虑抑郁的相关性研究

The Correlation between Psychological Resilience and Anxiety/Depression in Elderly Patients with Osteoporosis

目的讨论老年骨质疏松症患者心理弹性与焦虑抑郁水平的相关性。方法对2018年7月—2019年6月在复旦大学附属金山医院就诊的老年骨质疏松症患者的临床资料进行收集,并对其进行心理弹性量表(CD-RISC)、焦虑自评量表(SAS)和抑郁自评量表(SDS)问卷调查。结果焦虑抑郁阴性组骨质疏松患者组较阳性组患者的CD-RISC得分高(P<0.05),相关分析发现患者焦虑抑郁状态与心理弹性呈负相关;性别、职业和婚姻状况等均能对患者的焦虑抑郁状态产生影响(P<0.05);骨质疏松分级、疼痛与否、疼痛部位、疼痛程度和骨折病史与焦虑抑郁状态产生有关,差异有统计学意义(P<0.05)。结论老年骨质疏松症患者的的焦虑抑郁情绪与心理弹性呈负相关,且患者的焦虑抑郁情绪与患者的性别、职业、婚姻状况、工作状况及骨质疏松症严重程度有关。

OBJECTIVE To study the relationship between psychological resilience and anxiety/depression in elderly patients with osteoporosis.METHODS Clinical data of elderly patients with osteoporosis treated in target hospital from July 2018 to June 2019 were collected,and questionnaire surveys were conducted on the Connor-Davidson Resilience Scale(CD-RISC),Anxiety Self-rating Scale(SAS)and Depression Self-rating Scale(SDS).RESULTS The score of CD-RISC in the patients with osteoporosis in the negative group of anxiety/depression was higher than the positive group(P<0.05),correlation analysis found that anxiety/depression were negatively correlated with mental resilience;gender,occupation,marital statusand so on can all have an impact on the anxiety/depression status of patients(P<0.05);osteoporosis stage,pain status,pain location,pain degree,fracture history were associated with anxiety/depression,and the difference was statistically significant(P<0.05).CONCLUSION Anxiety/depression of elderly patients with osteoporosis were negatively correlated with psychological resilience and anxiety/depression of patients were related to gender,occupation,marital status and severity of osteoporosis.