慢性躯体疼痛患者焦虑和抑郁状况调查分析

Investigation and analysis of anxiety and depression in patients with chronic physical pain

目的探讨慢性躯体疼痛患者焦虑和抑郁状况调查分析。方法选取2017年1月-2017年12月入住本院的150例慢性躯体疼痛患者作为本研究对象。通过采用疼痛问卷调查以及焦虑抑郁评分量表,对所有患者疼痛以及抑郁的发生情况进行分析。结果女性患者焦虑、抑郁的发生率以及评分均高于男性患者(P <0.05);疼痛强度为重度的患者焦虑、抑郁发生率高于中度以及轻度患者(P <0.05),疼痛部位在3个以上的患者焦虑、抑郁发生率高于疼痛部位为1个以及2个的患者(P <0.05),患者感觉项以及情感项越多焦虑以及抑郁的情况越严重(P <0.05);患者的疼痛强度、情感项计数是焦虑状况出现的独立危险因素(P <0.05);现时疼痛强度以及情感项计数能够为抑郁加重的独立危险因素(P <0.05)。结论慢性躯体疼痛患者大多伴有焦虑以及抑郁的情况,且疼痛程度与焦虑、抑郁的发生紧密相连,对于存在多部位或者多种性质疼痛的患者,应对其进行针对性的心理干预,促使其焦虑以及抑郁的情况得到有效缓解。

Objective To investigate the status of anxiety and depression in patients with chronic physical pain. Methods 150 patients with chronic physical pain admitted to our hospital from January 2017 to December 2017 were selected as the subjects of this study. The incidences of pain and depression in all patients were analyzed by using pain questionnaire and anxiety and depression scale.Results The incidence and score of anxiety and depression in female patients were higher than that in male patients(P < 0.05). The incidence of anxiety or depression in patients with severe pain was higher than the patients with moderate and mild pain(P < 0.05). The incidence of anxiety and depression in patients with three or more locations of pain was higher than patients with one or two locations of pain(P < 0.05). The more scores of anxiety and depression in patients had, the more serious the situation was(P < 0.05);Pain intensity and emotional item were independent risk factors for anxiety(P < 0.05). Current pain intensity and emotional item were independent risk factors for increased depression(P < 0.05). Conclusion Most patients with chronic physical pain are accompanied with anxiety and dep ression, and the degree of pain is closely related to the occurrence of anxiety and depression. For patients with multi-site or multi-nature pain, targeted psychological intervention should be carried out to effectively alleviate their anxiety and depression.