更年期抑郁症女性心理状况与经济负担调查分析

Investigation and analysis of psychological status and financial burden of women with menopausal depression

目的调查了解更年期抑郁症女性的心理状态及承受的经济负担。方法选取更年期女性抑郁症患者150例为观察组,同期就诊的更年期女性非抑郁症患者148例为对照组,采用一般情况与更年期症状调查表、症状自评量表(SCL-90)、Connor Davidson心理弹性量表简化版(CD-RISC 10)及经济负担调查表了解其心理状况及经济负担,采用Logistic回归分析影响更年期女性患抑郁症的危险因素。结果 2组患者的痛经、失眠、易激动、眩晕、骨关节肌肉痛及更年期是否治疗、治疗费用情况差异有统计学意义(均P<0.05);Logistic回归分析结果显示,痛经、失眠、易激动、眩晕、骨关节肌肉痛、更年期无治疗、自费治疗是影响更年期女性抑郁症发生的危险因素(P<0.05)。观察组SCL-90评分高于对照组,心理弹性评分低于对照组,差异有统计学意义(P<0.05)。观察组年人均总疾病费用为34 042元,其中直接费用占20.82%,间接费用占39.01%,财产损害费用占9.36%,误工及工作能力下降费用占30.81%;住院患者年人均总费用、直接费用、间接费用高于门诊患者,城镇患者年人均总费用、直接费用高于农村患者,差异均有统计学意义(均P<0.05)。结论更年期女性易患抑郁症,其患病受更年期症状、是否治疗及治疗费用的影响,且更年期抑郁症女性心理状况更差、经济负担更重。

Objective To investigate the psychological status and financial burden of menopausal depressive women.Methods 150 female patients with menopausal depression were selected as observation group,and 148 menopausal female patients without depression who made hospital visits during the same period were selected as control group.The general situation and menopausal symptom questionnaire,symptom checklist-90(SCL-90),the simplified version of Connor Davidson psychological resilience scale(CD-RISC 10)and the economic burden questionnaire were used to explore their mental status and financial burden.Logistic regression analysis was used to analyze the risk factors of depression in menopausal women.Results There were statistically significant differences in dysmenorrhea,insomnia,irritability,dizziness,bone and joint muscle pain,whether menopause was treated,and treatment cost between the two groups(P<0.05).Logistic analysis showed that dysmenorrhea,insomnia,irritability,dizziness,bone and joint muscle pain,no treatment for menopause,and out-of-pocket treatment cost were risk factors affecting the occurrence of menopausal depression.The SCL-90 score of the observation group was higher than that of the control group,and the psychological resilience score of the observation group was lower than that of the control group.The differences were statistically significant(P<0.05).The annual average disease cost per capita of the observation group was 34042 yuan,of which 20.82%was direct cost,39.01%was indirect cost,9.36%was property damage cost and 30.81%was the cost of loss of working time and decreased capacity to work.The annual average disease cost per capita,direct cost and indirect cost of inpatients were higher than those of outpatients,and the annual average disease cost per capita and direct cost of urban patients were higher than those of rural patients.The differences were statistically significant(P<0.05).Conclusions Menopausal women were prone to depression,the occurrence of which was affected by menopausal symptoms,the availability of treatment and treatment cost,and women with menopausal depression had worse psychological status and heavier financial burden.