某驻岛医院就诊者焦虑和抑郁状况调查

Survey of the anxiety and depression status on the patients of a certain Naval hospital

目的 调查海军某驻岛医院门急诊患者的焦虑、抑郁心理状况,分析影响患者焦虑、抑郁的因素。方法 选取2019年1月25日至2019年3月10日就诊于海军某驻岛医院门急诊的官兵。采用国际公认的焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评估官兵焦虑和抑郁情况,并进行单因素和多因素分析。结果本研究共纳入132名患者。其中发生焦虑的患者18名,占13.63%,发生抑郁的患者31名,占23.48%。影响焦虑的单因素分析结果显示,焦虑的发生与入伍时间和驻岛时间相关,差异具有统计学意义(P=0.039,P=0.016)。影响抑郁的单因素分析结果显示,抑郁的发生与入伍时间、驻岛时间和年龄相关,差异具有统计学意义(P=0.004,P=0.010,P=0.014)。多因素回归分析发现,驻岛时间对患者发生焦虑和抑郁均有影响,驻岛时间增加1个月,患者焦虑的比值平均增加1.709(1.086~2.757),抑郁的比值增加1.626(1.108~2.436),差异具有统计学意义(P=0.022,P=0.015)。结论 驻岛时间是官兵发生抑郁和焦虑的危险因素,长时间驻岛有可能增加焦虑和抑郁风险,需要对驻岛官兵进行心理健康教育,并减少驻岛时间,以使其恢复心理健康。

Objective To investigate the anxiety and depression on the patients of a certain Navy hospital, and also to analyze factors affecting anxiety and depression of the patients.Methods The Naval personnel who sought medical care in the hospital from January 25,2019 to March 10,2019 were enrolled for study. The self-rating anxiety Scale(SAS) and self-rating depression scale(SDS) were used to assess anxiety and depression,and the relevant risk factors were explored. The obtained data were analyzed statistically by using the SPSS25. 0 software.Results Included in the study were a total of 132 patients, of whom 18 had anxiety, accounting for 13. 63%, and 31 had depression accounting for 23. 48%. The results of univariate analysis of risk factors affecting anxiety indicated the incidence of anxiety was associated with the service length and length of stay on the island(P=0. 039,P=0. 016). The results of the univariate analysis affecting depression showed that the incidence of depression was associated with the service length and age, with statistical significance(P=0. 004,P=0. 014). Multivariate analysis revealed that service length on the island exerted impacts on the incidence of anxiety and depression. One month longer stay on the island increased the ratio of anxiety scores of 1. 709(1. 086~2. 757) and the ratio of depression scores of 1. 626(1. 108~2. 436), also with statistical significance(P=0. 022,P=0. 015).Conclusions Service length on the island was the risk factor of anxiety and depression. Prolonged stay on the island could increase the risk of anxiety and depression. For this reason, it is necessary for Naval personnel on the island to receive mental health education and reduce length of stay on the island, so that their mental health could soon be recovered.