摘要
目的:发现慢性阻塞性肺疾病(COPD)病人伴抑郁、焦虑情绪的患病率,并分析其相关的影响因素。方法:对62例COPD患者进行了一般情况及医院焦虑抑郁量表(HospitalAnxietyandDepressionScale,HAD)问卷调查。结果:有抑郁情绪的患者42人(67.7%)。有焦虑情绪的患者的43人(69.3%)。14例III级COPD患者中达到抑郁、焦虑症状肯定存在标准的均有13人,高达92.8%。Logistic多因素回归分析,男性比女性病人更易出现抑郁和焦虑症状(OR值分别为1.05,95%CI1.01￣2.11,1.12,95%CI1.03￣2.23),肺功能差的患者更易出现抑郁和焦虑症状(OR值分别为2.34,95%CI1.98￣3.21,2.53,95%CI2.11￣4.01);对病情越了解的病人更易出现抑郁和焦虑症状(OR值分别为1.22,95%CI0.98￣1.54,1.25,95%CI1.01￣2.31)。结论:COPD患者中存在较高的抑郁及焦虑情绪障碍,肺功能受损程度是其主要影响因素。
Objective： To estimate the prevalence of depression and anxiety in patients with Chronic Obstructive Pulmonary Disease （COPD） and to analyze the possible impact factors. Methods： Sixty-two patients with COPD were measured with Hospital Anxiety and Depression.Scale （HAD）, Results： Fourty-two（67.7%） patients had： depressive symptom, and 43 cases （69.3%） had anxiety symptom. There were 13 patients who had significant depression and anxiety symptoms from 14 patients with III-level-COPD. From logistic-regression analysis model, we found that males had more risk of depression/anxiety symptoms than females （OR 1.05,95%CI1.01～2.11,1.12,95%CI 1.03～2.23, respectively） and the risk of depression/anxiety symptoms was 2.34/2.53 times greater for patients with severe COPD than those for mild （OR 2.34,95% CI 1.98～3.21,2.53,95%CI 2.11～4.01, respectively）. Meanwhile, the patients who knew .more about their disease had more risk of depression/anxiety symptom than those who knew less（OR 1.22,95%CI 0.98～1.54,1.25,95%CI 1.01～2.31, respectively）. Conclusion： There is a high prevalence rate of depression/anxiety symptom in patients with COPD and the degree of lung function impairment is the important impact factor.
出处
《中国临床心理学杂志》
CSCD
2006年第4期405-406,409,共3页
Chinese Journal of Clinical Psychology
关键词
慢性阻塞性肺疾病
抑郁
焦虑
医院焦虑抑郁量表(HAD)
Chronic Obstructive PulmonaryDisease （COPD）
Depression
Anxiety
Hospital Anxiety and Depression Scale （HAD）
