摘要
目的探究机动车碰撞所致骨折住院患者焦虑和抑郁综合征的危险因素。方法采用横断面研究方法,使用患者健康问卷抑郁症量表、广泛性焦虑问卷、躯体症状量表、失眠严重度量表、社会支持量表、机动车碰撞问卷对机动车碰撞后所致骨折患者在住院期间进行抑郁和焦虑综合征的筛查及其相关问题进行访谈。结果共纳入63例机动车碰撞所致骨折住院患者,其中30.2%患者没有抑郁,19.0%、22.2%、14.3%和4.3%分别有轻度、中度、中重度和重度抑郁;39.7%患者没有焦虑,34.9%、11.1%和14.3%分别有轻度、中度和重度焦虑。躯体症状总分、失眠总分和存在法律诉讼是住院期间抑郁和焦虑综合征发生的危险因素,车祸前后家庭与社会支持的恶化是住院期间抑郁的危险因素,车祸前家庭与社会支持的总分值是住院期间焦虑的危险因数。结论机动车碰撞伤所致骨折住院患者抑郁、焦虑症状突出,家庭与社会支持在该群体焦虑抑郁障碍的早期预防中值得重视,未来有必要对手术前后及出院后的焦虑、抑郁综合征进行区别评估。
Objective To explore the prevalence and risk factors of anxiety and depression syndrome in hospitalized patients with fracture caused by motor vehicle collision. Methods In this study,we used the cross-sectional study method.The Patient Health Questionnaire(PHQ-9),Generalized Anxiety Disorder Scale(GAD-7),Insomnia Severity Index(ISI),the Multidimensional Scale of Perceived Social Support(MSPSS),the Motor Vehicle Accident Questionnaire were used to assess the survivors after the traffic accident during hospitalization. Results 63 patients were included in the study,30.2%patients had no depression,19.0%,22.2.3%,14.3% and 14.3% had mild,moderate, moderate-severe and severe depression;39.7%patients had no anxiety,34.9%,11.1% and 14.3% had mild, moderate and severe anxiety,respectively.Multiple linger regression demonstrated that insomnia,somatic symptoms,family and social support and legal action are risk factors for depression and anxiety syndrome. Decreased family and social support scores is a risk factor for depression and the scores before traffic accident is a risk factor for anxiety. Conclusion The prevalence of depression and anxiety syndrome is higher than general population and it is a critical opportunity to identify motor vehicle collision wound patients with mental health during early stage.It is worthy attention that family and social support in this population with anxiety and depression. Future research should examine the mental health associate with operate time.
作者
葛汾汾
颜喆
张月儿
陈佳丽
浦兴翠
宁宁
张骏
GE Fenfen;YAN Zhe;ZHANG Yue;CHEN Jiali;PU Xingcun;NING Ning;ZHANG Jun(Mental Health Center of West China Hospital,Sichuan University,Chengdu 610041,China;Department of Psychiatry,Guiyang First People ′s Hospital,GuiYang 550000,China;Department of Orthopedics,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《重庆医学》
CAS
2019年第A01期73-75,共3页
Chongqing medicine
关键词
机动车碰撞
抑郁情绪
焦虑情绪
失眠
躯体症状
motor vehicle collision
depression
anxiety
insomnia
somatic symptoms
