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目的了解慢性阻塞性肺疾病患者抑郁状况及其相关的影响因素,为提高慢性阻塞性肺疾病患者的生存质量和找到抑郁并发症的改善方法,提供科学的依据。方法应用抑郁自评量表(SDS)对湛江市3所医院237例慢性阻塞性肺疾病患者进行问卷调查,把得出的数据录入整理并且进行统计分析。结果 237例慢性阻塞性肺疾病患者无抑郁82例(34.60%),轻度抑郁98例(41.35%),中度抑郁57例(24.05%),无重度抑郁,抑郁总发生率为65.40%。Logistic回归(逐步法)分析显示抑郁症状的发生与年龄[OR=2.54,95%CI:1.45~4.45]和自评健康状况[OR=1.57,95%CI:1.15~2.15]有关。结论慢性阻塞性肺疾病患者的抑郁发生率较高,受到年龄、自评健康状况等因素的影响,应引起社会和家庭的关注,加强心理健康指导,正确引导病人的情绪管理。
Objective To understand the status of depression in patients with chronic obstructive pulmonary disease and its related factors, and to provide a scientific basis for improving the quality of life in patients with chronic obstructive pulmonary disease and finding ways to improve the complication of depression. Methods A total of 237 patients with chronic obstructive pulmonary disease from 3 hospitals in Zhanjiang City were surveyed by SDS, and the data obtained were collected and statistically analyzed. Results There were no depression in 82 cases (34.60%), mild depression in 98 cases (41.35%), moderate depression in 57 cases (24.05%) in 237 patients with chronic obstructive pulmonary disease. The total incidence of depression was 65.40%. Logistic regression (stepwise) analysis showed that the occurrence of depressive symptoms was related to age [OR = 2.54, 95% CI: 1.45-4.45] and self-rated health status [OR = 1.57,95% CI: 1.15-2.15]. Conclusion The incidence of depression in patients with chronic obstructive pulmonary disease is high, affected by age, self-rated health status and other factors, which should cause social and family concerns, strengthen mental health guidance, and properly guide the patient’s emotional management.