慢性骨髓炎患者抑郁焦虑情绪及其相关因素分析

发布时间：2018-05-19 01:12

本文选题：慢性骨髓炎 + 焦虑　；参考：《广东医学》2017年17期

【摘要】：目的探讨慢性骨髓炎患者焦虑和抑郁状况,并分析相关影响因素。方法对52例慢性骨髓炎患者和55例健康者进行医院焦虑抑郁量表(HADS)问卷调查和比较,包括焦虑(HADS-A)和抑郁(HADS-A)两个亚表;并对影响患者抑郁和焦虑情绪的相关因素进行分析。结果慢性骨髓炎患者HADS-A平均值为(7.69±3.70)分,其中有焦虑表现的患者共计27例(51.9%),中度以上焦虑表现11例(21.2%);HADS-D平均得分(7.13±4.19)分,其中有抑郁表现的患者28例(53.8%),中度以上抑郁表现10例(19.2%)。慢性骨髓炎患者的HADS-A和HADS-D评分都显著高于正常人群(P0.001)。HADS-A与手术次数(P=0.037)和患者性别(P=0.047)存在显著相关性,与病程时间可能存在相关性(P=0.052);HADS-D与手术次数存在显著相关性(P=0.014)。结论慢性骨髓炎患者的焦虑及抑郁表现较正常人群更常见,多次手术、男性和长病程是影响焦虑的主要因素;多次手术是抑郁的主要危险因素。
[Abstract]:Objective to investigate the anxiety and depression in patients with chronic osteomyelitis and to analyze the related factors. Methods 52 patients with chronic osteomyelitis and 55 healthy subjects were investigated with hospital anxiety and depression scale (HADS), including two subtables of HADS-A and HADS-A, and the related factors affecting depression and anxiety were analyzed. Results the average score of HADS-A in patients with chronic osteomyelitis was 7.69 卤3.70. The average score of HADS-A was 7.13 卤4.19 in 27 patients with anxiety, and the average score of HADS-D was 7.13 卤4.19 in 11 patients with moderate or higher anxiety. The scores of HADS-A and HADS-D in patients with chronic osteomyelitis were significantly higher than those in normal controls (P 0.001). HADS-A was significantly correlated with the number of operations (P 0.037) and the patient's gender was 0.047 (P < 0.05), and there was a significant correlation between HADS-D and the times of operation (P 0.01414). Conclusion anxiety and depression in patients with chronic osteomyelitis are more common than those in normal subjects. Multiple operations, male and long course of disease are the main factors affecting anxiety, and multiple operations are the main risk factors of depression.
【作者单位】：佛山市高明区人民医院骨一科;南方医科大学南方医院创伤骨科;
【基金】：广东省医学科研基金资助项目(编号:A2015510) 佛山市十三五医学重点专科和特色专科建设项目(编号:FSZDZK135059)
【分类号】：R473.6

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