眼科住院患者的焦虑抑郁状况及其影响因素的研究

  本文关键词：眼科住院患者的焦虑抑郁状况及其影响因素的研究，由笔耕文化传播整理发布。

        目的了解眼科住院患者的焦虑和抑郁情绪发生情况,分析与之相关的因素,为实施有效干预、提高眼科住院患者的精神卫生水平提供指导依据。方法选取山东省内济南市、泰安市、莱芜市、临沂市共11家医院的1195例眼科住院患者作为调查对象,记录患者的基本资料及眼病相关情况,分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者进行问卷调查。统计描述患者的基本情况和焦虑、抑郁发生情况,分析筛选与之相关的因素。同时分别描述眼科住院患者不同疾病焦虑抑郁的发生情况及其影响因素。结果1.眼科住院患者焦虑抑郁症状的发生率1195人眼科住院患者中,有22人出现焦虑阳性,22人出现抑郁阳性,分别占所有研究对象的3.6%。调查的患者焦虑评分与其抑郁评分呈正相关关系,相关系数为0.781。2.眼科住院患者焦虑抑郁发生的影响因素分析(1)不同性别、年龄、婚姻、职业、文化程度、居住地、付费方式、经济状况、拟治疗方案、视力、病程、全身病变的眼科住院患者焦虑和抑郁的发生率不同,但差异无统计学意义(P>0.05)。(2)不同性别、年龄、婚姻的眼科住院患者的焦虑、抑郁评分不同,差异有统计学意义(P＜0.05)。非手术患者焦虑评分高于手术患者,差异有统计学意义(P＜0.05)。非手术患者抑郁评分高于手术患者,但差异无统计学意义(P>0.05)。不同职业、文化程度、居住地、付费方式、经济状况、视力、病程、全身病变的患者的焦虑、抑郁评分不同,但差异均无统计学意义(P>0.05)。(3)住院患者焦虑、抑郁评分与各因素的关系,采用单因素logistic回归分析,焦虑、抑郁评分分别与性别、年龄、婚姻、职业、居住地、付费方式、经济状况、拟治疗方案、视力、病程、全身病变差异均无统计学意义(P>0.05)。3.眼科住院患者中不同疾病患者的焦虑和抑郁发生情况眼科住院患者中不同疾病患者的焦虑和抑郁发生率与评分不同。其中视神经视网膜病变焦虑发生率最高,角膜病患者抑郁发生率最高。角膜病患者焦虑、抑郁评分均最高。4.不同疾病患者焦虑抑郁发生的影响因素(1)白内障患者中焦虑发生率与文化程度差异性有统计学意义(P＜0.05),抑郁发生率与职业、文化程度、付费方式具有差异性(P<0.05),有统计学意义。焦虑评分与性别、文化程度有差异性,有统计学抑郁(P＜0.05),焦虑评分与性别有差异性,有统计学意义(P＜0.05)。(2)泪道疾病患者中焦虑抑郁评分与性别有统计学意义(P＜0.05),但与其他因素无统计学意义(P＞0.05)。(3)青光眼患者中抑郁评分与居住地有统计学意义(P＜0.05),而与其他因素无统计学意义(P>0.05)。(4)角膜病患者中抑郁评分、抑郁发生率与病程有统计学意义(P＜0.05),其他因素与焦虑抑郁均无统计学意义(P>0.05)。(5)葡萄膜炎患者中焦虑评分与职业有统计学意义(P＜0.05),其他因素与焦虑抑郁均无统计学意义(P＞0.05)。其他疾病的焦虑抑郁与其相应的各不同因素间均无统计学意义。结论(1)眼科住院患者中存在焦虑、抑郁负性心理障碍,焦虑评分与抑郁评分呈正相关关系。(2)住院患者的焦虑抑郁发生率不受一般社会学人口特征的影响。焦虑和抑郁评分均受性别、年龄、婚姻的影响。焦虑抑郁发生率男性较高,焦虑抑郁评分女性较高,45-59岁、已婚的眼科住院患者焦虑抑郁症状发生较高。(3)眼科住院患者中不同疾病患者的焦虑和抑郁发生率与评分不同。其中视神经视网膜病变焦虑发生率最高,角膜病患者抑郁发生率最高。角膜病患者焦虑、抑郁评分均最高。(4)根据调查的结果,在对眼科住院患者治疗的同时减轻患者的心理负担,及时采取有效的干预措施,从而提高眼科住院患者的精神卫生水平。

    ObjectivesTo study the anxiety and depression condition of Ophthalmology inpatients and to analyze the influential factors, so as to provide reference to exert effective intervention on Ophthalmology inpatients and improve the level of their mental health.Methodswe selected1195cases of Ophthalmology inpatients, the study concerning their general baseline characteristics and records related eye disease, they were analyzed and survey with Zung anxiety self-evaluation scale (SAS) and Zung depression self-evaluation scale (SDS) questionnaire to describe the patient’s anxiety and depression, and analyze the factors associated with screening. Finally, we desceribe the anxiety and depression on different diseases.Results1. The incidence of anxiety symptom and depressive symptom in the Ophthalmology inpatients. Among1195Ophthalmology inpatients, anxiety and depression incidence was respectively3.6%and3.6%. Anxiety score s and depression scores were positively related, correlation coefficient was0.781. 2. The study of influencing factors of ophthalmology inpatients with anxiety and depression.(1) Different gender、age、marital status、occupation、education level、 place of residence、method of payment、economic conditions、Proposed program of treatment、vision、duration of disease and systemic disease in patients with anxiety and depression incidence vary, but the differences was not statistically significant (P>0.05).(2) Patients of different gender、age、marital have different anxiety and depression scores,which were statistically significant (P<0.05). Different treatment of patients to anxiety scores were statistically significant (P<0.05),depression scores were not statistically significant (P>0.05).(3) Different occupations、educational level、place of residence、method of payment、the economic conditions、vision、duration of disease and systemic disease in the patients with anxiety and depression scores, but the differences were statistically significant (P>0.05). The single factor regression analysis sugession different gender、age、marital status、occupation、education level、place of residence、 method of payment、economic conditions、Proposed program of treatment、vision、 duration of disease and systemic disease in patients with anxiety and depression incidence vary, but the differences was not statistically significant (P>0.05).3.The incidence and scores of anxiety and depression in ophthalmology patients with different diseases vary。Among them the optic nerve retinopathy have the highest incidence of anxiety, corneal patients have the highest depression. Anxiety and depression scores in corneal patients were the highest.4. The inflence factors of anxiety and depression in different diseases(1)The incidence of anxiety in cataract patients and educational level differences were statistically significant (P<0.05), the incidence of depression and occupation、education level、payment methods differences were statistically significant (P<0.05).Anxiety scores and gender differences、education levelwere statistical significance (P<0.05), depression scores and gender differences were statistically significant (P<0.05). (2)Lacrimal duct disease in patients with anxiety and depression scores and gender were statistically significant (P<0.05), but other factors were not statistically significant (P>0.05).(3)Depression scores and live in the glaucoma patients was statistically significant (P<0.05), and other factors were not statistically significant (P>0.05).(4)Corneal disease in patients with depression scores, the incidence of depression with the duration was statistically significant (P<0.05), and other factors with anxiety and depression are not statistically significant (P>0.05).(5)Uveitis in patients with anxiety scores and the occupation was statistically significant (P<0.05), and other factors with anxiety and depression are not statistically significant (P>0.05). Other various factors and other diseases, anxiety and depression are not statistically significant.Conclusion:1.Ophthalmology hospitalized patients are sufferred from anxiety and depression negative psychological disorder, anxiety scores and depression scores are positively correlated.2.Anxiety and depression incidence of hospitalized patients were not affected by the social demographic characteristics. Anxiety and depression scores are subject to the influence of gender, age, marital.. The incidence of anxiety and depression are higher in male, anxiety and depression scores of women is higher.45to59years old、 married eye hospitalized patients with anxiety and depression symptoms occur highly.3.The different eye hospitalized patients with anxiety and depression have different rates and scores. The optic nerve retinopathy was the highest incidence of anxiety. The corneal disease was the highest incidence of depression. Corneal disease in patients were the highest anxiety and depression scores.(4)According to the results of the survey, wu should reduce the psychological burden of the ophthalmology inpatient at the same time treaing them, Taking effective interventions to improve the level of mental health of the eye hospitalized patients.

          眼科住院患者的焦虑抑郁状况及其影响因素的研究

中文摘要5-8ABSTRACT8-10常见符号说明12-13前言13-16研究资料和方法16-21结果21-29讨论29-36结论36本研究的局限与不足36-38参考文献38-42附表42-46致谢46-47学位论文评阅及答辩情况表47

  本文关键词：眼科住院患者的焦虑抑郁状况及其影响因素的研究，由笔耕文化传播整理发布。