稳定期慢性阻塞性肺疾病患者合并焦虑、抑郁情绪调查

发布时间：2017-12-28 01:10

本文关键词：稳定期慢性阻塞性肺疾病患者合并焦虑、抑郁情绪调查　出处：《新疆医科大学》2009年硕士论文　论文类型：学位论文

【摘要】： 目的:了解稳定期COPD患者合并焦虑、抑郁情绪的患病情况,并分析其相关的影响因素。方法:选择稳定期COPD患者136例,进行一般情况及其医院综合焦虑、抑郁量表(Hospital Anxiety and Depression Scale HAD)、呼吸困难量表问卷调查,并完成肺功能检查。选取同一时间段于我院行健康体检80人作为健康对照。组间进行比较采用t检验,影响因素分析采用Logistic多因素回归分析。结果:1.在COPD组136例患者中,焦虑评分7分有44人占32.35%,抑郁评分7分有66人占48.53%,焦虑、抑郁评分均高于健康对照组(p0.05)。2.多因素分析发现肺功能程度越差越容易合并焦虑、抑郁情绪, OR值、95%CI为0.746 (0.699—0.879) 0.710(0.518—0.973)。呼吸困难程度越重越容易合并焦虑情绪OR值为1.478 95%CI(1.079—2.025)。享受医疗保险百分点越低越容易合并抑郁情绪OR值为0.708 95%CI(0.671—0.888)。女性比男性更容易出现焦虑、抑郁情绪OR值、95%CI为4.290 (1.850—9.947)2.423 (1.163—5.048)。结论:1.稳定期COPD患者存在较高的焦虑、抑郁情绪障碍。2.肺功能受损以及呼吸困难程度较重是合并焦虑情绪的主要因素,肺功能受损以及较低医疗保险保障是合并抑郁情绪的主要因素。
[Abstract]:Objective: to understand the prevalence of anxiety and depression in patients with stable COPD, and to analyze the related factors. Methods: a total of 136 patients with stable COPD were selected, and general information and Hospital Anxiety and Depression Scale HAD and dyspnea scale questionnaire were conducted to complete pulmonary function tests. At the same time, 80 healthy subjects were selected as healthy controls in our hospital. T test was used for comparison among groups, and Logistic multiple factor regression analysis was used in the analysis of influencing factors. Results: 1.. Among the 136 patients in the COPD group, 7 of the anxiety scores were 44, 32.35%, 7 of the depression scores were 66, 48.53%, and the scores of anxiety and depression were all higher than those of the healthy control group (P0.05). 2. the analysis of multiple factors found that the worse the lung function was, the more vulnerable to anxiety and depression, the OR value and 95%CI were 0.746 (0.699 - 0.879) 0.710 (0.518 - 0.973). The more difficult the breathing difficulty was, the more easily the OR value of anxiety was 1.478 95%CI (1.079 - 2.025). The lower the percentage of the health insurance percentage, the more likely the OR value of the depression was 0.708 95%CI (0.671 - 0.888). Women were more prone to anxiety, depression, OR, 95%CI 4.290 (1.850 - 9.947) 2.423 (1.163 - 5.048) than men. Conclusion: 1. patients with stable COPD have higher anxiety and depression. 2., impaired lung function and severe dyspnea are the main factors associated with anxiety. Impaired lung function and low medical insurance are the main factors associated with depression.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R563.9;R395

【参考文献】