摘要
目的 :了解综合性医院住院患者是否存在焦虑抑郁共病情况 ,影响因素和程度。方法 :采用等级计分问卷量表的方法对 84 6名住院患者进行调查。结果 :1肯定存在焦虑和 (或 )抑郁症状者 ,占被调查人数的 39.9% ,而其中正在使用药物治疗者仅占被调查人数的 6 .7%。 2应用 L ogistic回归分析 ,与焦虑和抑郁相关的主要因素可归为 4类 :经济因素 ;睡眠状况 ;对疾病的认知 ;其他相关因素 ,如病程、住院时间、医院环境等。 3肿瘤患者对疾病的认知影响到焦虑抑郁情绪的产生。结论 :住院患者焦虑抑郁情绪的产生与多种因素有关 ,可采用认知治疗等方法对患者进行心理干预。
Objective: To assess the co-morbidity of anxiety and depression in hospitalized patients and to analyze the degree of symptoms and the influential factors. Methods: A total of 846 inpatients were randomly selected from the inpatients in our hospital. Subjects were assessed with SAS(Self-Rating Anxiety Scale),SDS(Self-Rating Depression Scale),HADS(Hospital Anxiety and Depression Scale) and self-designed questionnaire of general status of inpatient. Results: ①About 39.9% of the patients presented the symptoms of anxiety and depression and out of them 6.7% were taken psychotropic medication.②Stepwise Logistic Regression showed that the factors related to anxiety and depression could be classified into four categories:economic factor,sleeping status,cognition of disease,the other factors such as course of disease and the environment of hospital.③Data analysis of oncology patients showed that the cognition of disease would be an important factor,which would affect anxiety and depression status. Conclusions: Multiple factors can affect anxiety and depression symptoms of inpatients. The results suggest that psychological intervention such as cognitive therapy should be considered in clinical practice.
出处
《浙江大学学报（医学版）》
CAS
CSCD
2003年第4期342-344,348,共4页
Journal of Zhejiang University(Medical Sciences)
关键词
焦虑
抑郁症
心理疗法
住院病人/心理学
医院
综合
心理干预
人类
Anxiety
Depression
Psychotherapy
Inpatients/psychol
Hospital,general
Psychological intervention
Human
