本文關(guān)鍵詞：眼科住院患者的焦慮抑郁狀況及其影響因素的研究，由筆耕文化傳播整理發(fā)布。

        目的了解眼科住院患者的焦慮和抑郁情緒發(fā)生情況,分析與之相關(guān)的因素,為實(shí)施有效干預(yù)、提高眼科住院患者的精神衛(wèi)生水平提供指導(dǎo)依據(jù)。方法選取山東省內(nèi)濟(jì)南市、泰安市、萊蕪市、臨沂市共11家醫(yī)院的1195例眼科住院患者作為調(diào)查對象,記錄患者的基本資料及眼病相關(guān)情況,分別采用焦慮自評量表(SAS)、抑郁自評量表(SDS)對患者進(jìn)行問卷調(diào)查。統(tǒng)計(jì)描述患者的基本情況和焦慮、抑郁發(fā)生情況,分析篩選與之相關(guān)的因素。同時(shí)分別描述眼科住院患者不同疾病焦慮抑郁的發(fā)生情況及其影響因素。結(jié)果1.眼科住院患者焦慮抑郁癥狀的發(fā)生率1195人眼科住院患者中,有22人出現(xiàn)焦慮陽性,22人出現(xiàn)抑郁陽性,分別占所有研究對象的3.6%。調(diào)查的患者焦慮評分與其抑郁評分呈正相關(guān)關(guān)系,相關(guān)系數(shù)為0.781。2.眼科住院患者焦慮抑郁發(fā)生的影響因素分析(1)不同性別、年齡、婚姻、職業(yè)、文化程度、居住地、付費(fèi)方式、經(jīng)濟(jì)狀況、擬治療方案、視力、病程、全身病變的眼科住院患者焦慮和抑郁的發(fā)生率不同,但差異無統(tǒng)計(jì)學(xué)意義(P>0.05)。(2)不同性別、年齡、婚姻的眼科住院患者的焦慮、抑郁評分不同,差異有統(tǒng)計(jì)學(xué)意義(P＜0.05)。非手術(shù)患者焦慮評分高于手術(shù)患者,差異有統(tǒng)計(jì)學(xué)意義(P＜0.05)。非手術(shù)患者抑郁評分高于手術(shù)患者,但差異無統(tǒng)計(jì)學(xué)意義(P>0.05)。不同職業(yè)、文化程度、居住地、付費(fèi)方式、經(jīng)濟(jì)狀況、視力、病程、全身病變的患者的焦慮、抑郁評分不同,但差異均無統(tǒng)計(jì)學(xué)意義(P>0.05)。(3)住院患者焦慮、抑郁評分與各因素的關(guān)系,采用單因素logistic回歸分析,焦慮、抑郁評分分別與性別、年齡、婚姻、職業(yè)、居住地、付費(fèi)方式、經(jīng)濟(jì)狀況、擬治療方案、視力、病程、全身病變差異均無統(tǒng)計(jì)學(xué)意義(P>0.05)。3.眼科住院患者中不同疾病患者的焦慮和抑郁發(fā)生情況眼科住院患者中不同疾病患者的焦慮和抑郁發(fā)生率與評分不同。其中視神經(jīng)視網(wǎng)膜病變焦慮發(fā)生率最高,角膜病患者抑郁發(fā)生率最高。角膜病患者焦慮、抑郁評分均最高。4.不同疾病患者焦慮抑郁發(fā)生的影響因素(1)白內(nèi)障患者中焦慮發(fā)生率與文化程度差異性有統(tǒng)計(jì)學(xué)意義(P＜0.05),抑郁發(fā)生率與職業(yè)、文化程度、付費(fèi)方式具有差異性(P<0.05),有統(tǒng)計(jì)學(xué)意義。焦慮評分與性別、文化程度有差異性,有統(tǒng)計(jì)學(xué)抑郁(P＜0.05),焦慮評分與性別有差異性,有統(tǒng)計(jì)學(xué)意義(P＜0.05)。(2)淚道疾病患者中焦慮抑郁評分與性別有統(tǒng)計(jì)學(xué)意義(P＜0.05),但與其他因素?zé)o統(tǒng)計(jì)學(xué)意義(P＞0.05)。(3)青光眼患者中抑郁評分與居住地有統(tǒng)計(jì)學(xué)意義(P＜0.05),而與其他因素?zé)o統(tǒng)計(jì)學(xué)意義(P>0.05)。(4)角膜病患者中抑郁評分、抑郁發(fā)生率與病程有統(tǒng)計(jì)學(xué)意義(P＜0.05),其他因素與焦慮抑郁均無統(tǒng)計(jì)學(xué)意義(P>0.05)。(5)葡萄膜炎患者中焦慮評分與職業(yè)有統(tǒng)計(jì)學(xué)意義(P＜0.05),其他因素與焦慮抑郁均無統(tǒng)計(jì)學(xué)意義(P＞0.05)。其他疾病的焦慮抑郁與其相應(yīng)的各不同因素間均無統(tǒng)計(jì)學(xué)意義。結(jié)論(1)眼科住院患者中存在焦慮、抑郁負(fù)性心理障礙,焦慮評分與抑郁評分呈正相關(guān)關(guān)系。(2)住院患者的焦慮抑郁發(fā)生率不受一般社會學(xué)人口特征的影響。焦慮和抑郁評分均受性別、年齡、婚姻的影響。焦慮抑郁發(fā)生率男性較高,焦慮抑郁評分女性較高,45-59歲、已婚的眼科住院患者焦慮抑郁癥狀發(fā)生較高。(3)眼科住院患者中不同疾病患者的焦慮和抑郁發(fā)生率與評分不同。其中視神經(jīng)視網(wǎng)膜病變焦慮發(fā)生率最高,角膜病患者抑郁發(fā)生率最高。角膜病患者焦慮、抑郁評分均最高。(4)根據(jù)調(diào)查的結(jié)果,在對眼科住院患者治療的同時(shí)減輕患者的心理負(fù)擔(dān),及時(shí)采取有效的干預(yù)措施,從而提高眼科住院患者的精神衛(wèi)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.

          眼科住院患者的焦慮抑郁狀況及其影響因素的研究

中文摘要5-8ABSTRACT8-10常見符號說明12-13前言13-16研究資料和方法16-21結(jié)果21-29討論29-36結(jié)論36本研究的局限與不足36-38參考文獻(xiàn)38-42附表42-46致謝46-47學(xué)位論文評閱及答辯情況表47

  本文關(guān)鍵詞：眼科住院患者的焦慮抑郁狀況及其影響因素的研究，由筆耕文化傳播整理發(fā)布。