本文關鍵詞：三級綜合醫(yī)院神經(jīng)內(nèi)科門診患者焦慮抑郁狀態(tài)特點，由筆耕文化傳播整理發(fā)布。

三級綜合醫(yī)院神經(jīng)內(nèi)科門診患者焦慮抑郁狀態(tài)特點

Characteristics of Outpatients with Anxiety and/or Depress State in Tertiary-level General Hospital Neurology Department

[1] [2] [3] [4] [5] [6]

Tan Qingche, Zhang Jiatang, Cui Rongtai, et al（ Department of Neurology, The Chinese Peoples Liberation Army General Hospital, Beijing 100853 ,P. R. China）

[1]中國.中國人民解放軍總醫(yī)院神經(jīng)內(nèi)科,北京100853; [2]中國人民解放軍總醫(yī)院海南分院神經(jīng)內(nèi)科,三亞572013

文章摘要：目的分析三級綜合醫(yī)院神經(jīng)內(nèi)科就診的焦慮抑郁狀態(tài)患者的特點,提高臨床醫(yī)生對焦慮抑郁狀態(tài)的識別。方法收集解放軍總醫(yī)院海南分院神經(jīng)內(nèi)科門診3857名患者,通過焦慮自評量表及抑郁自評量表評估心理狀態(tài)。分析有焦慮抑郁狀態(tài)患者的特點。結果有1684（43.66%）名患者存在焦慮抑郁狀態(tài),中年（χ2=107.75,P〈0.001）、女性（χ2=188.36,P〈0.001）無業(yè)及退休者（χ2=215.31,P〈0.001）為焦慮抑郁狀態(tài)的多發(fā)人群。1073（63.72%）名焦慮抑郁患者主訴內(nèi)容超過3項,655（38.90%）名患者主訴內(nèi)容超過4項。主訴內(nèi)容以失眠最多,頭痛、頭暈、肢體無力、發(fā)麻次之。1323（78.56%）名患者選擇在神經(jīng)內(nèi)科藥物治療。結論三級綜合醫(yī)院神經(jīng)內(nèi)科門診患者焦慮抑郁狀態(tài)發(fā)生率高,此類患者有其自身臨床特點,門診醫(yī)生應注意識別,并予以及時轉診和治療。

Abstr：Objective To investigate the characteristics of outpatients with anxiety and/or depress state in tertiary-level general hospital neurology department,improve the doctors ability to identify anxiety and/or depress state of patients. Methods A total of 3875 out- patients of neurology department in Hainan branch of General Hospital of the Peoples Liberation Army participated this trail. Self-rating Anxiety Scale and Self-rating Depression Scale were used to evaluate anxiety and depress state, and the characteristics of patients with anxiety and/or depress state were analyzed. Results 1684 of 3857 （43.66%） patients fit the criteria for anxiety and/or depress state. Middle-aged （ X2 = 107.75, P 〈 0. 001 ） , women （ X2 = 188.3, P 〈 0. 001 ） and people who were unemployed or retired （ X2 = 215.31, P 〈 0. 001 ）were more likely to get in anxiety and/or depress state. There were 1073 （63.72%）patients with anxiety and/or depress state had more than 3 complains ,655 （38.90%）patients more than 4 complains. 1323 （78.56%）patients chose drug therapy in neurology depart- ment. Conclusion There is a high incidence of anxiety and/or depress state in tertiary-level general hospital neurology department clinic. Outpatient doctors should pay more attention to the patients with anxiety and/or depress, and offer treatment or transfer treatment timely.

文章關鍵詞：

Keyword：:Psychiatry Anxiety and/or depress state Self-rating Anxiety Scale Self-rating Depression Scale Tertiary-level generalhospital Neurology outpatient

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  本文關鍵詞：三級綜合醫(yī)院神經(jīng)內(nèi)科門診患者焦慮抑郁狀態(tài)特點，，由筆耕文化傳播整理發(fā)布。