本文關(guān)鍵詞：穩(wěn)定期慢性阻塞性肺疾病患者合并焦慮、抑郁情緒調(diào)查　出處：《新疆醫(yī)科大學》2009年碩士論文　論文類型：學位論文

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【摘要】： 目的:了解穩(wěn)定期COPD患者合并焦慮、抑郁情緒的患病情況,并分析其相關(guān)的影響因素。方法:選擇穩(wěn)定期COPD患者136例,進行一般情況及其醫(yī)院綜合焦慮、抑郁量表(Hospital Anxiety and Depression Scale HAD)、呼吸困難量表問卷調(diào)查,并完成肺功能檢查。選取同一時間段于我院行健康體檢80人作為健康對照。組間進行比較采用t檢驗,影響因素分析采用Logistic多因素回歸分析。結(jié)果:1.在COPD組136例患者中,焦慮評分7分有44人占32.35%,抑郁評分7分有66人占48.53%,焦慮、抑郁評分均高于健康對照組(p0.05)。2.多因素分析發(fā)現(xiàn)肺功能程度越差越容易合并焦慮、抑郁情緒, OR值、95%CI為0.746 (0.699—0.879) 0.710(0.518—0.973)。呼吸困難程度越重越容易合并焦慮情緒OR值為1.478 95%CI(1.079—2.025)。享受醫(yī)療保險百分點越低越容易合并抑郁情緒OR值為0.708 95%CI(0.671—0.888)。女性比男性更容易出現(xiàn)焦慮、抑郁情緒OR值、95%CI為4.290 (1.850—9.947)2.423 (1.163—5.048)。結(jié)論:1.穩(wěn)定期COPD患者存在較高的焦慮、抑郁情緒障礙。2.肺功能受損以及呼吸困難程度較重是合并焦慮情緒的主要因素,肺功能受損以及較低醫(yī)療保險保障是合并抑郁情緒的主要因素。
[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.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2009
【分類號】：R563.9;R395

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相關(guān)期刊論文 前2條

1 王秀香;楊敬平;孫德俊;;COPD急性加重的誘因及病原[J];臨床肺科雜志;2006年02期

2 王昱;楊嵐;;COPD穩(wěn)定期患者的心理健康狀況的初步研究[J];臨床肺科雜志;2008年10期

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