慢性阻塞性肺疾病患者急性加重期负性情绪现状及影响因素

目的了解COPD患者急性加重期的负性情绪并探讨其影响因素。方法采用抑郁自评量表（sDs）、焦虑自评量表（SAS）等对169例COPD急性加重期患者进行问卷调查。结果共发放问卷169份，回收有效问卷169份，回收率为100％。SDS得分为（57．06±10．74）分，其中115例（68．0％）存在不同程度的抑郁心理；SAS得分为（48．52±9．11）分，其中70例（41．4％）存在焦虑障碍。多元逐步线性回归分析显示，是否合并焦虑、呼吸困难程度、年龄、吸烟情况、家庭月收入是影响抑郁的主要因素，可以解释其得分总变异的49．4％；合并抑郁、呼吸困难程度、性别是影响焦虑的主要因素，可以解释其得分总变异的65．9％。结论COPD急性加重期患者抑郁和焦虑负性情绪发病率较高，护理人员应更多地关注患者的负性心理，采取有效的治疗和干预措施促进患者身心健康，提高其生活质量。

Negative emotion and influential factors in patients with acute exacerbations of chronic obstructive pulmonary disease

Objective To estimate the prevalence of negative emotion in patients with acute exacerbation chronic obstructive pulmonary disease（AECODP）, and analyze the possible influential factors. Methods 169 pa- tients with AECOPD were enrolled, their levels of depression and anxiety were assessed using Self- Rating Depres- sion Scale（SDS） and Self- Rating Anxiety Scale（SAS）. Results The score of SDS was 57.06 ±10.74, in which 115 case （68.0%） were depressd. The score of SAS was 48.52 ±9.11 and 70 cases （41.4%） were anxiety. Multiple linear regression analysis showed that co- mobility with anxiety, severity of dyspnea, age, smoking and income, were influencing factors of patients＇ depression, which could explain 49.4 % of the total variance of de- pression. The main influencing factors of anxiety were co - mobility with depression, severity of dyspnea and gen- der, which could explain 65.9 % of the total variance of anxiety. Conclusion Symproms of depression and anxiety are common in patients with AECOPD. Thus, nursing staff should pay more attention to patients＇ emotional disor- ders, and take effective measures to improve their health both physically and mentally, in order to improve their oualitv of life.