类风湿关节炎患者疼痛与抑郁的相关性研究

目的 了解类风湿关节炎患者疼痛水平和抑郁状况,分析两者之间的关系。方法 采用疼痛严重度量表和个人健康状况问卷（抑郁量表）对86例类风湿关节炎患者进行问卷调查,且用SPSS16.0软件包进行统计分析。结果 RA患者疼痛评分均值68.23±28.69;患者抑郁评分均值8.20±7.82,抑郁发生率41%,严重抑郁发生率9%;抑郁与疼痛病程呈正相关（r=0.45,P＜0.01）,与疼痛评分呈正相关（r=0.37,P＜0.05）,而疼痛与疼痛部位个数不具相关性（P＞0.05）。结论 RA患者的抑郁发生率较高,护理人员应高度重视评估患者疼痛状况及心理状况,把减轻疼痛和减少抑郁发生率作为护理目标。

Study on the relationship between pain and depression in patients with Rheumatoid Arthritis

【Abstract】Objective: To investigate pain level and depression status in patients with Rheumatoid Arthritis, and to discuss the relationship between pain and depression. Methods: Pain Severity Scale, Personal Health Questionnaire Depression Scale(PHQ-9)were used as main tools. 86 patients with Rheumatoid Arthritis were investigated.Statistics analyses were performed using the Statistical Package for Social Science(SPSS)16.0. Results：The total score of pain was 68.23±28.69, and that of depression was 8.20±7.82 ,the incidence of depression was 41% ,that of severe major depression was 9%. There was significant positive relationship between pain course and pain score and depression（r=0.45,P＜0.01; r=0.37,P＜0.05＝in patients with Rheumatoid Arthritis.Conclusion: Patients with Rheumatoid Arthritis have higher incidence of depression.The nurse would think highly of pain and depression , pain and incidence of depression extenuation were nursing target.