慢性骨髓炎患者抑郁焦虑情绪及其相关因素分析

目的 探讨慢性骨髓炎患者焦虑和抑郁状况,并分析相关影响因素.方法 对52例慢性骨髓炎患者和55例健康者进行医院焦虑抑郁量表(HADS)问卷调查和比较,包括焦虑(HADS-A)和抑郁(HADS-A)两个亚表;并对影响患者抑郁和焦虑情绪的相关因素进行分析.结果 慢性骨髓炎患者HADS-A平均值为(7.69±3.70)分,其中有焦虑表现的患者共计27例(51.9%),中度以上焦虑表现11例(21.2%);HADS-D平均得分(7.13±4.19)分,其中有抑郁表现的患者28例(53.8%),中度以上抑郁表现10例(19.2%).慢性骨髓炎患者的HADS-A和HADS-D评分都显著高于正常人群(P<0.001).HADS-A与手术次数(P=0.037)和患者性别(P=0.047)存在显著相关性,与病程时间可能存在相关性(P=0.052);HADS-D与手术次数存在显著相关性(P=0.014).结论 慢性骨髓炎患者的焦虑及抑郁表现较正常人群更常见,多次手术、男性和长病程是影响焦虑的主要因素;多次手术是抑郁的主要危险因素.

Mental health of chronic osteomyelitis patients and the related factors

Objective To examine the anxiety and depressive status of chronic osteomyelitis (COM) patients, and further analyze its related factors .Methods A total of 52 Chinese patients with COM and 55 healthy controls were enrolled, who were asked to complete the Chinese version of the Hospital Anxiety and Depression Scale ( HADS) , inclu-ding HADS-A and HADS-D.Factors related to mental health were investigated as well .Results The COM patients′average score of HADS -A was 7.69 ±3.70; and 27 ( 51.9%) patients were classified as anxiety , among whom 11 (21.2%) patients were classified as moderate to severe anxiety .The average score of HADS -D was 7.13 ±4.19;and 28(53.8%) patients were classified as depression , among whom 10(19.7%) patients were classified as moderate to se-vere depression .Both the HADS-A and HADS-D scores in COM patients were significant higher than controls ( P<0.001).HADS-A scores were in significantly correlated with operation times (P=0.037) and genders (P=0.047), and in marginal correlated with duration of disease ( P=0.052) .HADS-A scores was significantly correlated with opera-tion times (P=0.014).Conclusion Anxiety and depression are more common in COM patients .More operation times, male and longer duration of disease are risk factors of anxiety .In addition, more operation time is a risk factor of depres-sion as well .