成人中重度烧伤早期焦虑抑郁及相关因素分析

目的探讨成人中重度烧伤患者早期焦虑抑郁状况及其相关因素,为进一步实施护理干预积累临床资料。方法对80例中重度烧伤成人患者,在入院1周内脱离危险后,用一般情况调查表和焦虑自评量表(SAS)与抑郁自评量表(SDS)进行调查,分析性别、年龄、文化程度、婚姻、职业、户籍、经济状况、付费类别和社会支持以及烧伤原因、程度和部位,对患者早期焦虑抑郁状况的影响。结果本组患者SAS和SDS评分均显著高于国内常模(t=21.050,21.118;P均<0.001);SAS与SDS显著正相关(r=0.548,P<0.001);多元回归分析,性别、户籍和烧伤程度3因子进入SAS逐步回归方程:y=68.28+9.09x1+5.036x2+3.497x3(F=48.916,P<0.001);烧伤部位、性别和烧伤程度3因子进入SDS逐步回归方程:y=85.651-8.995x1+2.905x2+2.037x3(F=153.055,P<0.001)。结论中重度烧伤成人患者在烧伤早期普遍严重的焦虑抑郁情绪,女性、重度、农村、头面部烧伤患者焦虑抑郁程度更重。

Analysis on Early Anxiety and Depression of Adult Patients with Moderate to Severe Burns and Their Related Factors

Objective To explore the early anxiety and depression of adult patients with moderate to severe burns and their related factors,and accumulate clinical data for the further nursing intervention.Methods All 80 cases of adult patients with moderate to severe burns were investigated with the questionnaire about general condition and Self-Rating Anxiety(SAS)and Self-Rating Depression(SDS)in a week after breaking away from the risk.To analyze the effect of their sexuality,age,cultural degree,marital status,profession,household,economic conditions,paying classes,social support and cause,degree and position of burns on the patients’ early anxiety and depression.Results The scores of SAS and SDS in the group were significantly higher than the norm(t=21.050,21.118;all P<0.001).The score of SAS was significantly positively related to that of SDS(r=0.548,P<0.001).By multiple regression analysis,only sexuality,household and degree of burns entered into the SAS regression equation:y=68.28+9.09x1+5.036x2+3.497x3(F=48.916,P<0.001).The position of burns,sexuality and degree of burns entered into the SDS regression equation:y=85.651-8.995x1+2.905x2+2.037x3(F=153.055,P<0.001).Conclusion The adult patients with moderate to severe burns have generally stress anxiety and depression in early stage of burns.The degree of the anxiety and depression is much more serious in those patients who are women or rural,severe or head facial burns.