工伤康复人员抑郁症的发生率及相关因素分析

目的:调查工伤康复人员中抑郁症发生情况及其相关因素。方法:符合入选标准的工伤康复人员157例,其中男148例,女9例,年龄22—82岁,病程30d—29年。调查所用表格有自评抑郁量表(SDS),生活满意度指数A(LSIA),A型行为类型问卷(TABP),匹兹堡睡眠质量指数(PSQI)和Barthel指数(BI),全部在网上进行操作。调查人员为具有心理咨询师及心理评定资格的专业人员,所有患者均由同一个专业人进行评测。结果:157例工伤康复人员中,45例无抑郁,112例存在抑郁,抑郁症发生于意外伤残之后,发生率为71.34%(112/157)其中轻度抑郁70例(62.50%),中度抑郁35例(31.25%),重度抑郁7例(6.25%)。抑郁组和非抑郁组患者在年龄、性别、文化程度、婚姻状况、居住条件、社会关系、家庭支持、性格类型、病程及所患伤病类型之间无显著性差异(P>0.05);在家庭收入、睡眠状况、生活满意度、业余爱好以及生活自理能力方面两组之间有显著性差异(P<0.05)。结论:工伤康复人员是一个特殊群体,抑郁发生率虽高,但由于社会和家庭支持力度较大,所以抑郁程度较轻,中重度抑郁发生率只有37.50%。影响抑郁的主要因素是家庭经济收入低、生活满意度差、日常生活活动能力差、业余爱好少、睡眠障碍。

Depression incidence of patients with industrial injury and analysis of its relevant factors

Objective:To survey depression incidence of patients with industrial injury and analyse its relevant factors.Method:Enlisted 157 industrial injury patients were assessed by self-rating depression scale(SDS),life satisfaction index A(LSIA),type A behavior pattern scale(TABP),Pittsburgh sleep quality index(PSQI)and Barthel index(BI)on web.Investigator was a psychology professional.Result:After unexpected industrial injury and disability,depression incidence in injuries was 71.34%(112/157),of which mild depression 62.50%,moderate depression 31.25%,and severe depression 6.25%.Depression was not related to age,sex,degree level of culture,marital status,housing conditions,social relation,family support,personality,course of disease,and type of disease(P>0.05).but was related to family income,sleep status,life satisfaction,hobby and ability of activities of daily living(ADL)(P<0.05).Conclusion:Industrial injury patients were a special population whose depression incidence was high but not critical,because of having good society and family support.Moderate and severe depression incidence was 37.50%,the related influence factors were low family income,bad life satisfaction,poor ADL,lack of hobby and sleep disorder.