综合性医院住院患者焦虑和抑郁状况分析

目的：了解综合性医院住院患者是否存在焦虑抑郁共病情况，影响因素和程度。方法：采用等级计分问卷量表的方法对846名住院患者进行调查。结果：①肯定存在焦虑和(或)抑郁症状者，占被调查人数的39．9％，而其中正在使用药物治疗者仅占被调查人数的6．7％。②应用Logistic回归分析，与焦虑和抑郁相关的主要因素可归为4类：经济因素；睡眠状况；对疾病的认知；其他相关因素，如病程、住院时间、医院环境等。③肿瘤患者对疾病的认知影响到焦虑抑郁情绪的产生。结论：住院患者焦虑抑郁情绪的产生与多种因素有关，可采用认知治疗等方法对患者进行心理干预。

Study on anxiety and depressive disorder of inpatients in general hospital

OBJECTIVE: To assess the co-morbidity of anxiety and depression in hospitalized patients and to analyze the degree of symptoms and the influential factors. METHODS: Thirty patients with malignant tumor were injected with thymosin alpha 1 subcutaneously at the dose of 1.6 mg q.d. for the first month and q.o.d. for the following month. The number of T cell subgroups and the activity of NK cell in peripheral blood were detected and the quality of life of the patients were evaluated before treatment and at the end of treatment. RESULT: (1) About 39.9 % of the patients presented the symptoms of anxiety and depression and out of them 6.7 % were taken psychotropic medication. (2) Stepwise Logistic Regression showed that the factors related to anxiety and depression could be classified into four categories: economic factor, sleeping status, cognition of disease, the other factors such as course of disease and the environment of hospital. (3) Data analysis of oncology patients showed that the cognition of disease would be an important factor, which would affect anxiety and depression status. CONCLUSION: Multiple factors can affect anxiety and depression symptoms of inpatients. The results suggest that psychological intervention such as cognitive therapy should be considered in clinical practice.