CAT和HAD评价慢性阻塞性肺疾病稳定期患者焦虑、抑郁状态相关的比较

目的分析稳定期慢阻肺疾病患者的HAD和CAT相关性。方法从740例稳定期慢阻肺患者中,通过问卷形式,统计患者HAD和CAT评分,对于符合HAD》11分,同时满足排除标准的患者在进行统计相关性分析。结果共有74人符合本次研究的规定,其焦虑、抑郁发病率为10%。当中,男性56人,年龄(67士12)岁,焦虑、抑郁发病率:9.6%;女性18人,年龄(75士10)岁,焦虑、抑郁发病率:11.25%。焦虑和抑郁评分作为因变量,通过Pearson分析:其中CAT组相关系数r分别为0.76、0.61,P0.01,提示CAT和HAD呈强正相关,年龄组r=0.243,P=0.062;r=0.156、P=0.189,和HAD无统计学意义;FEV_1组相关系数r=-0.3、P0.05;r=-0.25、P0.05,提示和HAD呈弱负相关。结论 CAT评分和HAD评分有着密切的关联,既可以通过它反应患者的焦虑、抑郁等心理状态,又能反应慢阻肺患者健康相关生活质量,临床上操作简单,同时患者接受度高。

Comparison between CAT and HAD to evaluate the anxiety and depression in patients with stable chronic obstructive pulmonary disease

Objective To analyze the relationship between HAD and CAT in patients with stable COPD. Methods 740 stable COPD patients were selected in this study, and they were given HAD and CAT score. The cor-relations of those HAD>11 points and meeting exclusion criteria were analyzed. Results There were 74 patients meeting the exlusion criteria, and the incidence of anxiety and depression was 10%. Among them, 56 were male, with an age of (67 ± 12) years old, and the incidence of anxiety and depression were 9. 6%. 18 cases were female, with an age of (75 ± 10) years old, and the incidence of anxiety and depression was 11. 25%. Taking anxiety and depression scores as the dependent variable factors, the Pearson analysis showed the correlation coefficient r were 0. 76 and 0. 61 in the CAT group (P<0. 01). CAT and HAD showed a strong positive correlation. HAD had no cor-relation with age (r=0. 243, P=0. 062;r=0. 156, P=0. 189), but it had a weak negative correlation with FEV1( r= -0. 3, P< 0. 05;r= -0. 25, P< 0. 05). Conclusion CAT score and HAD scores are closely related, which can reflect its anxiety, depression and other psychological state, but also their quality of life in COPD patients.