社区慢性阻塞性肺疾病患者抑郁相关因素分析

目的 调查社区稳定期慢性阻塞性肺疾病（COPD）患者抑郁症患病情况并探讨其相关性.方法 选取顺德区大良社区的COPD稳定期患者130例.应用汉密尔顿抑郁量表（HAMD）进行抑郁状况调查;应用自行设计的相关因素调查表对患者的年龄、性别、病情严重程度、吸烟状况、社会保障、自理能力等相关因素进行分析.结果 57.7％ （75例）的患者患有抑郁症状,仅有12例自知患有抑郁症,无一例要求进行心理干预;与无抑郁症状的COPD患者相比较,在社会保障、生活自理能力、病情严重程度分级3项间存在差异P值均小于0.05;经Logistic多因素回归分析后得出女性及吸烟是COPD患者伴发抑郁状态的危险因素.结论 稳定期COPD抑郁发生率高,但关注度非常低;呼吸困难、生活自理能力以及医疗保障对COPD抑郁发生率有影响,而性别、吸烟状况是伴发抑郁的主要影响因素.

Community based study of factors associated with depression in patients with chronic obstructive pulmonary disease

Objective To investigate the prevalence of depression and its associated factor in community based patients with stabe chronic obstructive pulmonary disease chronic obstructive pulmonary disease （COPD）.Methods A total of 130 stable COPD patients from Daliang community,Shunde District were included in the study.Depression was measured with Hamilton Depression Scale （HAMD）,and the associated factors such as age,gender,severity,smoking,self-care ability were analyzed with self-designed questionnaire.Results Among the 130 patients,57.5% （n=75） had depression,of which only 12 were aware of the fact,with none asking for mental intervention.Compared to the subjects without depression,the subjects with depression showed statistically significant difference in social security,self-care ability and severity,all P〈0.05.Logistic regression showed that female and smoking were the risk factors for depression.Conclusion Incidence of depression is high in stable COPD patients,with very low attention to this condition.Dyspnea,self-care ability,social security influence the incidence of depression,and female and smoking are the major risk factors for depression.