晚期血吸虫病患者抑郁状况及其影响因素

目的 目的 探讨晚期血吸虫病 （晚血） 患者抑郁状况及其影响因素。方法 方法 采用描述性研究设计， 应用自编的一般资料调查表、 抑郁自评量表、 世界卫生组织生存质量测定量表简表对206例患者进行调查。结果 结果 206例晚血患者抑郁发生率为69.4%， 抑郁与生活质量各维度呈负相关 （P = 0.000）； 多因素Logistic回归分析显示住院次数 （β = 0.442， P = 0.007） 是晚血患者出现抑郁情绪的危险因素， 而文化程度高 （β = - 0.583， P = 0.011）、 门静脉高压症手术史 （β = -0.917， P = 0.000） 是患者出现抑郁情绪的保护因素。结论 结论 晚血患者抑郁发生率较高， 受多方面因素的影响； 应采取针对性干预措施以改善晚血患者的心理状况， 降低其抑郁情绪的发生。

Analysis on depression of patients with advanced schistosomiasis and its influencing factors

Objective To explore the status of depression in patients with advanced schistosomiasis and its influencing fac-tors,so as to provide the evidence for improving psychological interventions. Methods A total of 206 patients with advanced schistosomiasis were investigated with the self-designed general information questionnaire,the Self-Rating Depression Scale,and WHOQOL-BREF Form. Results Among the 206 cases,the incidence of depression was 69.4%,and depression was negatively related to the quality of life（P = 0.000）. The multiple logistic regression analysis showed that the times of hospitalization（β=0.442,P=0.007）was a risk factor for depression,while the high education levels（β=-0.583,P=0.011）and the history of por-tal hypertension operation（β=-0.917,P=0.000）were the protective factors. Conclusion The incidence of depression in ad-vanced schistosomiasis patients is high,and it is influenced by various factors. Therefore,we should take corresponding interven-tions to reduce its occurrence.