偏头痛患者及其家属心理状态与门诊就医满意度的评估*

目的 偏头痛患者通常合并焦虑、抑郁等心理疾患，长期的负性情绪可能会影响家庭成员，而尚未达到焦虑抑郁症诊断的负性情绪是否会影响患者及其家属的就诊体验尚不得知。通过评估偏头痛患者及其家庭成员的焦虑抑郁状态以及就诊后的满意度评分，比较其与同期高血压患者及全国常模的差异，并分析负性情绪与就诊满意度的关系。方法 选取2015年4月—2017年8月成飞医院门诊就诊的偏头痛患者，使用ZUNG氏抑郁自评量表和焦虑自评量表对患者及其家属进行评分，诊疗结束后对本次就诊体验进行满意度评分。结果 偏头痛患者抑郁焦虑水平均高于全国常模，并高于同期高血压患者（P?<0.05）。偏头痛患者家属抑郁水平与全国常模无差异（P?>0.05），而焦虑水平与全国常模有差异（P?<0.05）。处于抑郁焦虑状态的偏头痛患者以中年女性为主，病程更长。处于焦虑状态患者就诊满意度低于非焦虑状态患者（P?<0.05），而焦虑评分较高的患者家属，与评分正常的家属相比较，就诊满意度评分无差异（P?>0.05）。处于抑郁状态与非抑郁偏头痛患者相比较，就诊满意度差异无统计学意义（P?>0.05），其家属抑郁评分高者与评分低者比较，就诊满意度也无差异（P?>0.05）。结论 病程较长的中年女性偏头痛患者抑郁及焦虑状态发生率较高，就诊满意度也较低，就诊期间医师需重点关注，其家属焦虑状态也伴随升高，必要时需进行干预。

Evaluation between anxiety / depression and satisfaction in patients with migraine and their spouse*

Objective Migraine is a highly prevalent and disabling neurological disorder associated with a wide range of psychiatric comorbidities, which may affect their family members. However, to date, it is not known how anxiety / depression in migraine patients and their spouse effect their satisfaction of consultation in outpatient clinic. We assessed the scores of depression and anxiety in patients with migraine and his or her spouse / domestic partner and compared national average value with hypertension patients to determine whether patients who report higher levels of anxiety have lower levels of satisfaction after consultation. Methods Patients with migraine were ascertained from a clinic-based samples from April 2015 to August 2017. Depression and anxiety were assessed by the Zung Self-Rating Depression Scale (SDS) and Zung Self-Rating Anxiety Scale (SAS). We also assessed his or her spouse / domestic partner and the patients with hypertension during this period. After consultation, the patients and their spouse / domestic partner were questioned by a satisfaction score. Results The anxiety and depression levels of the patients with migraine were significantly higher than that of the national norm and patients with hypertension (P??0.05), however their anxiety levels were higher than national norm (P??0.05). There is no relationship between depression and satisfaction score in both patients with migraine and their spouse (P?> 0.05). Conclusion The incidence of depression and anxiety of middle-aged female migraine patients with long course of disease is higher, and the satisfaction of treatment is also lower. During the treatment period, doctors need to pay attention to it, and the anxiety of their family members is also increased, and intervention is needed if necessary.