文章摘要

慢性阻塞性肺疾病合并焦虑/ 抑郁的相关因素

作者: 1,2李 希, 1,2谭 双香, 1,2,3胡 瑞成, 1,2,3孔 春初, 2戴 爱国
1 湖南省人民医院(湖南师范大学附属第一医院)呼吸内科,长沙 410016
2 湖南省老年医学研究所呼吸病研究室,长沙 410016
3 湖南省人民医院(湖南师范大学附属第一医院)临床转化医学研究所呼吸病研究室,长沙 410016
通讯: 胡 瑞成 Email: huruicheng@hotmail.com
DOI: 10.3978/j.issn.2095-6959.2019.02.012

摘要

目的:探讨慢性阻塞性肺疾病(chronic obstructive pulmonar y disease,COPD)患者合并焦虑、抑郁心理障碍的相关因素。方法:选取COPD患者218例,结合焦虑自评量表和抑郁自评量表,对 2017年1月至2018年2月于湖南省人民医院就诊的COPD患者进行调查。结果:调查对象合并焦虑者占比39.9%,合并抑郁者占比34.8%,同时合并焦虑和抑郁者占比17.4%。多因素二元logistic回归分析结果显示:COPD合并焦虑与患者的CAT评分、急性加重频率、医疗付费方式有关,合并抑郁与患者的CAT评分、急性加重频率、医疗付费方式和居住情况有关。结论:焦虑和抑郁是COPD患者的常见合并症,症状严重、急性加重频繁、家庭医疗费用负担重的COPD患者合并焦虑和抑郁的风险更高,独居的COPD患者更容易合并抑郁。
关键词: 慢性阻塞性肺疾病;焦虑;抑郁;心理障碍

Factors related to anxiety and depression in patients with chronic obstructive pulmonary disease

Authors: 1,2LI Xi, 1,2TAN Shuangxiang, 1,2,3HU Ruicheng, 1,2,3KONG Chunchu, 2DAI Aiguo
1 Department of Respiratory Medicine, Hunan Provincial People’s Hospital (The First Hospital Affiliated with Hunan Normal University), Changsha 410016, China
2 Department of Respiratory Disease, Hunan Institute of Geriatrics, Changsha 410016, China
3 Respiratory Disease Laboratory, Institute of Clinical Translational Medicine, Hunan Provincial People’s Hospital (The First Hospital Affiliated with Hunan Normal University), Changsha 410016, China

CorrespondingAuthor:HU Ruicheng Email: huruicheng@hotmail.com

Abstract

Objective: To investigate the related factors of anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 218 patients with COPD in our hospital from January 2017 to February 2018 were enrolled in this study. The Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS) were collected and recorded. Results: The prevalence of COPD with anxiety was 39.9%, the prevalence of depression was 34.8%, and the prevalence of anxiety and depression was 17.4%. Logistic analysis showed that the patient's CAT score, frequency of acute exacerbation, the way of payment, and the residence status were independent risk factors affecting anxiety and depressive disorder in patients with COPD. Conclusion: Anxiety and depression are common comorbidities in patients with COPD. The severe symptoms, acute exacerbations, frequent exacerbations, and heavy burden of family medical expenses are the high risk factors. People who live alone are more likely to be depressed.
Keywords: chronic obstructive pulmonary disease; anxiety; depression; mental disorder