CAJ | 학술논문

目的探讨ZUNG氏抑郁自评量表(SDS)作为外科住院患者抑郁障碍筛查工具的可行性.方法首先对符合入组备件的293例外科住院患者进行SDS的初步筛查,然后采用美国<精神障碍诊断与统计手册第四版>DSM-Ⅳ轴Ⅰ障碍定式临床检查(Structured Clinical Interview for DSM-Ⅳ Axis Ⅰ Disorders,SCID)作为金标准进行诊断,将SDS筛查抑郁障碍的效能与SCID对抑郁障碍诊断的金标准进行比较.结果资料完整的266例患者用SDS筛查外科住院患者抑郁障碍发生率为30.8%,用SCID诊断抑郁障碍的发生率为37.18%.外科医师对抑郁障碍的识别率仅为2.53%.SDS筛选抑郁障碍与SCID诊断抑郁障碍的一致性好.结论综合医院外科住院患者抑郁发生率高,外科医师对抑郁障碍的识别率极低,SDS可作为外科住院患者抑郁障碍的常规筛查工具.
목적 탐토ZUNG씨억욱자평량표(SDS)작위외과주원환자억욱장애사사공구적가행성.방법 수선대부합입조비건적293예외과주원환자진행SDS적초보사사,연후채용미국<정신장애진단여통계수책제사판>DSM-Ⅳ축Ⅰ장애정식림상검사(Structured Clinical Interview for DSM-Ⅳ Axis Ⅰ Disorders,SCID)작위금표준진행진단,장SDS사사억욱장애적효능여SCID대억욱장애진단적금표준진행비교.결과 자료완정적266례환자용SDS사사외과주원환자억욱장애발생솔위30.8%,용SCID진단억욱장애적발생솔위37.18%.외과의사대억욱장애적식별솔부위2.53%.SDS사선억욱장애여SCID진단억욱장애적일치성호.결론 종합의원외과주원환자억욱발생솔고,외과의사대억욱장애적식별솔겁저,SDS가작위외과주원환자억욱장애적상규사사공구.
Objective To explore the feasibility of the Self-rating Depression Scale (SDS) as a diagnostic screened implement for depressive disorder in surgical inpatients. Methods A total of 293 surgical inpatients were screened with SDS and subjects were diagnosed with Structured Clinical Interview for DSM-Ⅳ AxisⅠ Dis-orders(SCID) to generate a gold standard diagnosis. The efficiency to diagnose depressive disorder in surgical inpatients between SDS and SCID was compared. Results The incidence rate of depressive disorder was 30.8 in surgical inpatients, and that diagnosed by SCID was 37.18%. The consistency between SDS and SCID was high. The recognition rate of depressive disorders by surgeon was only 2.53%. Conclusion The incidence rate of depressive disorder in the surgical inpatients is high, and the recognition rate of depressive disorders by sur-geon is low. SDS could be employed as a diagnostic screened implement for depressive disorder in surgical inpa-tients.