CAJ | 학술논문

目的：了解乌鲁木齐市急性创伤和慢性疼痛患者抑郁发生状况及其影响因素。方法选择新疆医科大学第一附属医院和武警兵团指挥部医院2012年2-10月在创伤科、骨科、风湿科、关节外科住院的532例患者（急性创伤组300例和慢性疼痛组232例），采用 Zung 抑郁自评量表（self-rating depression scale，SDS）、一般情况自编量表及社会支持评定量表自编问卷进行问卷调查，比较两组疼痛住院患者抑郁发生情况、社会支持状况及急性创伤疼痛患者抑郁的影响因素。结果（1）急性创伤组和慢性疼痛组患者抑郁发生率差异有统计学意义（χ2＝53．55，P ＜0．05）。（2）急性创伤患者与慢性疼痛患者在社会支持的客观支持分、主观支持分得分上差异有统计学意义（P 均＜0．05）。（3）不同职业、首送医院、疼痛程度不同的急性创伤患者 SDS 得分差异有统计学意义，是影响抑郁发生程度的因素（P ＜0．05）。结论急性创伤患者在抑郁发生率和 SDS 得分方面均高于慢性疼痛患者；急性创伤患者抑郁的发生与首送医院、职业、疼痛程度有关。
목적：료해오로목제시급성창상화만성동통환자억욱발생상황급기영향인소。방법선택신강의과대학제일부속의원화무경병단지휘부의원2012년2-10월재창상과、골과、풍습과、관절외과주원적532례환자（급성창상조300례화만성동통조232례），채용 Zung 억욱자평량표（self-rating depression scale，SDS）、일반정황자편량표급사회지지평정량표자편문권진행문권조사，비교량조동통주원환자억욱발생정황、사회지지상황급급성창상동통환자억욱적영향인소。결과（1）급성창상조화만성동통조환자억욱발생솔차이유통계학의의（χ2＝53．55，P ＜0．05）。（2）급성창상환자여만성동통환자재사회지지적객관지지분、주관지지분득분상차이유통계학의의（P 균＜0．05）。（3）불동직업、수송의원、동통정도불동적급성창상환자 SDS 득분차이유통계학의의，시영향억욱발생정도적인소（P ＜0．05）。결론급성창상환자재억욱발생솔화 SDS 득분방면균고우만성동통환자；급성창상환자억욱적발생여수송의원、직업、동통정도유관。
Objective To investigate depressive conditions in patients with the acute trauma and chronic pain and find out the main factors affecting patients'mental state.Methods We made a questionnaire based on Zung self-rating depression scale (SDS)and general information survey as well as the community sup-port scale.We surveyed 532 patients who were hospitalized from February to December in 2012 in the First Affiliated Hospital of Xinjiang Medical University and the Hospital of Armed Police Force Corps Head-quarters.Their depressive conditions,community support situation and influential factors were examined and analyzed.Results (1)The Chi- square analysis showed that:the incidence of depression in acute trauma patients was higher than in that in the group with chronic pain (χ2 =53.55,P <0.05).(2)There is statistical difference in community support score between the depression incidence in acute trauma group and that in chronic pain group (t =3.924,t =3.173,P <0.05).(3)SDS score difference was statistically significant in patients with different occupations,the time being sent to the hospital,and a different degree of pain in patients with acute trauma (F =2.974,P < 0.05;F =3.575,P < 0.05;F =3.452,P <0.05). Conclusion The incidence and score of depression in patients with acute trauma was higher than that in chronic pain patients.In patients with acute trauma,the incidence of depression is associated with time be-ing sent to hospital,occupation,and pain intensity.