中华急诊医学杂志
中華急診醫學雜誌
중화급진의학잡지
CHINESE JOURNAL OF EMERGENCY MEDICINE
2014年
12期
1362-1365
,共4页
张海燕%董磊%张晓东%吴彩军
張海燕%董磊%張曉東%吳綵軍
장해연%동뢰%장효동%오채군
非器质性呼吸困难%焦虑%抑郁%急诊%学历%性别%Logistic回归%心理
非器質性呼吸睏難%焦慮%抑鬱%急診%學歷%性彆%Logistic迴歸%心理
비기질성호흡곤난%초필%억욱%급진%학력%성별%Logistic회귀%심리
Non-organic dyspnea%Anxiety%Depression%Emergency%Educational qualifications%Gender%Logistic regression analysis%Psychology
目的 探讨急诊非器质性呼吸困难患者焦虑抑郁状态及相关影响因素.方法 连续人选中国医科大学北京顺义区医院急诊科与首都医科大学附属北京朝阳医院急诊科2014年1月1日至2014年5月30日急诊就诊的主诉呼吸困难患者,经过诊疗以后最终诊断为非器质性呼吸困难患者80例,其中68例同意进行心理测评.采用综合医院焦虑抑郁评分量表对68例非器质性呼吸困难患者行心理测评,评价焦虑和抑郁的发生率,对性别、年龄、受教育程度、情绪波动等影响因素进行分析.结果 68例患者中,焦虑患者22例,占32.4％,抑郁患者14例,占20.6％.女性、中学以下学历、就诊前情绪波动以及非本地居民来源者焦虑抑郁发生率更高(P＜0.05).Logistic回归分析结果显示中学以下学历、就诊前情绪波动和非本地居民来源均是发生焦虑、抑郁的主要影响因素.结论 对于急诊非器质性呼吸困难患者,在进行急诊常规诊疗的同时,应重视患者心理因素,必要时应该建议患者求助心理干预.
目的 探討急診非器質性呼吸睏難患者焦慮抑鬱狀態及相關影響因素.方法 連續人選中國醫科大學北京順義區醫院急診科與首都醫科大學附屬北京朝暘醫院急診科2014年1月1日至2014年5月30日急診就診的主訴呼吸睏難患者,經過診療以後最終診斷為非器質性呼吸睏難患者80例,其中68例同意進行心理測評.採用綜閤醫院焦慮抑鬱評分量錶對68例非器質性呼吸睏難患者行心理測評,評價焦慮和抑鬱的髮生率,對性彆、年齡、受教育程度、情緒波動等影響因素進行分析.結果 68例患者中,焦慮患者22例,佔32.4％,抑鬱患者14例,佔20.6％.女性、中學以下學歷、就診前情緒波動以及非本地居民來源者焦慮抑鬱髮生率更高(P＜0.05).Logistic迴歸分析結果顯示中學以下學歷、就診前情緒波動和非本地居民來源均是髮生焦慮、抑鬱的主要影響因素.結論 對于急診非器質性呼吸睏難患者,在進行急診常規診療的同時,應重視患者心理因素,必要時應該建議患者求助心理榦預.
목적 탐토급진비기질성호흡곤난환자초필억욱상태급상관영향인소.방법 련속인선중국의과대학북경순의구의원급진과여수도의과대학부속북경조양의원급진과2014년1월1일지2014년5월30일급진취진적주소호흡곤난환자,경과진료이후최종진단위비기질성호흡곤난환자80례,기중68례동의진행심리측평.채용종합의원초필억욱평분량표대68례비기질성호흡곤난환자행심리측평,평개초필화억욱적발생솔,대성별、년령、수교육정도、정서파동등영향인소진행분석.결과 68례환자중,초필환자22례,점32.4％,억욱환자14례,점20.6％.녀성、중학이하학력、취진전정서파동이급비본지거민래원자초필억욱발생솔경고(P＜0.05).Logistic회귀분석결과현시중학이하학력、취진전정서파동화비본지거민래원균시발생초필、억욱적주요영향인소.결론 대우급진비기질성호흡곤난환자,재진행급진상규진료적동시,응중시환자심리인소,필요시응해건의환자구조심리간예.
Objective To investigate the prevalence and influential factors of anxiety and depression in patients with non-organic dyspnea.Methods Data of 68 patients with non-organic dyspnea who were in emergency department of ShunYi Hospital China Medical University and department of emergency,Beijing Chaoyang Hospital from January to May in 2014 were collected.All the subjects were assessed with Hospital Anxiety and Depression Scale.Comparative analysis of influencing factors such as age,gender,educational level,type of inhabitant,etc.were conducted.Results Of all the subjects,22 cases (32.4％) were identified as anxiety,14 cases (20.6％) as depression.Patients of non-organic dyspnea with anxiety were more frequently seen in female,with lower education level,rage pre-hospital and nonnative inhabitant.Patients of non-organic dyspnea with depression were more frequently seen in lower education level,rage prehospital and nonnative inhabitant.Univariate and multivariate logistic regression analysis showed lower education level,rage pre-hospital and nonnative inhabitant were the major risk factors on anxiety and depression.Conclusions Patients with non-organic dyspnea had high prevalence of anxiety and depression.More attention should be paid to these patients.
