摘要
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。方法连续入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。
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 pre-hospital 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.
出处
《中华急诊医学杂志》
CAS
CSCD
北大核心
2014年第12期1362-1365,共4页
Chinese Journal of Emergency Medicine
关键词
非器质性呼吸困难
焦虑
抑郁
急诊
学历
性别
LOGISTIC回归
心理
Non-organic dyspnea
Anxiety
Depression
Emergency
Educational qualifications
Gender
Logistic regression analysis
Psychology
