手术患者术前抑郁状况及其影响因素调查分析

摘要

Objective To explore depression status in preoperative patients and its influence factors, and pro-vide theoretical basis for psychological intervention. Methods A total of 734 preoperative patients were investigated by self-rating depression scale (SDS). Results Among the 734 patients, there were 558 (76.02%) without depression, 162 (22.07%) of mild depression, 12 (1.63%) of moderate depression, and 2 (0.27%) of severe depression. The inci-dence of depression was 24.00%. Single factor analysis showed that gender, age, education level, career, income level, payment ways, smoking, and drug were correlated with depression among preoperative patients (P<0.05). Logistic re-gression analysis showed that gender, age, income level and smoking were the influence factor of depression in preop-erative patients. Conclusion The main influence factors of depression for preoperative patients are gender, age, in-come level and smoking, which should be paid attention to by medical staff and family in order to reduce the inci-dence of depression.%目的：探讨手术患者术前抑郁现状及其影响因素，为其心理干预提供理论依据。方法采用抑郁自评量表(SDS)对734例术前患者进行调查。结果734例手术患者术前无抑郁558例(76.02%)，轻度抑郁162例(22.07%)，中度抑郁12例(1.63%)，重度抑郁2例(0.27%)，抑郁总发生率为24.00%。单因素分析显示，性别、年龄、文化程度、职业、月收入、付费方式、吸烟及饮酒状况与抑郁状态相关(P<0.05)。Logistic回归分析显示，性别、年龄、收入和吸烟状况是手术患者术前出现抑郁状态的影响因素(P<0.05)。结论手术患者术前抑郁情绪的影响因素主要有性别、年龄、收入、吸烟等，应引起医护人员及其家人的重视，降低其术前抑郁的发生率。