慢性阻塞性肺疾病患者急性加重期负性情绪现状及影响因素

摘要

Objective To estimate the prevalence of negative emotion in patients with acute exacerbation chronic obstructive pulmonary disease (AECODP) ,and analyze the possible influential factors .Methods 169 pa-tients with AECOPD were enrolled ,their levels of depression and anxiety were assessed using Self -Rating Depres-sion Scale (SDS ) and Self -Rating Anxiety Scale (SAS ) .Results The score of SDS was 57 .06 ± 10 .74 ,in which 115 case (68 .0% ) were depressd .The score of SAS was 48 .52 ± 9 .11 and 70 cases (41 .4% ) were anxiety . Multiple linear regression analysis showed that co -mobility with anxiety ,severity of dyspnea ,age ,smoking and income ,were influencing factors of patients’ depression ,which could explain 49 .4% of the total variance of de-pression .The main influencing factors of anxiety were co -mobility with depression ,severity of dyspnea and gen-der ,which could explain 65 .9% of the total variance of anxiety .Conclusion Symproms of depression and anxiety are common in patients with AECOPD .Thus ,nursing staff should pay more attention to patients’ emotional disor-ders ,and take effective measures to improve their health both physically and mentally ,in order to improve their quality of life .%目的：了解COPD患者急性加重期的负性情绪并探讨其影响因素。方法采用抑郁自评量表（SDS ）、焦虑自评量表（SAS ）等对169例COPD急性加重期患者进行问卷调查。结果共发放问卷169份，回收有效问卷169份，回收率为100％。SDS得分为（57．06±10．74）分，其中115例（68．0％）存在不同程度的抑郁心理；SAS得分为（48．52±9．11）分，其中70例（41．4％）存在焦虑障碍。多元逐步线性回归分析显示，是否合并焦虑、呼吸困难程度、年龄、吸烟情况、家庭月收入是影响抑郁的主要因素，可以解释其得分总变异的49．4％；合并抑郁、呼吸困难程度、性别是影响焦虑的主要因素，可以解释其得分总变异的65．9％。结论 COPD急性加重期患者抑郁和焦虑负性情绪发病率较高，护理人员应更多地关注患者的负性心理，采取有效的治疗和干预措施促进患者身心健康，提高其生活质量。