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目的分析慢性阻塞性肺疾病(COPD)住院患者抑郁的现状及其相关因素.方法收治193例COPD患者.采用抑郁自评量表(SDS)对其抑郁程度进行评价.并采用x~2检验与二元Logistic回归分析对于COPD患者发生抑郁的相关影响因素进行分析.结果 (1)抑郁现状分析:193例患者共发生抑郁89例,发生率为46.11%,其中轻度抑郁29例.中度43例.重度17例;抑郁平均得分为(51.09±7.64)分,明显高于国内常模(41.88±10.57)分,差异有统计学意义(P<0.01).(2)影响因素分析:经二元Logistic回归分析显示.患者的病情、病程、自评经济压力以及自评健康状况4个变量是影响COPD患者抑郁的独立因素.具有统计学意义(P<0.05).结论 COPD患者的抑郁发生率较高,其影响因素主要与病情、病程、自评经济压力以及自评健康状况密切相关,在临床护理中要根据患者的实际给予相应的心理干预.
Objective To analyze the status of depression in hospitalized patients with chronic obstructive pulmonary disease (COPD) and its related factors.Methods A total of 193 patients with COPD were enrolled in this study.The depression degree was assessed by Self-Rating Depression Scale (SDS) Binary Logistic regression analysis of the factors associated with depression in patients with COPD were analyzed.Results (1) Depression analysis: a total of 193 patients with depression in 89 cases, the incidence was 46.11%, of which 29 cases of mild depression, moderate 43 (P <0.01). (2) Analysis of the influencing factors: The average score of depression was (51.09 ± 7.64) points, which was significantly higher than that of the domestic norm (41.88 ± 10.57) points Yuan Logistic regression analysis showed that the four variables of the patients’ condition, course of disease, self-rated economic pressure and self-rated health status were the independent factors affecting the depression of COPD patients (P <0.05) .Conclusion The incidence of depression in patients with COPD The main influencing factors are closely related to the condition, course of disease, economic pressure of self-assessment and self-rated health status. Corresponding psychological intervention should be given according to patients’ actual condition in clinical nursing.