摘要
目的了解成年住院患者抑郁倾向的现状。方法采用修正后的老年抑郁量表(GDS)和基本信息表,对青海省某三甲医院的861例成年住院患者进行调查,对资料进行统计分析。结果成年住院病人抑郁量表平均得分(15.64±5.33),有抑郁倾向者317人,抑郁发生率为36.82%(317/861),其中轻度占61.20%(194/317),中重度占38.80%(123/317)。女性患者较男性患者更容易患有抑郁,其发生率为42.24%。老年组患者抑郁量表得分(19.32±8.41),高于中青年组患者,差异有统计学意义(t=20.48,P<0.01);老年患者抑郁发生率(51.11%)较高,与中青年组患者相比,差异有统计学意义(x2=67.16,P<0.01)。不同科室患者的抑郁倾向表现为:肿瘤内科患者抑郁倾向最严重,轻度抑郁和中重度抑郁所占比例均位居5个科室之首,分别占27.32%和30.08%;肿瘤内科患者抑郁发生率最高(60.81%),其次为妇产科(36.00%),最低的为消化科(31.62%)和呼吸科(28.97%)。结论成年住院患者抑郁倾向较为严重,应采取积极的心理疏导和干预来降低其带来的负面效益。
Objective To understand the status of the depressive tendencies among adult hospitalized patients aged 18 years and over by prevalence study. Methods Adopted the amended Geriatric Depression Scale （GDS） and the personal information questionnaire, and collected the data of the 861 cases of adult hospitalized patients in a Qinghai province hospital from January to December in 2012; Chi-square test was used to statistical analysis. Results Average adult inpatient Depression Scale score was （ 15.64 ＋ 5.33 ）, 317 patients with depressive tendencies, depressive incidence rate reached 36.82 % （317/861 ） ,the mild depressive accounted for 61.20 % （ 194/317 ）, moderate to severe account for 38.80 % （ 123/317）. Compared with male patients, female patients were more likely to suffer from depres- sive, the rate was 42.24 %. Depression scale score of the elderly patients reached （ 19.32 ：t： 8.41 ）, higher than the middle-aged group of patients, there is a statistically significant （t = 20.48, P 〈 0.01 ）; Medical oneology patients with the most severe depressive tendencies, the proportion of mild depression and moderate to severe depression were ranked the first among five departments, accounted for 27.32 % and 30.08 %, respectively; Depression patients of the Medical Oncology Department with the highest incidence （60.81% ）, followed by the Obstetrics and Gynecology Department （36.00 % ）, the lowest for the Department of Gastroenterology （31.62 % ） and respiratory （28.97 % ）. Conclusion Adult hospitalized patients with severe depressive tendencies, Positive psychological counseling and intervention should be implemented to reduce its negative effects brought
出处
《河南预防医学杂志》
2013年第3期190-192,共3页
Henan Journal of Preventive Medicine
基金
青海大学中青年科研基金项目(2012-KYT-02)
关键词
成年住院病人
抑郁
现况调查
Adult inpatient
Depressive trend
Prevalence study
