摘要
目的了解乌鲁木齐市急性创伤和慢性疼痛患者抑郁发生状况及其影响因素。方法选择新疆医科大学第一附属医院和武警兵团指挥部医院2012年2-10月在创伤科、骨科、风湿科、关节外科住院的532例患者(急性创伤组300例和慢性疼痛组232例),采用Zung抑郁自评量表(self-rating depression scale,SDS)、一般情况自编量表及社会支持评定量表自编问卷进行问卷调查,比较两组疼痛住院患者抑郁发生情况、社会支持状况及急性创伤疼痛患者抑郁的影响因素。结果 (1)急性创伤组和慢性疼痛组患者抑郁发生率差异有统计学意义(χ2=53.55,P<0.05)。(2)急性创伤患者与慢性疼痛患者在社会支持的客观支持分、主观支持分得分上差异有统计学意义(P均<0.05)。(3)不同职业、首送医院、疼痛程度不同的急性创伤患者SDS得分差异有统计学意义,是影响抑郁发生程度的因素(P<0.05)。结论急性创伤患者在抑郁发生率和SDS得分方面均高于慢性疼痛患者;急性创伤患者抑郁的发生与首送医院、职业、疼痛程度有关。
Objective To investigate depressive conditions in patients with the acute trauma and chronic pain and find out the main factors affecting patients＇ mental state. Methods We made a questionnaire based on Zung self-rating depression scale （SDS） and general information survey as well as the community support scale. We surveyed 532 patients who were hospitalized from February to December in 2012 in the First Affiliated Hospital of Xinjiang Medical University and the Hospital of Armed Police Force Corps Headquarters. Their depressive conditions, community support situation and influential factors were examined and analyzed. Results （1） The Chi-square analysis showed that： the incidence of depression in acute trauma patients was higher than in that in the group with chronic pain （χ^2 =53.55, P 〈0.05）.（2） There is statistical difference in community support score between the depression incidence in acute trauma group and that in chronic pain group （t = 3.924, t = 3.173, P 〈0.05）. （3）SDS score difference was statistically significant in patients with different occupations, the time being sent to the hospital, and a different degree of pain in patients with acute trauma （F =2.974, P 〈 0.05; F =3.575, P 〈 0.05; F =3.452, P 〈0.05）. Conclusion The incidence and score of depression in patients with acute trauma was higher than that in chronic pain patients. In patients with acute trauma, the incidence of depression is associated with time being sent to hospital, occupation, and pain intensity.
出处
《新疆医科大学学报》
CAS
2014年第7期926-929,共4页
Journal of Xinjiang Medical University
基金
新疆医科大学大学生创新基金(CX2012036)
关键词
创伤
慢性疼痛
抑郁
影响因素
trauma
chronic pain
depression
influencing factors
