影响支气管哮喘患者合并焦虑/抑郁情绪的多因素分析

Multifactorial analysis of factors influencing comorbid anxiety/depression in patients with bronchial asthma.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(5)
作者
作者单位

首都医科大学宣武医院呼吸与危重症医学科 ;

摘要
【摘要】目的:观察并探讨支气管哮喘患者伴发焦虑抑郁情绪的相关因素,指导临床针对性干预。方法:于2021年01月--2023年04月就诊于我院100例支气管哮喘患者作为调查对象,收集其一般资料,并根据焦虑抑郁测评量表(HAD)评估结果分为实验组(合并焦虑抑郁)、常规组(未合并焦虑抑郁),回顾性分析两组临床特征,Logistic分析支气管哮喘患者焦虑抑郁的影响因素。结果:100例支气管哮喘患者中,有57例合并焦虑抑郁,占57.00%。其中57例合并焦虑抑郁的支气管哮喘患者年龄、哮喘控制评分(ACT)、月收入、文化水平、居住地、哮喘分级、临床分期与43例未合并焦虑抑郁的支气管哮喘患者存在明显差异(P<0.05)。Logistic分析提示年龄≥60岁、ACT评分<20分、初中及以下文化水平、居住农村、哮喘程度4级、临床分期为支气管哮喘患者合并焦虑抑郁情绪的主要影响因素(P<0.05)。结论:支气管哮喘患者容易产生焦虑抑郁情绪,需引起临床高度重视,尤其是高龄、ACT评分偏低、文化水平低、农村、哮喘程度严重并且持续缓慢发作的支气管哮喘患者,应当积极提供康复指导,以实现康复促进。
Abstract
[Abstract] Purpose: To observe and explore the related factors of anxiety and depression in patients with bronchial asthma, and to guide clinical targeted interventions. Methods: From January 2021 to April 2023, 100 patients with bronchial asthma who visited our hospital were selected as the survey objects. Their general information was collected, and according to the results of the anxiety and depression evaluation scale (HAD), they were divided into an experimental group (combined anxiety and depression) and a control group (without combined anxiety and depression). The clinical characteristics of the two groups were retrospectively analyzed, and logistic regression was used to analyze the influencing factors of anxiety and depression in patients with bronchial asthma. Results: Among the 100 patients with bronchial asthma, 57 had combined anxiety and depression, accounting for 57.00%. There were significant differences in age, asthma control test (ACT) score, monthly income, educational level, place of residence, asthma grading, and clinical staging between the 57 patients with combined anxiety and depression and the 43 patients without combined anxiety and depression (P<0.05). Logistic regression analysis showed that age ≥60 years, ACT score <20 points, junior high school or below educational level, rural residence, asthma grade 4, and clinical staging were the main influencing factors of anxiety and depression in patients with bronchial asthma (P<0.05). Conclusion: Patients with bronchial asthma are prone to anxiety and depression, which should be highly valued clinically, especially in elderly patients, those with low ACT scores, low educational levels, rural residents, severe asthma, and slow and sustained attacks of bronchial asthma. Active rehabilitation guidance should be provided to promote recovery.
关键词
【关键词】支气管哮喘;焦虑抑郁;影响因素;ACT评分;年龄;文化水平
KeyWord
[Keywords] Bronchial asthma; Anxiety and depression; Influencing factors; ACT score; Age; Educational level.
基金项目
页码 1125-1127
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张静*. 影响支气管哮喘患者合并焦虑/抑郁情绪的多因素分析 [J]. 国际精神病学杂志. 2023; 50; (5). 1125 - 1127.

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