老年骨折住院患者疾病不确定感与认知功能及焦虑、抑郁情绪的关系

The relationship between illness uncertainty and cognitive function, anxiety and depression in elderly patients with fracture

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(3)
作者
作者单位

安阳市人民医院骨三科 ;

摘要
【摘要】 分析焦虑、抑郁、认知功能与老年骨折住院患者疾病不确定感的关系。方法 选取2018年1月1日-2020年9月30日期间来我院就诊的老年骨折住院患者105例进行研究,依据依据疾病不确定感量表评分(MUIS)、焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)及简易智能精神状态量表评分(MMSE)评估患者疾病不确定感、焦虑、抑郁及认知功能,分析患者疾病不确定感与抑郁、焦虑及认知障碍的相关性。结果 105例老年骨折住院患者MUIS评分为(80.70±31.34)分。信息缺乏性、不可预测性、不明确性、复杂性及MUIS总分与MMSE评分呈负相关,与SAS评分、SDS评分呈正相关(P<0.05)。多元回归分析显示,MMSE、SAS、SDS评分是影响老年骨折住院患者疾病不确定感的相关因素。结论 老年骨折住院患者存在中度的疾病不确定感,抑郁、认知功能、焦虑是患者疾病不确定感的相关影响因素。
Abstract
[Abstract] Objective To analyze the relationship between anxiety, depression, cognitive function and disease uncertainty in elderly patients with fractures. Methods A total of 105 elderly patients with fractures who came to our hospital from January 1, 2018 to September 30, 2020 were selected for the study, based on the disease uncertainty scale (MUIS) and anxiety self-rating scale ( SAS), Depression Self-Rating Scale (SDS) and Simple Mental State Scale (MMSE) to assess patients’ disease uncertainty, anxiety, depression and cognitive function, and analyze patients’ disease uncertainty and depression, anxiety and recognition Know the relevance of obstacles. Results The MUIS score of 105 elderly hospitalized patients with fracture was (80.70±31.34) points. The lack of information, unpredictability, ambiguity, complexity and MUIS total score were negatively correlated with MMSE score, and positively correlated with SAS score and SDS score (P<0.05). Multiple regression analysis showed that MMSE, SAS and SDS scores are related factors that affect the uncertainty of disease in elderly patients with fractures. Conclusion Elderly hospitalized patients with fractures have a moderate sense of disease uncertainty. Depression, cognitive function, and anxiety are related influencing factors of patients disease uncertainty.
关键词
【关键词】老年;骨折;住院患者;疾病不确定感;认知功能;焦虑;抑郁
KeyWord
[Keywords] elderly; fractures; hospitalized patients; disease uncertainty; cognitive function; anxiety; depression
基金项目
页码 492-495
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戴科*. 老年骨折住院患者疾病不确定感与认知功能及焦虑、抑郁情绪的关系 [J]. 国际精神病学杂志. 2021; 48; (3). 492 - 495.

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