| Abstract |
[Abstract] Objective: To study and analyze depression and its influencing factors in COPD patients with respiratory failure. How:160 patients with COPD combined with respiratory failure were selected from Hebi People's Hospital from January 2021 to December 2023. Self-rating Depression Scale (SDS) was used to assess the depression status of the patients. At the same time, the evaluation results of different age, occupational status, gender, persistent fatigue and weakness, educational level, side effects of medication, place of residence, long-term hospitalization or frequent medical treatment, social isolation, chronic pain, and disease awareness were compared, and the influencing factors of depression in COPD patients with respiratory failure were analyzed by multivariate logistic regression. Results: Among the 160 patients with COPD combined with respiratory failure, 119 (74.38%) had depression and 41 (25.62%) had no depression. There was no significant difference in depression among COPD patients with respiratory failure at different ages and genders (P > 0.05). There were statistically significant differences in depression among COPD patients with respiratory failure in different occupational conditions, persistent fatigue and weakness, side effects of drug treatment, place of residence, long-term hospitalization or frequent medical treatment, chronic pain, educational level, social isolation and disease awareness (P < 0.05). Multivariate logistic regression analysis showed that occupational status, persistent fatigue and weakness, side effects of medication, long-term hospitalization or frequent medical treatment, place of residence, chronic pain, social isolation, educational level and disease awareness were all influencing factors of depressive emotional state in COPD patients with respiratory failure. The difference was statistically significant (P < 0.05). Conclusion: The incidence of depression in COPD patients with respiratory failure is higher, and its influencing factors include occupational conditions, persistent fatigue and weakness, side effects of drug treatment, long-term hospitalization or frequent medical treatment, place of residence, chronic pain, social isolation, educational level, disease recognition, etc. Targeted psychological intervention measures can be made according to the influencing factors.
|