下肢动脉硬化闭塞症患者焦虑、抑郁现况调查及风险因素分析

Analysis of anxiety and depression status and risk factors in patients with lower extremity arteriosclerosis obliterans

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(4)
作者
作者单位

河南省直第三人民医院周围血管外科 ;

摘要
【摘要】分析下肢动脉硬化闭塞症患者中抑郁、焦虑发生现状,及其相关影响因素。方法 选取2018年6月-2020年6月间我科收治的下肢动脉硬化闭塞症患者125,基础资料调查表调查其人口学和临床相关资料,社会支持评定量表评估其接受的社会支持情况,医院焦虑抑郁量表分析其抑郁、焦虑水平。结果 125例患者焦虑发生率44.00%(55/125),SAS总分(45.74±12.18)分;抑郁发生率49.60%(62/125),SDS总分(46.51±12.71)分,其中,不同年龄、文化程度、性别、职业及婚姻状况患者间抑郁、焦虑评分情况无无统计学差异(P>0.05),不同疼痛情况、疾病分期、病程及社会支持患者间抑郁、焦虑情况差异有统计学意义(P<0.05),多因素分析得,患者有间接跛行、坏疽、疼痛等情况,病程半年以内且获得社会支持较低的患者更容易发生抑郁、焦虑情绪,差异有统计学意义(P<0.05)。结论 下肢动脉硬化闭塞症患者病程半年以内、社会支持较少,且合并有疼痛及跛行坏疽等病请的患者具有较高的发生抑郁、焦虑风险,临床需对相应特征患者及时给予有效干预,以利于疾病的治疗。
Abstract
【Abstract】 Objective To analyze the status of depression, anxiety in patients with lower extremity arteriosclerosis obliterans and their related factors. Methods Selected 125 patients with lower extremity arteriosclerosis occlusion admitted to our department from June 2018 to June 2020. The basic data questionnaire was used to investigate demographic data and other clinical data.Social support rating scale to evaluate their social support status. Hospital Anxiety and Depression Scale to analyze their depression and anxiety levels. Results The anxiety rate of 125 patients was 44.00% (55/125), and the SAS score was (45.74±12.18). The incidence of depression was 49.60% (62/125), and the SDS was (46.51±12.71). There was no difference in depression and anxiety scores among patients with different age, education level, gender, occupation and marital status (P>0.05). Different pain, disease stage, duration, and social support in patients with depression, anxiety was statistically difference(P<0.05), factor analysis, more patients with indirect claudication, gangrene, pain and so forth, duration within half a year and lower social support of patients are more prone to depression, anxiety,(P<0.05).. Conclusion Patients with lower extremity arteriosclerosis occlusive disease with a course of less than half a year, less social support, combined with pain, claudication, gangrene and other diseases have a higher risk of depression and anxiety. Clinically, timely and effective intervention should be given to patients with corresponding characteristics to facilitate the treatment of the disease.
关键词
【关键词】下肢动脉硬化闭塞症;抑郁;焦虑
KeyWord
【Key words】 lower extremity arteriosclerosis occlusive disease; Depression; Anxiety
基金项目
页码 696-699
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梁冰*. 下肢动脉硬化闭塞症患者焦虑、抑郁现况调查及风险因素分析 [J]. 国际精神病学杂志. 2022; 49; (4). 696 - 699.

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