新型冠状病毒肺炎疫情期间呼吸科门诊患者的焦虑抑郁现状调查及相关影响因素分析

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Abstract Objective To observe anxiety and depression status of outpatients in the Department of Respiratory Medicine,Beijing Chuiyangliu Hospital during the outbreak of the novel coronavirus pneumonia and analyze the influencing factors for anxiety and depression patients.Methods A total of 200 patients who visited the respiratory outpatient of Beijing Chuiyangliu Hospital from January 2020 to March 2020 were selected as the research objects.Both of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate anxiety and depression status.For patients with anxiety,depression,using single factor analysis may affect factors,the difference was statistically significant(P<0.05)indicators further lines of multi-factor analysis of influencing factors.Results SAS scores of the outpatients in the respiratory department of Beijing Chuiyangliu Hospital was(42.87±10.33)points,the detection rate of anxiety symptoms was 26.0%.SDS score was(44.81±10.51)points,and the detection rate of depression symptoms was 28.0%.The results of univariate analysis indicated that there were statistically significant differences in the incidence of anxiety among patients with working outside,self-paying,sleep disorder and those with home,non-self-paying,and no sleep disorder(P<0.05).Go out to work,at his own expense and income <6000 yuan/month and that occupy the home,not at his own expense and income ≥6000 yuan/month chances in depressed patients,the differences were statistically significant(P<0.05).The results of multivariate analysis suggested that working out(OR=2.439,95%CI=1.726-4.543,β=0.917,P=0.007)and self-paying(OR=2.073,95%CI=1.234-3.250,β=0.728,P=0.005)were risk factors for anxiety in outpatient patients of respiratory department during the epidemic period(P<0.05).Self-pay(OR=2.087,95%CI=1.527-3.780,β=1.073,P=0.012)and income <6000 yuan/month(OR=2.395,95%CI=1.459-4.512,β=0.837,P=0.021)were risk factors for depression in outpatient patients of respiratory department during the epidemic period(P<0.05).Conclusion During the novel coronavirus pneumonia epidemic,there are more anxiety and depression among patients in the respiratory outpatient.Self-financed patients,who need to go out with touching strangers are at high risk of anxiety ,self-paying patients with income <6000 yuan/month increased the risk of depression.Medical staff should pay more attention to the psychological state of these patients,identify and attach importance to the assessment of related susceptibility factors as soon as possible.

Key words： Novel coronavirus pneumonia Outpatient Anxiety Depression Psychological intervention

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[1]	WHO.NovelCoronavirus（2019-nCoV）SituationReport-22[EB/OL].https：//www.who.int/docs/default-source/coronaviruse/situation-reports/20200211-sitrep-22-ncov.pdf.[2020-2-11].
[2]	张文慧，李儿，郑丽平，等.杭州某新型冠状病毒肺炎定点医院护士的焦虑现状调查及对策[J].健康研究，2020，40（2）：130-133.
[3]	徐明川，张悦.首批抗击新型冠状病毒感染肺炎的临床一线支援护士的心理状况调査[J].护理研究，2020，34（3）：368-370.
[4]	肖聪，王蕾，刘建蓉，等.新型冠状病毒肺炎疫情下非一线医务人员的焦虑抑郁情绪[J].四川精神卫生，2020，33（1）：15-18
[5]	Zung WW.A rating instrument for anxiety disorders[J].Psychosomatics，1971，12（6）：371-379.
[6]	段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.
[7]	Zung WWK.A self-rating depression scale[J].Arch Gen Psychiatry，1965，12：63-70.
[8]	区丽明，叶瑞繁，陈剑.广州地区综合医院门诊抑郁/焦虑障碍流行病学调查[J].中国临床心理学杂志，2009，17（1）：61-63.
[9]	张明圆.精神科评定量表手册[M].长沙：湖南科学技术出版社，1998：35-42.
[10]	雷天语，唐峥华，吴桐，等.社会因素对大学生心理状况的影响——心理灵活性的中介作用[J].心理月刊，2019，14（4）：14-17.
[11]	Hojat M.Change in empathy in medical school[J].Med Educ，2018，52（4）：456-457.
[12]	杨业，刘志军，朱千，等.共情的基础研究及临床探索[J].中国现代医生，2020，58（25）：187-192.
[13]	赵科颖，张忍发，何燕玲，等.上海市社区居民焦虑症状评估及影响因素[J].昆明医科大学学报，2020，41（7）：109-115.
[14]	丰雷，王巍巍，杨丽，等.综合医院门诊患者焦虑抑郁症状的筛查研究[J].神经疾病与精神卫生，2018，18（6）：401-404.
[15]	李张琴，张仲明.新冠肺炎疫情下心理支持辅导模型研究[J].保健医学研究与实践，2020，17（2）：6-10.
[16]	张雅楠，金超，宁亮，等.综合医院心内科门诊心理障碍患者躯体化症状的临床特征及相关因素[J].中华心血管病杂志，2019，47（11）：907-912.
[17]	张晨艳，周宗奎，耿协鑫，等.应激性事件对大学生心理健康的影响：希望的中介作用[J].高等教育研究，2015，36（7）：87-91.
[18]	张璐，王巧稚，吴海洋.不同医保类型的老年慢性心衰患者依从性、心理状态及生存质量比较[J].海峡预防医学杂志，2019，25（3）：91-93.
[19]	张驰，胡伟明，万月芬，等.家庭-社区-医院一体化管理对精神分裂症患者精神症状及家庭负担的影响[J].中国现代医生，2020，58（10）：113-117.
[20]	肖存利，陈博.北京市西城社区老年人焦虑与抑郁现况调查[J].中国全科医学，2014，17（26）：3113-3116.