目的了解老年骨折病人的焦虑抑郁现状及相关影响因素。方法选择2017年7~9月深圳市某三甲医院老年(年龄≥65岁)骨折病人为调查对象,采用自编调查问卷收集病人一般人口学特征和疾病特征信息,使用医院抑郁焦虑量表(HADS)对病人焦虑抑郁症状进行筛查,以HADS评分≥8分判定为焦虑抑郁。采用Logistic回归分析焦虑抑郁的相关影响因素。结果313例病人的焦虑抑郁总发生率为11.8%,Logistic回归分析结果显示:受教育程度较高、无其他慢性疾病可能是焦虑抑郁的保护因素( P < 0.05);患有其他慢性疾病、基本日常生活能力(basic activities of daily living,BADL)评分<60分、主观睡眠质量不好可能是焦虑抑郁症状的危险因素( P < 0.05)。结论老年骨折病人可能伴有焦虑抑郁症状,教育水平、主观睡眠质量、慢性疾病、自理能力中重度依赖是焦虑抑郁的影响因素,医护人员需早期进行心理干预,提高病人治疗依从性,加速康复。
Objective To investigate the current situation and related factors of the symptoms of anxiety and depression in elderly patients with fracture.Methods A total of 313 fracture patients older than 65 years at a tertiary grade A hospital in Shenzhen from July 2017 to September 2017 were chosen as the research subjects. A questionnaire was used to collect information on the patient s demographic and disease characteristics. The general Hospital Anxiety and Depression Scale (HADS) was used to screen anxiety and depression. Patients with a score greater than 8 were diagnosed as having anxiety and depression symptoms. The Logistic regression model was used to analyze factors related to anxiety and depression.Results The total incidence rate of anxiety and depression symptoms was 11.8%. Logistic regression analysis showed that higher levels of education and no chronic diseases may be protective factors against anxiety and depression ( P < 0.05). Chronic diseases, Basic Activities of Daily Living (BADL) scores <60, and poor subjective sleep quality may be risk factors for anxiety and depression symptoms ( P < 0.05).Conclusions Patients with fracture may accompany with anxiety and depression. Education level, subjective sleep quality, chronic diseases, self-care ability moderate and severe dependence may be related factors influencing anxiety and depressive symptoms. Psychological interventions may be essential at an early stage to improve patients compliance and accelerate recovery for patients with these factors.