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目的采用多元回归分析内科患者焦虑、抑郁情绪的影响因素,为提供心理护理措施寻找更为客观可靠的依据。方法用医院患者焦虑与抑郁情绪测定表(HAD)、艾森克个性问卷(EPQ)与自行设计的心理问题影响因素问卷,对患者心理健康状况及其影响因素进行调查,并用多元回归的强迫引入法(enter)与逐步回归法(stepwise)予以分析。结果554例住院患者,焦虑与抑郁的发生率为22.1%与19.2%;社会人口学特征对焦虑与抑郁没有影响;影响焦虑最大变量从大到小依次为疾病认知、诊疗手段、就医环境与EPQ-E分;影响抑郁最大变量从大到小依次为EPQ-N分、EPQ-E分、疾病认知、社会支持与诊疗手段。结论焦虑的发生主要与外源性因素有关,而抑郁的发生则主要是内源性因素起作用。
Objective To analyze the influential factors of anxiety and depression in medical patients by multivariate regression and find a more objective and reliable basis for providing psychological nursing measures. Methods The questionnaires of anxiety and depression (HAD), Eysenck Personality Questionnaire (EPQ) and self-designed questionnaire were used to investigate the mental health status of patients and their influential factors, and were forcedly introduced by multiple regression Enter and stepwise analysis. Results The incidence of anxiety and depression in 554 inpatients was 22.1% and 19.2% respectively. The socio-demographic characteristics had no effect on anxiety and depression. The largest variables affecting anxiety were disease cognition, diagnosis and treatment, medical treatment environment and EPQ-E points; the largest variables affecting depression descending order of EPQ-N points, EPQ-E points, disease awareness, social support and treatment tools. Conclusions The incidence of anxiety is mainly related to exogenous factors, while the incidence of depression is mainly the role of endogenous factors.