中医妇科门诊患者焦虑及抑郁状态的现状调查

doi:10.3969/j.issn.1000-8535.2018.01.011

广州医药 ›› 2018, Vol. 49 ›› Issue (1): 40-43.DOI: 10.3969/j.issn.1000-8535.2018.01.011

中医妇科门诊患者焦虑及抑郁状态的现状调查

陈粮

广州中医药大学,广州市妇女儿童医疗中心(广州 510623)

收稿日期:2017-08-17 出版日期:2018-01-20 发布日期:2021-12-01

Investigation of current condition of anxiety and depression in TCM gynecology outpatients

CHEN Liang

Guangzhou Women and Children Medical Center, Guangzhou University of Chinese Medicine, Guangzhou 510623, China

Received:2017-08-17 Online:2018-01-20 Published:2021-12-01

摘要/Abstract

摘要： 目的探讨中医妇科门诊患者的焦虑及抑郁的发生情况,优化诊治工作,更好地服务患者。方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评定190名中医妇科门诊患者的心理状态。结果中医妇科患者焦虑均分高于正常常模组(P＜0.05),抑郁评分与全国常模相比则无统计学差异(P＞0.05),有焦虑及抑郁症状的患者分别为6.3%及10%。结论中医妇科门诊患者的焦虑症状较正常人群高,医生在临床诊治过程应重视对患者心理状态的评价,并进行相应的心理干预及人文关怀, 以提高患者对治疗的依从性和满意度,为其身体及心理健康打下良好基础。

关键词: 中医妇科, SAS, SDS, 现状调查

Abstract: Objective To explore the occurrences of anxiety and depression in female TCM gynecology outpatients, and thus to make improvements in diagnosis, treatment, and service for the patients. Methods We adopted Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) to evaluate the mental status of 190 TCM gynecology outpatients. Results Anxiety scores in TCM gynecology group were higher than those in the normal group (P＜0.05), while there was no statistical difference in depression scores between these two groups (P＞0.05). Among the outpatients, 6.3% had symptoms of anxiety, and 10% had symptoms of depression. Conclusion TCM gynecology outpatients show more anxiety symptoms than normal people. We should pay attention to the assessment of those patients' mental status in the process of diagnosis and treatment, and offer psychological intervention and humane care to those patients accordingly. In this way, we could enhance patients' compliance and satisfaction, and help them build a solid foundation in physical health as well as in mental health.

Key words: TCM Gynecology Outpatients, SAS, SDS, Current Investigation

陈粮. 中医妇科门诊患者焦虑及抑郁状态的现状调查[J]. 广州医药, 2018, 49(1): 40-43.

CHEN Liang. Investigation of current condition of anxiety and depression in TCM gynecology outpatients[J]. Guangzhou Medical Journal, 2018, 49(1): 40-43.

参考文献

[1] 谭清澈, 张家堂, 崔荣太, 等.三级综合医院神经内科门诊患者焦虑抑郁状态特点[J]. 中国健康心理学杂志, 2014 (5): 667-670.
[2] 汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M]. 北京:中国心理卫生杂志杜,1999:237.
[3] 张明圆.精神科评定量表手册[M]. 2版.长沙:湖南科学技术出版社,1998:17-27;38.
[4] Löwe B, SPITZER R L, WILLIAMS J B, et al. Depression,anxiety and somatization in primary care: syndrome overlap and functional impairment[J]. Gen Hosp Psychiat,2008,30(3):191-199.
[5] PHILLIPS M R,ZHANG J,SHI Q,et al.Prevalence,treatment,and associated disability of mental disorders in four provinces in China during 2001-2005:an epidemiological survey[J]. Lancet,2009,373(9680):2041-2053.
[6] TRIVEDI M H.The link between depression and physical symptoms[J]. Prim Care Companion J Clin Psychiatry,2004,6( Suppl 1): 12-16.
[7] 沈渔郦.精神病学[M]. 5版.北京:人民卫生出版社,2009.
[8] SUN N,LI Q J,LV D M,et al. A survey on 465 patients with post-stroke depression in China[J]. Arch Psychiatr Nursing,2014,28(6):368-371.
[9] HUANG Z P,YANG X F,LAN L S,et al. Correlation between social factors and anxiety-depression in function dyspepsia:Do relationships exist[J]. Prz Gastroenterol,2014,9(6):348-53.
[10] SU S H,XU W,HAI J,et al. Cognitive function,depression,anxiety and quality of life in Chinese patients with untreated unruptured intracranial aneurysms[J].J Clin Neurosci,2014,21(10):1734-1739.
[11] 吴幼莲,巴合提.分析综合医院门诊患者抑郁、焦虑障碍状况[J]. 世界最新医学信息文摘(连续型电子期刊),2015,(11):81-81;82.
[12] 何玉萍,陈秋莹,施靖容,等.病理性近视患者焦虑和抑郁状况调查及相关因素分析[J]. 兰州大学学报(医学版),2016,42(6):36-41.
[13] 顾梦薇,孙丽洲.关于单独二胎政策出台的思考[J]. 南京医科大学学报(社会科学版),2014(2):109-111.
[14] 刘家强,唐代盛.“普遍两孩”生育政策的调整依据、政策效应和实施策略[J]. 人口研究,2015(6):3-12.
[15] KUPKA M S,FERRARETTI A P,de MOUZON J,et al. Assisted reproductive technology in Europe,2010:results generated from European registers by ESHRE[J]. Hum Reprod,2014,29(10):2099-2113.
[16] 陈子江.“二孩”生育政策后再生育的临床思考[J]. 山东大学学报(医学版),2017,55(1):1-4.
[17] 杨春香,胡捍卫.“二孩”政策下有再生育意向妇女心理健康的研究[J]. 饮食保健,2016,3(3):245.
[18] 曾珣,李尚为.高龄分娩后亲子代心理问题不容忽视[J]. 中国计划生育和妇产科,2017,9(6):7-9;13.
[19] 何燕玲,马弘,张岚,等.综合医院就诊者中抑郁焦虑障碍的患病率调查[J]. 中华内科杂志,2009,48(9):748-751.
[20] 何玉萍,陈秋莹,施靖容,等.病理性近视患者焦虑和抑郁状况调查及相关因素分析[J]. 兰州大学学报(医学版),2016,42(6):36-41.
[21] BESTY S, RUBIN R H. Gender ethnicity and physician-patient lom munication about depression and anxiety in primary care[J]. Patient Educ Couns, 2009,48:243-252.

中医妇科门诊患者焦虑及抑郁状态的现状调查

Investigation of current condition of anxiety and depression in TCM gynecology outpatients

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 0

编辑推荐

Metrics

本文评价