【作者】 陈向阳； 汪若秋； 朱小梅； 毛玲琼； 刘睿； 钱明红；

【Author】 CHEN Xiang-yan;WANG Ruo-qiu;ZHU Xiao-mei;MAO Ling-qiong;LIU Rui;QIAN Ming-hong;Wenzhou Municipal Center for Disease Control and Prevention;

【机构】 温州市疾病预防控制中心；

【摘要】 目的分析在家居住模式的麻风病受累者焦虑、抑郁状况及其影响因素。方法采用焦虑自评量表和抑郁自评量表对温州地区在家居住的60例麻风病受累者进行问卷调查。结果焦虑症状检出率为41.67%(25/60),抑郁症状检出率为21.67%(13/60),两者在性别间差异均无统计学意义(P>0.05)。单因素相关分析发现,影响焦虑和抑郁的主要危险因素是现症期和患有畸残。经Logistic回归分析可知,影响焦虑症状的危险因素有治疗状况、畸残状况和经济收入平均以上,其OR值(95%CI)分别为23.78(2.13～265.26)、7.68(2.01～29.40)和4.54(1.05～19.68);影响抑郁症状的危险因素有畸残状况和治疗状况,其OR值(95%CI)分别为34.77(2.84～425.07)和19.28(1.86～199.62)。结论在家居住模式的麻风病受累者焦虑抑郁症状明显,应提供必要的心理辅导和社会支持,提高其生存质量。更多还原

【Abstract】 Objective To study anxiety and depression and their related factors in people who affected by leprosy and lived at home. Methods 60 leprosy patients were completed a self-made questionnaire for general status and completed two mental scales including the Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS). Results The rate of anxiety and depression was 41.67%(25/60) and 21.67%(13/60) respectively and has no statistical differences in gender. Anxiety and depression were correlated with treatment status and disability. By Logistic regression analysis, treatment status(OR=23.78, 95%CI: 2.13～265.26), disability(OR=7.68, 95%CI:2.01～29.40) and economic income(OR=4.54, 95%CI:1.05～19.68) were risk factors for anxiety, while disability(OR=34.77, 95%CI:2.84～425.07) and treatment status(OR=19.28, 95%CI:1.86～199.62) were risk factors for depression. Conclusion People who affected by leprosy and lived at home have visible anxiety and depression manifestation. They call for special mental health care and social support.更多还原