内科住院患者抑郁障碍现状及相关因素的横断面研究.pdfVIP

内科住院患者抑郁障碍现状及相关因素的横断面研究 刘兰芬1 葛红敏2 崔开艳1 【摘要】目的 探讨内科住院患者抑郁障碍的发生率、内科医师的识别率及其可能的影响因素。方法 采用横断 版》DSM一Ⅳ作为金标准进行抑郁症的诊断，估算抑郁障碍的发生率及内科医师的识别率，并对相关的因素进行 分析。结果 龄、经济状况、疾病复发情况及住院时间是影响抑郁发生的主要因素。结论 内科住院患者抑郁发生率高。性 别、年龄、经济状况、疾病复发情况及住院时间是主要的影响因素。内科医师识别率低，提高内科医师对抑郁症的 识别率和治疗率是当务之急。 【关键词】抑郁自评量表抑郁障碍 内科住院患者 【中图分类号1R749．4 【文献标识码】A Across-sectionalon disorderandrelatedfactorsinmedical Hongmin studydepressive MentaZHealth ，CUJ Center，Jinan250014，China Kaiyan．Shandong To the and factorsof disorderin [Abstract]Objectiveinvestigateprevalencepossibleinfluencingdepressive medical Threehundredand onemedical were inpatients．Methods seventy inpatientssatisfyingconditionings firstscreenedwiththe screenedand those Scale(SDS)，then 20％of Self-ratingDepression positivesubjects screened were withStructuredClinicalInterviewforDSM—IVAxisI negativediagnosed rateand factorsof disorderwere possible depressive prevalencerate，recognization influencing totalof12 were Theincidencerateof disorderinthemedical was37．34％．A depressive inpatients patients as of was univariate showed rate 3．33％．The analysis diagnoseddepressivedisorder．Resognizatinphysician that disorderwasassociatedwith conditionof his— level，economicfamily，past depressive gender，age，education that of and