新冠肺炎疫情下浏阳市精神疾病患者家属焦虑抑郁及影响因素调查
Prevalence of anxiety and depression and risk factors among family members of patients with mental disorders in Liuyang during COVID-19 pandemic
投稿时间:2020-07-30  修订日期:2020-12-30
DOI:
中文关键词:  新型冠状病毒肺炎  精神病患者家属  焦虑  抑郁
英文关键词:COVID-19  family members of mental disorders patients  depression  anxiety
基金项目:云南省卫生计生委医学领军人才培养计划(L-201623)
作者单位地址
曾婷婷 昆明医科大学第二附属医院 云南省昆明市滇缅大道374号 昆明医科大学第二附属医院 精神科
鲍旻昊 浏阳市精神病医院 
冯祖幸 昆明医科大学第二附属医院 
杨建中* 昆明医科大学第二附属医院 云南省昆明市滇缅大道374号,昆明医科大学第二附属医院,精神科
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中文摘要:
      目的 了解新冠肺炎疫情期间精神疾病患者家属焦虑、抑郁情况及影响因素。方法 采用横断面研究,通过立意抽样和分层抽样的方法,选取2020年3月18日-28日浏阳市精神病医院门诊患者家属116名和住院患者家属111名。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和自行设计的一般资料问卷进行调查,并对数据进行单因素和多因素Logistic回归分析。结果 共回收问卷239份,有效问卷227份,问卷有效率为94.98%。检出存在焦虑症状者29人,焦虑检出率为12.77%;检出存在抑郁症状者40人,抑郁检出率为17.62 %。Logistic回归分析显示,家属年龄≥60岁(OR=4.454,P=0.041)、睡眠质量评价为中等及以下(OR睡眠中等=17.922,P=0.008;OR睡眠差=153.728,P<0.01)、患者疫情期间居家休息(OR=5.597,P=0.004)是家属焦虑症状的危险因素(P<0.05);睡眠质量评价为中等及以下(OR睡眠中等=7.806,P<0.01;OR睡眠差=15.105,P<0.01)、受教育程度低(OR初中=0.137,P=0.01;OR高中=0.205,P=0.016)、患者疫情期间居家休息(OR=2.868,P=0.022)是家属抑郁症状的危险因素(P<0.05)。结论 新冠肺炎疫情期间精神疾病患者家属存在一定程度的焦虑、抑郁。其中,年龄≥60岁、睡眠质量不佳、患者居家休息、受教育程度低是家属罹患焦虑和抑郁的危险因素。
英文摘要:
      Objective To investigate the prevalence of anxiety and depression and associated factors among family members of patients with mental disorders during the Corona Virus Disease 2019(COVID-19) pandemic. Methods This was a cross-sectional study conducted at Liu Yang Mental Health Hospital from March 18 to March 28, 2020, during the COVID-19 outbreak by purposive sampling and stratified sampling.111 family members of inpatients and 116 family members of patients at home were included. The survey included the Self-Rating Anxiety Scale(SAS), Self-Rating Depressive Scale(SDS) and self-designed questionnaire which was used to assess general condition. Logistic regression models were used to evaluate factors associated with anxiety and depression. Results A total of 239 questionnaires were collected and 227(94.98%) were valid. Among these subjects, 29 had anxiety symptoms, with an anxiety detection rate of 12.77%. There were 40 subjects with depression symptoms, and the detection rate of depression was 17.62%. Logistic regression analysis showed that the age (≥60) (OR=4.454,P=0.041), middle and low sleep quality (OR middle sleep quality =17.922,P=0.008;OR low sleep quality =153.728,P<0.01)and patients staying at home during the pandemic(OR=5.597,P=0.004) were risk factors for anxiety among family members of patients with mental disorders(P<0.05). Middle and low sleep quality(OR middle sleep quality =7.806,P<0.01;OR low sleep quality =15.105,P<0.01), low education level (OR junior middle school =0.137,P=0.01;OR high school =0.205,P=0.016)and patients staying at home during the pandemic (OR=2.868,P=0.022)were risk factors for depression( P<0.05). Conclusion During the COVID-19 outbreak, the family members of patients with mental disorders suffered from a certain degree of anxiety and depression. Over 60 years old, poor sleep quality, patients staying at home , and low education level are the risk factors of anxiety and depression among family members of patients with mental disorders , who needs special attention.
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