2018年哈马丹市慢性阻塞性肺病患者抑郁患病率调查

Q4 Medicine pzshkhy blyny bn syn Pub Date : 2018-12-01 DOI:10.21859/ajcm.25.3.170
F. Nadi, M. Ahmadpanah, Nasim Karimi, E. Nadi, دانشگاه علوم پزشکی همدان
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引用次数: 0

摘要

背景与目的:慢性阻塞性肺疾病(COPD)是一种世界性的健康问题,发病率越来越高。它通常与负面的健康结果有关,包括抑郁症。因此,本研究的目的是确定COPD患者抑郁的患病率。材料与方法:本横断面研究采用描述性分析设计,对2018年4月至9月在伊朗哈马丹Shahid Beheshti教学医院肺病科就诊的103例呼吸疾病门诊患者进行研究。纳入标准为根据病史、体格检查和标准肺活量测定方法诊断为重度和极重度COPD。无丧亲之痛、创伤和使用抗抑郁药物的患者被排除在研究之外。采用21项贝克抑郁问卷测量抑郁水平。结果:男性57例(55.3%),女性46例(44.7%)。大多数受试者(33%)年龄在50-59岁之间。结果显示,研究人群中抑郁症的患病率为66%。2575%肺容积时用力呼气流量、1 s用力呼气容积与COPD严重程度有显著相关性(P=0.024, P=0.003)。结论:针对重度及极重度COPD患者抑郁患病率高的情况,有必要考虑对患者进行心理疏导。
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Investigation of the Prevalence of Depression in Patients with Chronic Obstructive Pulmonary Disease in Hamadan in 2018
Background and Objective: Chronic obstructive pulmonary disease (COPD) is a worldwide health problem with increasing prevalence. It is often associated with negative health outcomes, including depression. Therefore, the aim of this study was to determine the prevalence of depression in patients with COPD. Materials and Methods: This cross-sectional study with a descriptiveanalytic design was conducted on 103 patients referring to the respiratory disease clinic and admitted to the pulmonary disease department of Shahid Beheshti teaching Hospital, Hamadan, Iran from April to September 2018. The inclusion criteria were the diagnosis of severe and very severe COPD according to the medical history, physical examination, and standard spirometric methods. The patients with lack of bereavement, trauma, and the use of antidepressant drugs were excluded from the study. Depression levels were measured using 21-items Beck II depression questionnaire. Results: The results of the study showed that 57 patients (55.3%) were males and 46 cases (44.7%) were females. The majority of the subjects (33%) were in the age group of 50-59 years old. According to the results, the prevalence of depression in the study population was 66%. There was a significant relationship between spirometric parameters of forced expiratory flow at 2575% of the pulmonary volume, forced expiratory volume at 1 second and COPD severity (P=0.024, P=0.003). Conclusion: With regard to the high prevalence of depression among people with severe and very severe COPD, it is necessary to consider psychological counseling for patients.
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发文量
16
审稿时长
8 weeks
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