| 刘 岩,田彦静,许尧生,张 磊,白 洁.突发性耳聋患者焦虑抑郁状况及其影响因素分析[J].,2019,19(5):933-937 |
| 突发性耳聋患者焦虑抑郁状况及其影响因素分析 |
| Status of Anxiety and Depression and Its Influencing Factors in Patients with Sudden Deafness |
| 投稿时间：2018-10-02 修订日期：2018-10-25 |
| DOI：10.13241/j.cnki.pmb.2019.05.031 |
| 中文关键词: 突发性耳聋 焦虑 抑郁 影响因素 |
| 英文关键词: Sudden deafness Anxiety Depression Influencing factors |
| 基金项目:河北省科技支撑计划项目（132643221）；衡水市科技计划项目（2016014088Z） |
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| 中文摘要: |
| 摘要 目的：探讨突发性耳聋患者焦虑、抑郁现状，并分析导致患者焦虑、抑郁的影响因素。方法：采用焦虑自评量表（SAS）、抑郁自评量表（SDS）评价2015年2月至2017年12月我院耳鼻喉科收治的156例突发性耳聋患者的焦虑、抑郁心理状态，收集患者一般资料、发病以及治疗情况，采用Logistic多元回归分析突发性耳聋患者焦虑、抑郁的影响因素。结果：本组患者中发生焦虑者48例，发生率为30.77%，发生抑郁者41例，发生率为26.28%。单因素分析结果显示，突发性耳聋患者焦虑、抑郁的发生与年龄、性别、经济收入、文化程度、伴随症状种类数、听力损失程度、耳聋耳鸣程度、合并基础疾病种类数、治疗疗效有关（P＜0.05）。多因素分析结果显示，年龄为30-60岁、重度或极重度耳鸣、听力损失程度≥70 dBHL、合并基础疾病≥3种、治疗无效是突发性耳聋患者发生焦虑的危险因素，女性、重度耳聋、合并基础疾病≥3种、治疗无效是突发性耳聋患者发生抑郁的危险因素。结论：突发性耳聋患者焦虑、抑郁发生率较高，其焦虑、抑郁水平受年龄、性别、耳聋耳鸣程度、合并疾病种类数、治疗疗效影响，医护人员应关注患者心理健康，积极治疗原发疾病，控制基础疾病，并进行心理疏导，以减轻患者焦虑、抑郁水平。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the status of anxiety and depression in patients with sudden deafness and analyze the influ- encing factors of anxiety and depression. Methods: The psychological states of anxiety and depression of 156 patients with sudden deaf- ness who were admitted to the department of otolaryngology in our hospital from February 2015 to December 2017 were evaluated by the self-rating anxiety scale (SAS) and the self-rating depression scale (SDS). General data, morbidity and treatment of patients were collected, the influencing factors of anxiety and depression in patients with sudden deafness were analyzed by logistic multiple regression. Results: There were 48 cases of anxiety in this group, the incidence was 30.77%. There were 41 cases of depression, the incidence was 26.28%. Single factor analysis showed that the incidence of anxiety and depression in patients with sudden deafness was related to age, sex, eco- nomic income, educational level, number of accompanying symptoms, degree of hearing loss, degree of deafness and tinnitus, type of un- derlying diseases, therapeutic effect (P<0.05). Multivariate analysis showed that the risk factors of anxiety in patients with sudden deaf- ness were age 30-60 years old, severe or very severe tinnitus, hearing loss≥70 dBHL, complicating diseases≥3 kinds and ineffective treatment. The risk factors of depression in patients with sudden deafness were female, severe deafness, complicating diseases≥3 kinds and ineffective treatment. Conclusion: The incidence of anxiety and depression are high in patients with sudden deafness, and their anxiety and depression levels are affected by age, sex, degree of deafness and tinnitus, complicating diseases and therapeutic effect. Medical staff should pay attention to the mental health of patients, actively treat primary diseases, control basic diseases,and conduct psychological counseling to reduce the level of anxiety and depression of patients. |
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