Volume 20 Issue 6
Jun.  2022
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ZHOU Xiao-ping, FANG Rong-hua. Investigation and analysis of factors affecting anxiety and depression in patients with chronic obstructive pulmonary disease in general wards[J]. Chinese Journal of General Practice, 2022, 20(6): 1003-1006. doi: 10.16766/j.cnki.issn.1674-4152.002510
Citation: ZHOU Xiao-ping, FANG Rong-hua. Investigation and analysis of factors affecting anxiety and depression in patients with chronic obstructive pulmonary disease in general wards[J]. Chinese Journal of General Practice, 2022, 20(6): 1003-1006. doi: 10.16766/j.cnki.issn.1674-4152.002510

Investigation and analysis of factors affecting anxiety and depression in patients with chronic obstructive pulmonary disease in general wards

doi: 10.16766/j.cnki.issn.1674-4152.002510
Funds:

 2020YFS0151

  • Received Date: 2021-05-29
    Available Online: 2022-09-21
  •   Objective  To investigate the current situation and factors of anxiety and depression in patients with chronic obstructive pulmonary disease in general wards and to provide scientific basis for targeted nursing interventions.  Methods  Participants were 178 chronic obstructive pulmonary disease patients who were included from the general ward of West China Hospital of Sichuan University during October 2017 to October 2020.The"Huaxi Emotional-distress Index"(HEI) scale developed by the Mental Health Center in West China Hospital of Sichuan University and the general situation questionnaire designed by the research team were used to screen the prevalence of anxiety and depression.HEI>8 points was determined as anxiety and depression.Demographic characteristics and HEI scores of the respondents were analysed, and multivariate logistic regression was adopted to analyse the influencing factors of anxiety and depression.  Results  Amongst 178 patients with chronic obstructive pulmonary disease, 80 cases (44.94%) had anxiety and depression.Age, disease stage, complications, body mass index, nutritional risk score, activity of daily living (ADL) score, education level and marital status were related to anxiety and depression (all P < 0.05), whereas gender and cost were not significantly correlated with anxiety and depression (all P>0.05).Multivariate logistic regression analysis suggested that ADL score and nutritional risk score were the main risk factors for anxiety and depression in these patients (all P < 0.05).  Conclusion  Anxiety and depression are common in patients with chronic obstructive pulmonary disease in the general ward.Low ADL and high nutritional risk are associated with higher risk of developing anxiety and depression.We suggest that clinical medical staff should pay more attention to these patients and identify and screen their influence factors early, so that targeted interventions can be taken to improve their prognosis and quality of life.

     

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