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首页> 外文期刊>Journal of International Medical Research >Anxiety and Depression during Hospital Treatment of Exacerbation of Chronic Obstructive Pulmonary Disease
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Anxiety and Depression during Hospital Treatment of Exacerbation of Chronic Obstructive Pulmonary Disease

机译:慢性阻塞性肺疾病加重期间医院治疗期间的焦虑和抑郁

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This study investigated the prevalence, risk factors and rate of recognition of anxiety and depression in 50 patients hospitalized for exacerbation of chronic obstructive pulmonary disease (COPD). Using the Primary Care Evaluation of Mental Disorders questionnaire, 13 patients were identified as having depression, four had anxiety and eight had a combination of the two. Patients with anxiety and/or depression had a significantly higher partial pressure of oxygen and pH, and a lower partial pressure of carbon dioxide, in arterial blood on admission, more severe dyspnoea after a 6-min walk test and less improvement of dyspnoea from admission to discharge than COPD patients without anxiety and/or depression. Two patients were referred to a mental health specialist during their hospitalization, indicating a low rate of recognition. The results suggest that patients with mental disorders are referred and admitted to hospital earlier in the course of a COPD exacerbation due to earlier and more intense perception of dyspnoea.
机译:本研究调查了50例因慢性阻塞性肺疾病(COPD)恶化而住院的患者的患病率,危险因素以及对焦虑和抑郁的认识率。使用“精神疾病初级保健评估”问卷,确定有13例患有抑郁症,其中4例患有焦虑症,8例合并了两者。焦虑和/或抑郁的患者入院时动脉血中的氧分压和pH值明显较高,而二氧化碳分压较低,步行6分钟后呼吸困难更为严重,入院后呼吸困难的改善较少比没有焦虑和/或抑郁的COPD患者出院。两名患者在住院期间被转介至心理健康专家,这表明识别率较低。结果表明,由于对呼吸困难的更早和更强烈的感知,在COPD恶化期间,精神障碍患者已被转诊并较早入院。

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