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Correlation between crowdedness in emergency departments and anxiety in Chinese patients 认领
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作者 Shuang Wang Jun-Yi Gao +10 位作者 Xiang Li Yu Wu Xiao-Xia Huo Chao-Xia Han Meng-Jie Kang Hong Sun Bao-Lan Ge Yu Liu Ying-Qing Liu Jian-Ping Zhou Zhen Wang 《世界临床病例杂志》 SCIE 2020年第13期2802-2816,共15页
BACKGROUND Emergency department(ED)overcrowding is a severe health care concern,while anxiety and depression rates among ED patients have been reported to be substantially higher compared to the general population.We ... BACKGROUND Emergency department(ED)overcrowding is a severe health care concern,while anxiety and depression rates among ED patients have been reported to be substantially higher compared to the general population.We hypothesized that anxiety due to over crowdedness may lead to adverse events in EDs.AIM To investigate correlations between crowdedness in EDs and anxiety of patients and nurses,and to identify factors affecting their anxiety.METHODS In this prospective observational study,a total 43 nurses and 389 emergency patients from two tier III hospitals located in Beijing were included from January 2016 to August 2017.Patients were grouped into inpatients when they were hospitalized after diagnoses,or into outpatients when they were discharged after treatments.The State Trait Anxiety Inventory(STAI Form Y)questionnaire was used to investigate patient and nurse anxieties,while crowdedness of EDs was evaluated with the National Emergency Department Over Crowding Score.RESULTS The present results revealed that state anxiety scores(49.50±6.00 vs 50.80±2.80,P=0.005)and trait anxiety scores(45.40±5.70 vs 46.80±2.70,P=0.002)between inpatients(n=173)and outpatients(n=216)were significantly different,while the state anxiety of nurses(44.70±5.80)was different from those of both patient groups.Generalized linear regression analysis demonstrated that multiple factors,including crowdedness in the ED,were associated with state and trait anxieties for both inpatients and outpatients.In addition,there was an interaction between state anxiety and trait anxieties.However,multivariable regression analysis showed that while overcrowding in the ED did not directly correlate with patients’and nurses’anxiety levels,the factors that did correlate with state and trait anxieties of inpatients were related to crowdedness.These factors included waiting time in the ED,the number of patients treated,and the number of nurses in the ED,whereas for nurses,only state and trait anxieties correlated significantly with each other.CONCLU 展开更多
关键词 Emergency department OVERCROWDING State anxiety Trait anxiety ANXIETY Prospective studies
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Does Liuzijue Qigong affect anxiety in patients with chronic obstructive pulmonary disease,even during the COVID-19 outbreak?a randomized,controlled trial 认领
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作者 Yu-Xuan Zhang Ying Quan +3 位作者 Ming-Hu Chen Duo Zhang Ying Zhang Zhen-Gang Zhu 《TMR传统医学研究》 2020年第4期216-228,共13页
Background:Anxiety is a common comorbidity associated with chronic obstructive pulmonary disease(COPD),but no well-recognized method can provide effective relief.Liuzijue Qigong(LQG)is a traditional Chinese fitness me... Background:Anxiety is a common comorbidity associated with chronic obstructive pulmonary disease(COPD),but no well-recognized method can provide effective relief.Liuzijue Qigong(LQG)is a traditional Chinese fitness method,based on breath pronunciation.This study aimed to examine the efficacy of LQG to relieve anxiety in COPD patients and to explore the factors that influence anxiety,including whether LQG is effective during the coronavirus disease 2019(COVID-19)outbreak.Methods:We conducted an open-label,randomized,controlled,clinical trial.A total of 60 patients with stable COPD were randomly assigned to two groups.Both groups were given routine medical treatment,and the patients in the pulmonary rehabilitation(PR)group were given an extra intervention in the form of LQG,performed for 30 minutes each day for 12 weeks.Data collection was performed at baseline and 12 weeks(during the COVID-19 epidemic).The primary outcomes were the self-rating anxiety scale(SAS)scores,and the secondary outcomes were relevant information during the epidemic and analyses of the related factors that influenced SAS scores during the COVID-19 outbreak.Results:Compared with baseline,patients in both groups demonstrated varying degrees of improvements in their SAS scores(all P<0.01).An analysis of covariance,adjusted for baseline scores,indicated that the SAS scores improved more dramatically in the PR group than in the control group(F=9.539,P=0.004).During the outbreak,the SAS scores for sleep disorder were higher than all other factors,reaching 1.38±0.67,and the scores for“I can breathe in and out easily”for the PR group were lower than the scores for the control group(Z=−2.108,P=0.035).Significant differences were identified between the two groups for the categories“How much has the outbreak affected your life”,“Do you practice LQG during the epidemic”and“Do you practice other exercises during the epidemic”(all P<0.05).Compared with current reports,LQG had a relatively high adherence rate(80.95%).A multiple linear r 展开更多
关键词 Chronic obstructive pulmonary disease ANXIETY Self-rating anxiety scale scores Liuzijue Qigong Pulmonary rehabilitation Coronavirus disease 2019
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Effective Communication in the Pre-Operative Environment 认领
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作者 Lauren Van Decar Zacherie Conover Lopa Misra 《耳鼻喉(英文)》 2020年第1期1-7,共7页
Introduction: Building a strong patient rapport is a founding principle instilled early on in medical education. For many specialties, this relationship can be developed through repeated encounters. However, anesthesi... Introduction: Building a strong patient rapport is a founding principle instilled early on in medical education. For many specialties, this relationship can be developed through repeated encounters. However, anesthesiologists are limited in opportunity for which such rapport can be built. Therefore, it is critical that the pre-operative visit is used effectively to develop a strong patient-physician relationship and help relieve patient anxiety. Methods: The primary objective of this study was to determine what communication aspects are most important to patients in the pre-operative period. Secondary objectives were to evaluate the effectiveness of our current communication practices and their impact on patient’s anxiety. This study was an anonymous and voluntary survey conducted in the pre-operative area prior to elective surgical cases at Mayo Clinic Arizona from Dec. 2018-Jan. 2019. Patients completed a one-page questionnaire ranking the importance of various communication aspects and its subsequent impact on their anxiety level. Results: Of the communication qualities evaluated, patients most valued their physician’s thoroughness and ability to describe their anesthetic plan. Greater than 95% of patients felt “very satisfied” with their anesthesia provider encounter and on a 1 - 5 point scale, with 5 being the highest, there was an average reduction of 0.75 in anxiety level after completion of the anesthesia interview. Conclusion: Incorporation of and improving these communication aspects during your pre-operative evaluation can help improve rapport, reduce patient anxiety, and improve the patient’s overall experience. Implementing a communication-focused curriculum during training may prove beneficial in improving resident’s effectiveness in communicating. 展开更多
关键词 COMMUNICATION PRE-OPERATIVE ANESTHESIA PATIENT ANXIETY
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Transcutaneous acupoint electrical stimulation(TAES)for pre-operative anxiety:a prospective observational pilot investigation 认领
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作者 Wa Cai Wei-Ting Huang Wei-Dong Shen 《TMR非药物治疗》 2020年第3期131-136,共6页
Objective:Transcutaneous acupoint electrical stimulation(TAES)treatment is effective for post-operative anxiety.The investigation was designed to study the feasibility and effectiveness of TAES treatment for pre-opera... Objective:Transcutaneous acupoint electrical stimulation(TAES)treatment is effective for post-operative anxiety.The investigation was designed to study the feasibility and effectiveness of TAES treatment for pre-operative anxiety.Methods:62 volunteered surgical patients were included in the pilot investigation.They all received TAES treatment for 30 minutes in the evening of the day before operation.Hegu(LI4)and Neiguan(PC6)of both sides were selected as the treatment acupoints.The anxiety degrees were measured by State-Trait Anxiety Inventory.Heart rate and blood pressure were also recorded.Results:After TAES,pre-operative anxiety measured by State-Trait Anxiety Inventory dropped by almost 12%,and both heart rate and systolic blood pressure decreased significantly.Conclusion:The pilot investigation of TAES for pre-operative anxiety can successfully test the feasibility of outcome measurements and provide necessary data for calculating the sample size of a subsequent randomized controlled trial. 展开更多
关键词 Transcutaneous acupoint electrical stimulation State-Trait Anxiety Inventory Pre-operative anxiety Pilot investigation
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Stress Sensitivity and Signs of Anxiety or Depression among First Year Clinical Dental and Medical Students 认领
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作者 Rod Moore Line Vang Madsen Mathilde Trans 《医学心理学(英文)》 2020年第1期7-20,共14页
Background: Negative stress symptoms are reported in the literature among clinical dental and medical students and can include signs of anxiety or depression. However, very little has been researched about existing ps... Background: Negative stress symptoms are reported in the literature among clinical dental and medical students and can include signs of anxiety or depression. However, very little has been researched about existing psychological preconditions of these students that could make them more vulnerable to negative stress symptoms. Objective: The aims were to explore first year clinical dental and medical students’ experiences of stress intensity, stress sensitivity and signs of anxiety or depression. Gender was also explored as a possible predictor of these psychosocial phenomena. Methods: First year clinical students at Aarhus University dental (n = 49) and medical schools (n = 59) were recruited to fill out a 45-item questionnaire that comprised demographics and three scales: Cohens Perceived Personal Stress (PPS-10), Stress Sensitivity Inventory (SSI) and Depression Anxiety & Stress Scale (DASS-21). Groups and genders were compared by frequency and using association statistics, bivariate odds ratios, nominal logistic regression and ANOVA. Results: Stress intensity perceptions were moderate to high for many. Dental students scored higher than medical students on all mean test scores. In general, women showed higher levels of stress than men. Dental students scored significantly higher than medical students on Depression, Anxiety and Chronic Stress with ANOVA tests. However, when gender, age and medical or dental student status were added into a logistic regression analysis in which high stress sensitivity was the main dependent variable, only high scores in perceived stress intensity and signs of depression and anxiety showed significant main effects. Conclusion: Present study confirmed the literature that reports high degrees of stress among dental and medical students. But more importantly, Stress Sensitivity Inventory appeared to be a reliable and excellent predictor of high perceived stress and signs of depression and anxiety. It can be useful to detect and prevent student psychosocial dysfunction in clinical l 展开更多
关键词 Perceived STRESS STRESS Sensitivity ANXIETY DEPRESSION DENTAL STUDENTS Medical STUDENTS CLINICAL Education STRESS Management
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The Translation of Perinatal Anxiety Screening Scale (PASS) into Arabic 认领
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作者 Eqbal Mohammad Alfarajat Areej Othman Inaam Khalaf 《护理学期刊(英文)》 2020年第4期367-380,共14页
Background: early detection of perinatal anxiety using appropriate measures helps in reducing maternal and fetal complication. WHO guidelines for instrument translation and adaptation provide rigor and transparent met... Background: early detection of perinatal anxiety using appropriate measures helps in reducing maternal and fetal complication. WHO guidelines for instrument translation and adaptation provide rigor and transparent method for Perinatal Anxiety Screening Scale (PASS) translation and expand the knowledge in diversity cultural contexts. Aim: to describe the process of cultural adaptation of the PASS into the Jordanian context based on the WHO framework for instrument translation and adaptation. Methods: PASS was completed by a convenience sample of 31 pregnant women. In which PASS went through WHO framework for instrument translation and adaptation process includes forward translation, expert panel, blind back translation, pre testing and cognitive interview, and the final version is ready for piloting. Some comments were added to three items by five expert panel, then the modified version was ready for piloting. Result: the internal consistency reliability of PASS was 0.869 and five experts who reviewed PASS confirmed the scale appropriateness and clarity after a slight modification to three items. Participants found PASS in general easy to complete but some of them found difficulties in understanding two items located in the Perfectionism, control and trauma subscale where they need an explanation of their meaning to answer them. Conclusion: using WHO guidelines for instruments translation considered a rigorous method and revealed that PASS is reliable and valid tool to be used within the Jordanian context to measure perinatal anxiety. However, the focus on explaining items 11 and 14 to participants is important due to difficulty in understanding their meaning. 展开更多
关键词 PERINATAL ANXIETY Screening Scale (PASS) WHO TRANSLATION Guidelines ARABIC TRANSLATION Jordan Reliability Validity
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耳鼻咽喉科门诊患者咽喉反流性疾病、焦虑抑郁患病率及二者关系 认领
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作者 李超凡 张立红 +3 位作者 王文伦 曹杰 王宇光 赵一馨 《中华耳鼻咽喉头颈外科杂志》 CAS CSCD 北大核心 2020年第3期241-248,共8页
目的获得耳鼻咽喉科门诊中咽喉反流性疾病(laryngopharyngeal reflux disease,LPRD)及焦虑、抑郁患者的患病率;探讨精神心理因素(焦虑和抑郁)在其发病中的作用。方法采用反流症状指数(reflux symptom index,RSI)量表、综合医院焦虑抑郁(... 目的获得耳鼻咽喉科门诊中咽喉反流性疾病(laryngopharyngeal reflux disease,LPRD)及焦虑、抑郁患者的患病率;探讨精神心理因素(焦虑和抑郁)在其发病中的作用。方法采用反流症状指数(reflux symptom index,RSI)量表、综合医院焦虑抑郁(hospital anxiety and depression,HAD)量表对2017年7月至2018年6月,北京大学人民医院耳鼻咽喉头颈外科门诊的1111例患者进行问卷调查(男486例,女625例,年龄18~96岁,中位年龄38[30,53]岁)。获得LPRD及焦虑、抑郁患病率。病例组选取RSI阳性患者,对照组选择RSI阴性患者,比较两组间HAD评分的差异,并对咽喉反流的危险因素进行分析。采用SPSS 20.0软件进行统计学分析。结果病例组151例,对照组960例,LPRD患病率为13.59%(151/1111)。不同性别LPRD患病率差异无统计学意义(P>0.05)。18~40岁年龄段患病率最高,各个年龄段(18~40岁、41~65岁、>65岁)患病率比较差异有统计学意义(P<0.05)。吸烟、饮酒者的LPRD患病率均较非吸烟、饮酒者高,两组患病率比较差异有统计学意义(P<0.05)。RSI量表最常见的症状为咽喉异物感(92.72%,140/151)、持续清嗓(88.74%,134/151)、痰过多或鼻涕倒流(82.12%,124/151),两组间各症状差异均有统计学意义(P<0.05)。焦虑患者共91例,患病率为8.19%(91/1111);抑郁患者共76例,患病率为6.84%(76/1111)。LPRD患者中,综合医院焦虑量表评分阳性占29.14%(44/151),综合医院抑郁量表评分阳性占17.22%(26/151)。LPRD组的焦虑症状、抑郁症状得分均高于非LPRD组,两组间上述各评分差异均具有统计学意义(P<0.05)。Logistic回归分析显示吸烟、焦虑、胃食管反流病症状为咽喉反流发病的独立危险因素。结论耳鼻咽喉科门诊中LPRD患病率为13.59%,焦虑患病率为8.19%,抑郁患病率为6.84%。咽喉反流患者中,焦虑患病率为29.14%,抑郁患病率17.22%。年龄、吸烟、饮酒、文化程度、病程、胃食管反流病症状、咽部异物感� 展开更多
关键词 喉咽反流 焦虑 抑郁 反流症状指数量表 综合医院焦虑抑郁量表
Listening to music during arteriovenous fistula surgery alleviates anxiety: A randomized single-blind clinical trial 认领
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作者 Sanem Guler Cimen Ebru Oguz +3 位作者 Ayse Gokcen Gundogmus Sertac Cimen Fatih Sandikci Mehmet Deniz Ayli 《世界移植杂志》 2020年第4期79-89,共11页
BACKGROUND Both end-stage renal disease and being wait-listed for a kidney transplant are anxiety-causing situations.Wait-listed patients usually require arteriovenous fistula surgery for dialysis access.This procedur... BACKGROUND Both end-stage renal disease and being wait-listed for a kidney transplant are anxiety-causing situations.Wait-listed patients usually require arteriovenous fistula surgery for dialysis access.This procedure is performed under local anesthesia.We investigated the effects of music on the anxiety,perceived pain and satisfaction levels of patients who underwent fistula surgery.AIM To investigate the effect of music therapy on anxiety levels and perceived pain of patients undergoing fistula surgery.METHODS Patients who were on a waiting list for kidney transplants and scheduled for fistula surgery were randomized to control and music groups.The music group patients listened to music throughout the fistula surgery.The State-Trait Anxiety Inventory was performed to assess anxiety,additionally visual analog scale was used to evaluate perceived pain,willingness to repeat the procedure and patient satisfaction.Demographic features,comorbidities,surgical history,basic surgical data(location of fistula creation,duration of surgery,incision length)and intraoperative hemodynamic parameters were recorded by an investigator blinded to the study group.An additional trait anxiety assessment was performed following the surgery.RESULTS There was a total of 55 patients included in the study.However,14 patients did not fulfill the criteria due to requirement of sedation during surgery or uncompleted questionnaires.The remaining 41 patients were included in the analysis.There were 26 males and 15 females.The control and music groups consisted of 20 and 21 patients,respectively.With regard to basic surgical and demographic data,there was no difference between the groups.Overall patient satisfaction was significantly higher and intra-operative heart rate and blood pressure were significantly lower in the music group(P<0.05).Postoperative state anxiety levels were significantly lower in the music group.CONCLUSION Music therapy can be a complimentary treatment for patients undergoing fistula surgery.It can reduce anxiety and pe 展开更多
关键词 MUSIC MUSIC therapy ANXIETY ARTERIOVENOUS fistula KIDNEY transplant Waitlist State-Trait ANXIETY Inventory Dialysis access END-STAGE KIDNEY disease
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孕妇产前检查焦虑量表的汉化及信效度研究 认领
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作者 黄艳秋 熊司琦 金昌德 《护理研究》 北大核心 2020年第15期2666-2670,共5页
[目的]对孕妇产前检查焦虑量表(PDPAS)进行汉化,并检验其信效度。[方法]通过翻译、回译、跨文化调试和预实验,形成中文版PDPAS量表,并对兰州市某三级甲等医院等待做超声检查248名孕妇进行问卷调查,评价量表的信度和效度。[结果]中文版PD... [目的]对孕妇产前检查焦虑量表(PDPAS)进行汉化,并检验其信效度。[方法]通过翻译、回译、跨文化调试和预实验,形成中文版PDPAS量表,并对兰州市某三级甲等医院等待做超声检查248名孕妇进行问卷调查,评价量表的信度和效度。[结果]中文版PDPAS量表包括对检查的焦虑和对结果的焦虑2个维度,共11个条目。量表条目水平的内容效度指数(I‑CVI)为0.8~1.0,平均量表水平的内容效度指数(S‑CVI)/Ave为0.96。探索性因子分析共提取2个公因子,累积方差贡献率为65.06%,校标效度为0.587。量表总的Cronbach′sα系数为0.911,重测信度为0.899。[结论]中文版PDPAS量表信效度较好,可用于我国孕妇产前检查焦虑水平的测量。 展开更多
关键词 孕妇 产前检查 焦虑 孕妇产前检查焦虑量表 汉化 信度 效度
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新型冠状病毒肺炎流行期间公众焦虑情绪障碍分析及干预方法建议 认领
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作者 肖惋翡 肖农 《重庆医学》 CAS 2020年第S01期19-21,共3页
目的评估新型冠状病毒肺炎流行期间公众心理健康情况,并为居家隔离的公众提供心理干预措施。方法采用焦虑自我评估量表(CAD-7),利用问卷网APP调查分析新型冠状病毒流行期间608例成人焦虑情绪情况并评估其影响。结果608例成人CAD-7总分为... 目的评估新型冠状病毒肺炎流行期间公众心理健康情况,并为居家隔离的公众提供心理干预措施。方法采用焦虑自我评估量表(CAD-7),利用问卷网APP调查分析新型冠状病毒流行期间608例成人焦虑情绪情况并评估其影响。结果608例成人CAD-7总分为(5.44±3.97)分,重度焦虑者8例,中度焦虑者62例,轻度焦虑症279例,无焦虑情绪244例。公众有不同程度的焦虑情绪,以轻-中度焦虑为主,其中年龄在30~59岁的女性更容易出现焦虑情绪,差异有统计学意义(P<0.05)。结论新冠肺炎的流行,居家隔离期间,公众出现不同程度焦虑障碍,需要及时进行干预及疏导。 展开更多
关键词 新型冠状病毒肺炎 焦虑情绪障碍 居家隔离 焦虑情绪干预
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氟哌噻吨美利曲辛片联合甜梦口服液对失眠伴焦虑患者睡眠质量及负性情绪的影响 认领
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作者 王春燕 王勇军 +2 位作者 曾晖 王轶 王国华 《实用临床医药杂志》 CAS 2020年第9期33-36,共4页
目的探讨氟哌噻吨美利曲辛片联合甜梦口服液对失眠伴焦虑患者睡眠质量及负性情绪的影响。方法选取84例失眠伴焦虑患者,随机分为2组各42例。对照组给予氟哌噻吨美利曲辛片治疗,研究组给予氟哌噻吨美利曲辛片联合甜梦口服液治疗。比较2组... 目的探讨氟哌噻吨美利曲辛片联合甜梦口服液对失眠伴焦虑患者睡眠质量及负性情绪的影响。方法选取84例失眠伴焦虑患者,随机分为2组各42例。对照组给予氟哌噻吨美利曲辛片治疗,研究组给予氟哌噻吨美利曲辛片联合甜梦口服液治疗。比较2组患者匹茨堡睡眠质量指数(PSQI)量表评分、汉密尔顿焦虑量表(HAMA)评分、舒适度评分、临床疗效及不良反应发生率。结果治疗后,研究组患者PSQI量表各项评分及总评分均显著低于对照组(P<0.05)。治疗后1、2、4周,研究组HAMA评分显著低于对照组(P<0.05),舒适度评分显著高于对照组(P<0.05)。研究组治疗总有效率显著高于对照组(P<0.05)。2组不良反应总发生率比较无显著差异(P>0.05)。结论失眠伴焦虑患者应用氟哌噻吨美利曲辛片联合甜梦口服液治疗可改善患者临床症状,且安全性较好。 展开更多
关键词 失眠 焦虑 氟哌噻吨美利曲辛片 甜梦口服液 匹茨堡睡眠质量指数量表 汉密尔顿焦虑量表 不良反应
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帕金森病焦虑患者的临床特征研究 认领
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作者 万志荣 王桂华 +2 位作者 陈宇 张绿明 冯涛 《神经损伤与功能重建》 2020年第1期14-16,54共4页
目的:分析帕金森病(PD)患者焦虑的临床特征和危险因素。方法:横断面调查PD患者,记录患者性别、起病年龄、病程、初始症状、改良H-Y分级、MDS-UPDRS-Ⅲ评分、是否伴发不安腿综合征(RLS)、贝克焦虑量表等临床资料,采用多变量Logistic方法... 目的:分析帕金森病(PD)患者焦虑的临床特征和危险因素。方法:横断面调查PD患者,记录患者性别、起病年龄、病程、初始症状、改良H-Y分级、MDS-UPDRS-Ⅲ评分、是否伴发不安腿综合征(RLS)、贝克焦虑量表等临床资料,采用多变量Logistic方法分析PD焦虑的影响因素。结果:共收集263例PD患者,合并焦虑65例(24.7%),其中女性占36例。病程越长、H-Y分级和MDS-UPDRS-Ⅲ评分更高、伴发RLS的患者更易发生焦虑(P<0.05),与起病年龄、文化程度、初始症状等方面无明显相关性(P>0.05)。结论:女性、病程更长、运动功能更严重、合并RLS是PD发生焦虑的危险因素。 展开更多
关键词 帕金森病 焦虑 贝克焦虑量表 女性 不宁腿综合征
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焦虑抑郁状态对高血压患者血压及心率变异性的影响 认领
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作者 向宇凌 熊红芳 +1 位作者 骆文 鲁刚 《中国病案》 2020年第7期83-85,共3页
目的探讨焦虑抑郁状态对高血压患者血压和心率的影响及接受抗焦虑抑郁治疗对降低血压、改善心率变异性异常的效果。方法随机选取某院门诊2016年9月1日-2018年9月30日收治的400例高血压患者进行研究;研究对象入院后焦虑自评量表(Self-Rat... 目的探讨焦虑抑郁状态对高血压患者血压和心率的影响及接受抗焦虑抑郁治疗对降低血压、改善心率变异性异常的效果。方法随机选取某院门诊2016年9月1日-2018年9月30日收治的400例高血压患者进行研究;研究对象入院后焦虑自评量表(Self-Rating AmxoetyScale,SAS)评分均<50分,抑郁自评量表(Self-Rating Depression Scale,SDS)评分<53分,为心理状态良好;经1个月观察,将SAS>50分、SDS>53分的129例患者定位焦虑抑郁组,其余271例患者定位非焦虑抑郁组;比较两组患者的临床特点;并根据是否接受抗焦虑抑郁治疗将129例患者分为观察组和对照组,探讨抗焦虑抑郁治疗的可行性及效果。结果相对于非焦虑抑郁组患者,合并焦虑抑郁的高血压患者,24小时平均血压、白昼及夜间平均血压均明显更高,各项数据组间比较均有统计学意义(P<0.05);焦虑抑郁组患者N间期标准差、NN间期平均值标准差、相邻NN间期差值均方根均低于非焦虑抑郁组,各项数据组间比较均有统计学意义(P<0.05);129例合并焦虑抑郁患者中,接受抗焦虑抑郁治疗的69例观察组患者治疗后,SAS评分、SDS评分、24小时平均血压、白昼及夜间平均血压均明显优于对照组,各项数据组间比较均有统计学意义(P<0.05)。结论相对于单纯高血压患者而言,合并焦虑抑郁的患者多具有血压升高幅度大及心率变异性小的特点,通过科学的抗焦虑抑郁治疗可提升降压效果并改善患者心率变异性异常。 展开更多
关键词 高血压 焦虑 抑郁 心率变异性 抗焦虑抑郁治疗 血压
伴不同程度焦虑的抑郁障碍患者睡眠质量与特征分析 认领
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作者 汤叶舟 史一凡 +4 位作者 黄雨欣 赵雅娟 符浩 黄佳 王勇 《上海交通大学学报:医学版》 CAS CSCD 北大核心 2020年第3期333-338,共6页
目的·比较伴不同程度焦虑的抑郁障碍患者的睡眠质量。方法·选取抑郁障碍患者为研究对象,组别划分:HAMA分值0~6分为无焦虑组,HAMA分值7~13分为焦虑倾向组,HAMA分值≥14分为焦虑组。采用汉密尔顿抑郁量表-17(Hamilton Depressio... 目的·比较伴不同程度焦虑的抑郁障碍患者的睡眠质量。方法·选取抑郁障碍患者为研究对象,组别划分:HAMA分值0~6分为无焦虑组,HAMA分值7~13分为焦虑倾向组,HAMA分值≥14分为焦虑组。采用汉密尔顿抑郁量表-17(Hamilton Depression Scale-17,HAMD-17)评估患者的抑郁程度,汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评估患者的焦虑程度,匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index Scale,PSQI)评估患者的睡眠质量。比较各组患者的睡眠质量和特征,分析睡眠质量与焦虑、抑郁程度的相关性。结果·焦虑组的PSQI分值高于焦虑倾向组和无焦虑组(均P=0.000)。偏相关分析结果表明,在控制HAMD-17分值的情况下,在不同程度焦虑组中,HAMA分值与PSQI指标相关性存在显著差异。多元线性回归分析结果表明,在控制HAMA分值的情况下,睡眠障碍依然是抑郁障碍的独立危险因素;睡眠时间、入睡时间、催眠药使用和日间功能都是HAMD-17得分的独立影响因素(均P<0.05)。结论·在抑郁障碍患者中,焦虑程度与睡眠障碍的严重程度相关,尤其在较低程度焦虑的患者中。无论是否伴有焦虑,睡眠障碍都是抑郁障碍的独立危险因素。抑郁状况与不同维度的睡眠障碍指标的关系提示睡眠障碍在抑郁障碍的发病过程中起综合性的作用。 展开更多
关键词 睡眠质量 抑郁 焦虑 汉密尔顿抑郁量表-17 汉密尔顿焦虑量表 匹兹堡睡眠质量指数量表
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胃肠药物联合草酸艾司西酞普兰治疗难治性功能性消化不良疗效观察 认领
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作者 陈叶青 周国华 +4 位作者 周红宇 雷耀耀 谭晓华 韩龙 刘田田 《临床心身疾病杂志》 CAS 2020年第4期162-164,共3页
目的探讨胃肠药物联合草酸艾司西酞普兰治疗难治性功能性消化不良的临床疗效.方法将82例难治性功能性消化不良患者按照治疗方法分为观察组42例与对照组40例,两组均给予泮托拉唑钠肠溶片及马来酸曲美布汀分散片治疗,观察组在此基础上联... 目的探讨胃肠药物联合草酸艾司西酞普兰治疗难治性功能性消化不良的临床疗效.方法将82例难治性功能性消化不良患者按照治疗方法分为观察组42例与对照组40例,两组均给予泮托拉唑钠肠溶片及马来酸曲美布汀分散片治疗,观察组在此基础上联合草酸艾司西酞普兰片治疗,治疗8周.比较两组临床疗效,治疗前后采用汉密顿焦虑量表及汉密顿抑郁量表评定两组焦虑及抑郁情绪.每2周进行血、尿常规,肝肾功能和心电图检查,比较两组不良反应发生情况.结果 观察组治疗总有效率显著高于对照组(P<0.01).治疗8周末两组汉密顿焦虑量表及汉密顿抑郁量表评分均较治疗前显著下降(P<0.01),观察组较对照组下降更显著(P<0.01).治疗前后两组血、尿常规,肝肾功能及心电图均无明显改变,两组不良反应发生率比较差异无统计学意义(P>0.05).结论胃肠药物联合草酸艾司西酞普兰治疗难治性功能性消化不良疗效较好,能显著改善患者的焦虑、抑郁状态,不良反应轻微,值得推广应用. 展开更多
关键词 难治性功能性消化不良 草酸艾司西酞普兰 焦虑 抑郁 汉密顿焦虑量表 汉密顿抑郁量表
文章速递焦虑症的中医药治疗研究进展 认领
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作者 郝恺雯 《世界最新医学信息文摘》 2020年第19期142-144,共3页
本篇文章通过整理关于焦虑症的文献,分析规整了焦虑症的中医药认识、诊治、及其主要研究进展,从中医定义、病名,辨证论治,针刺治疗,单味药抗焦虑,中成药抗焦虑五个方面来对焦虑状态做一个中医认识及治疗方面的总体综述.
关键词 焦虑症 中医药 进展 抗焦虑 抗抑郁
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文章速递慢性阻塞性肺疾病合并焦虑抑郁患病调查 认领
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作者 留永健 田欣伦 +5 位作者 郭兮恒 吴斌 王丽 汪劭婷 蔡柏蔷 韩江娜 《中国呼吸与危重监护杂志》 CAS CSCD 北大核心 2020年第5期425-429,共5页
目的研究慢性阻塞性肺疾病(简称慢阻肺)合并焦虑抑郁患病情况,提高医务工作者对慢阻肺合并焦虑抑郁的认知。方法收集并分析2017年1月至2019年1月参加本研究410例患者的基线资料。采用综合医院焦虑/抑郁情绪量表前瞻性测评慢阻肺合并焦... 目的研究慢性阻塞性肺疾病(简称慢阻肺)合并焦虑抑郁患病情况,提高医务工作者对慢阻肺合并焦虑抑郁的认知。方法收集并分析2017年1月至2019年1月参加本研究410例患者的基线资料。采用综合医院焦虑/抑郁情绪量表前瞻性测评慢阻肺合并焦虑抑郁患病情况。结果患者年龄(60.7±10.0)岁,76.8%男性,74.3%吸烟者。检出焦虑或抑郁79例(19.3%),其中焦虑36例(8.8%),抑郁64例(15.6%),同时合并焦虑和抑郁21例(5.1%),严重焦虑11例(2.7%),严重抑郁10例(2.4%)。与单纯慢阻肺患者相比,合并焦虑抑郁慢阻肺患者的CAT评分明显增高[合并焦虑(17.8±9.3)分,合并抑郁(17.4±8.4)分,单纯慢阻肺为(12.5±7.3)分,P值分别为0.002和0.000]。合并抑郁患者≥2次急性加重风险增加(37.5%比22.7%,P=0.016)。GOLD综合评估,合并抑郁慢阻肺患者的D组占比增高(P=0.001)。结论20%慢阻肺患者合并焦虑或抑郁,抑郁检出率几乎是焦虑两倍,严重焦虑或抑郁患病率较低。与单纯慢阻肺患者相比,合并抑郁慢阻肺患者的健康相关生活质量较差,急性加重风险增高,GOLD综合评估的D组占比增高。 展开更多
关键词 焦虑 抑郁 综合医院焦虑抑郁量表 CAT评分 慢性阻塞性肺疾病
肺结核患者家庭密切接触者情绪变化及其影响因素分析 认领
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作者 徐彩玲 苏丽洁 +1 位作者 孙娜 任怡 《医学信息》 2020年第5期133-136,共4页
目的分析肺结核患者家庭密切接触者情绪变化及其影响因素。方法采取便利抽样法,选取2019年4~7月来我院进行肺结核患者密切接触者筛查的96名密切接触者,采用一般资料问卷、医院焦虑抑郁量表(HADS)和肺结核核心信息知识量表,调查肺结核密... 目的分析肺结核患者家庭密切接触者情绪变化及其影响因素。方法采取便利抽样法,选取2019年4~7月来我院进行肺结核患者密切接触者筛查的96名密切接触者,采用一般资料问卷、医院焦虑抑郁量表(HADS)和肺结核核心信息知识量表,调查肺结核密切接触者的焦虑抑郁情绪和对结核病知识的知晓情况。结果62.50%密切接触者存在焦虑情绪,19.79%密切接触者存在抑郁情绪,96例密切接触者焦虑得分为(8.25±4.36)分,抑郁得分为(6.88±4.12)分;肺结核患者密切接触者5条核心信息全部知晓的35例,全部知晓率为36.46%;不同性别、年龄、文化程度、个人收入、患者费用支付方式、是否需要承担照顾任务密切接触者焦虑得分比较,差异有统计学意义(P<0.05);不同年龄、婚姻、与患者的关系、是否患慢性病、是否需承担照顾任务密切接触者抑郁得分比较,差异有统计学意义(P<0.05);多因素回归分析显示,密切接触者焦虑得分和与患者关系、是否需承担照顾任务呈正相关,和结核核心知识知晓率、性别呈负相关(P<0.05);抑郁得分和是否患有慢性病呈正相关,和结核核心知识知晓率、婚姻呈负相关(P<0.05)。结论肺结核患者家庭密切接触者存在不同程度的焦虑抑郁情绪,部分密切接触者呈中重度焦虑抑郁,应引起社会及医务人员的关注,加强结核病知识宣传,指导其合理、正确运用积极应对方式缓解焦虑抑郁情绪,提高其心理健康水平。 展开更多
关键词 肺结核 密切接触者 焦虑 抑郁
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三级甲等医院护理人员智谋现状及潜在类别分析 认领
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作者 陈娟 曹秉蓉 +2 位作者 高庆 罗莉 李继平 《护理学杂志》 CSCD 北大核心 2020年第11期49-53,共5页
目的了解三级甲等医院护理人员智谋现况及其潜在类别,为针对性干预提供参考。方法采用智谋量表及医院焦虑抑郁量表对成都市9所三级甲等医院的1026名护理人员进行调查分析。结果护理人员智谋可分为低智谋型(14.23%)、一般智谋型(45.91%)... 目的了解三级甲等医院护理人员智谋现况及其潜在类别,为针对性干预提供参考。方法采用智谋量表及医院焦虑抑郁量表对成都市9所三级甲等医院的1026名护理人员进行调查分析。结果护理人员智谋可分为低智谋型(14.23%)、一般智谋型(45.91%)、较强智谋型(33.33%)、强智谋型(6.53%)。多元回归分析显示,医院类型及是否教学医院、每月夜班次数是智谋的影响因素(均P<0.05)。结论护理人员智谋大部分处于一般水平,分为4个潜在类别,在综合及教学医院工作者智谋能力较强,而夜班次数的增多不利于强智谋能力的发展,护理管理者可针对不同智谋类别展开针对性训练。 展开更多
关键词 护理人员 三级甲等医院 智谋 焦虑 抑郁 潜在类别分析
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中医康复护理对腰椎间盘突出症患者精神心理状况的影响 认领
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作者 吴美华 朱翠平 朱莉 《上海医药》 CAS 2020年第8期51-54,58共5页
目的:探索对腰椎间盘突出症患者进行中医康复护理后其精神心理状况的改善情况。方法:将80例腰椎间盘突出症患者随机分为对照组和试验组各40例,对照组中男性16例,女性24例,平均年龄(56.93±8.69)岁;实验组中男性17例,女性23例,平均年... 目的:探索对腰椎间盘突出症患者进行中医康复护理后其精神心理状况的改善情况。方法:将80例腰椎间盘突出症患者随机分为对照组和试验组各40例,对照组中男性16例,女性24例,平均年龄(56.93±8.69)岁;实验组中男性17例,女性23例,平均年龄(56.38±12.81)岁。对对照组患者提供常规护理,对实验组患者在对照组的基础上采取中医康复护理,护理干预时间均为20 d。采用疼痛视觉模拟评分(VAS)评估患者的疼痛程度,同时运用抑郁自评量表(SDS)及焦虑自评量表(SAS)分别评定患者的抑郁和焦虑状况。结果:两组患者干预前后VAS评分差异均有统计学意义(P<0.01),干预后实验组的VAS评分低于对照组(P<0.01);对照组患者干预前后SDS及SAS阳性率差异无统计学意义(P>0.05),实验组患者干预后SDS及SAS阳性率低于干预前(P<0.01)。结论:腰椎间盘突出症患者存在较高的抑郁和焦虑症状,中医康复护理后可缓解患者的抑郁、焦虑情绪,有利于患者康复。 展开更多
关键词 腰椎间盘突出症 中医康复护理 疼痛 抑郁 焦虑
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