| Objective:To explore the related factors of anxiety and depression in hospitalized burn patients,and to provide the corresponding clinical theoretical basis for the occurrence and prediction of anxiety and depression.Methods:According to the inclusion criteria,246 burn patients hospitalized in the Burn Surgery Department of the First Affiliated Hospital of Nanchang University from January 1,2021 to December 31,2021 were selected as the research objects by using the form of online questionnaire survey.The survey tools included general information questionnaire,self-rating Depression Scale(SDS)and Beck Anxiety Inventory(BAI).Factors to be collected included: general demographic information of burn patients,burn site,burn severity,and payment method of medical expenses.SPSS26.0 software was used for data entry,sorting and analysis.Descriptive statistical analysis of all data;T test was performed for gender,burn site and payment method of medical expenses.Marital status was analyzed by one-way an OVA;Pearson correlation analysis was performed for age.Education level and burn degree were tested by Kruskal-Wallis H test.Finally,classification variables were treated as dummy variables.The variables were assigned as follows: gender and burn site were binary classification variables,male was the reference variable,and non-naked burn site was the reference variable.Education level,marital status and burn degree were three classification variables,which were transformed into two dummy variables.Primary school and below,married and mild burn degree were used as reference variables for multiple regression analysis.Results:(1)The distribution of various data of burn inpatients: depressive symptoms accounted for 51.6%,mild depressive symptoms accounted for 74.0%,moderate depressive symptoms accounted for 22.8%,severe depressive symptoms accounted for 3.2%;Anxiety symptoms accounted for 53.7%,mild anxiety symptoms accounted for 66.6%,moderate anxiety symptoms accounted for 25.8%,severe anxiety symptoms accounted for 7.6%;The age of subjects ranged from 18 to 70 years old,with an average of(43.76 ± 0.706)years old.Among the subjects,58.5% were male and 41.5% were female.Among the subjects,31.3% had a primary school education,61.8% had a middle school education,and 6.9% had a college education.Married patients accounted for 84.1%,unmarried 10.2%,divorced or widowed 5.7%.Patients with mild burns accounted for 49.6%,patients with moderate burns accounted for43.1%,patients with severe burns or above accounted for 7.3%.The exposed parts accounted for 65.9% and non-exposed parts accounted for 34.1%.56.5 percent of medical expenses were paid at their own expense,and 43.5 percent were paid at public expense.(2)There was a univariate correlation between the burn site,education level,medical expense payment method and the risk of depression and anxiety,but there was no statistical significance in multivariate analysis(ALL P values were greater than 0.05).Univariate and multivariate analyses of gender,married and unmarried in marital status and burn degree were statistically significant(P < 0.05).Age was negatively correlated with the risk of depression and anxiety in univariate and multivariate analyses,and the correlation coefficients of univariate analysis were-0.604(P<0.001),0.598(P< 0.001),the correlation coefficients of multiple factors were-0.343 and-0.361,respectively(P < 0.001).Conclusion:Female,unmarried and severe burn are independent risk factors for depression and anxiety in hospitalized burn patients.Age was negatively correlated with depression and anxiety scores.Being married is a protective factor for depression and anxiety disorder. |
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