| Objective:Through the Zung self-rating anxiety scale (Self-rating Anxiety Scale, SAS) and self-rating depression scale (Self-rating Depression Scale, SDS) of ankylosing spondylitis (Ankylosing Spondylitis, referred to AS) patients investigation and analysis of AS patients with psychological conditions, and its understanding of the relationship between AS for clinical psychological treatment and provide a theoretical basis.Method:1. General informationScreening 32 cases of patients with AS as a study group to investigate, the cases are Chinese medicine hospital in Hubei Province rheumatoid immune Branch in May 2006 to June 2007 out-patient and hospitalization of patients diagnosed with AS. 27 cases of men, 5 cases of women;the youngest 17 years old, the oldest 43 years old; the shortest course is 2 years, the longest is 18 years; joint function were 8 cases of Class I,10 cases of grade II , 12 cases of Class III, 2 cases of Class IV. Choose 32 cases of out-patient as a healthy control group. Two officers were conscious. Their gender, age, education level, the differences are not significant (P> 0.05), are comparable.2. Investigative tools and methodsSAS and SDS scales were applied to investigate the 32 cases of patients with ankylosing spondylitis (AS) and 32 cases of physical examination (control group) ,and were compared with the norm. Each scale, including 20 projects. Each item in accordance with the last one week of the respondents felt the level score 1-4: little or no time, small part-time, considerable time, most or all of the time. This followed four grades 1,2,3,4 score points for rough, some of the problem is shown in reverse into 4,3,2,1, total points 20-80. Fensheng the total proceeds will be rough to a standard 1.25 points (Y), Y≥50 into anxiety, Y≥53 into depression. 64 of the questionnaire, 64 were recovered, the effective recovery of 100.00 percent. All data used SPSS13.0 statistical package statistics, the measurementdata to mean±standard deviation (x|-±s) that the results of a t-test; count information to the number and percentage of cases described by X test. To P <0.05 for the limits of statistical significance. P <0.05 for a significant difference, P <0.01 for a very significant difference, P> 0.05 for non-significant difference.Results:1.32 cases of AS patients with anxiety in 13 cases (40.63%), depression in 17 cases (53.13 percent). Including anxiety, depression coexist seven cases (21.88%). 32 cases of healthy persons in anxiety and depression often score lower than the threshold value of modules, suggesting that there are not anxiety, depression symptoms.2. AS will each anxiety symptoms in patients with a frequency of "considerable time" or "the vast majority of the time / all time" notation, the former five are: 62% of anxiety, physical pain 59 percent, 55 percent of dyspepsia, unfortunately 52% of influenza, 48 percent of sleep disorders. Each frequency of depressive symptoms appear to "considerable time" or "the vast majority of the time / all time" notation, the former five are: depression 64 percent, capacity decreased 62 percent, Yi Jire 57 percent, 52 percent of sleep disorders , Lost 50 percent interest.3.AS group SAS, SDS score are often higher than the domestic module and the control group, the differences were very significant (P <0.01), suggested that AS patients with significant anxiety and depression.4.AS group of women and men of the SAS, SDS score no significant difference (P> 0.05), suggested that gender Benbingfasheng anxiety and depression in the situation there is no clear distinction.5.AS patients by age group, found that <30-year-old group SAS, SDS score was significantly higher than the 30 to 40-year-old group and> 40-year-old group (P <0.05), tips <30-year-old young patients with more patients over the age of 30 Anxiety, depression even more serious. 6.AS with the education group, found that for junior middle school education, SAS, SDS score was significantly higher than that for senior secondary education and above (P <0.05), suggested that patients with low education level than the high education level patients with anxiety, depression even more serious.7.AS division of the course, found the course to 5 to 10 SAS, SDS score was significantly higher than that of course <5 years and> 10 persons (P <0.05), suggested that the course 5 to 10 patients with anxiety , Depression is more serious.Conclusion:In patients with ankylosing spondylitis there are complex psychological state, there is an obvious anxiety and depression. On the positive treatment of the disease at the same time actively deal with its psychological support and treatment interventions, to alleviate their anxiety, depression, a good doctor-patient relationship and enhance their quality of life. |
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