| Objective: Investigate the risk factors for anxiety/depression in patients with COPD,Screening for anxiety and depression in patients with COPD.Method: Using the self-designed Possible Obstructive Pulmonary Syndrome Potential Risk Factor Questionnaire for Chronic Obstructive Pulmonary Disease,from January 2017 to February 2018,we investigated patients with COPD who were admitted to a hospital or outpatient clinic in the Hunan Provincial People’s Hospital.A total of 218 COPD were selected,Comprehensive assessment grouping four groups,namely group A,group B,group C and group D.Through the screening of SAS and SDS scores,the gender,age,BMI,marital status,education level,cohabitation,smoking status,medical payment method,length of illness,CAT score,frequency of exacerbations,m MRC,FEV1% predicted were analyzed of COPD patients with anxiety/depression.Results: 1.In 218 COPD,186 were male and 32 were female.The average age was 70.52±9.60 years.There were 49(22.5%)patients with anxiety,38(17.4%)with depression,and 38(17.4%)with anxiety and depression.2.The COPD comprehensive assessment group D patients had a higher risk of anxiety/depression than those in the A,B,and C groups.3.The occurrence of anxiety was related to the payment method,acute exacerbation frequency and CAT score of COPD patients(P < 0.05).The more frequency of acute exacerbations,the higher the CAT score and the increased incidence of anxiety.Public medical care is a protective factor in the medical payment method.With the increase in the percentage of self-paid expenses,COPD is more likely to be anxious.4.The incidence of depression was related to co-occupation of COPD patients,medical payment methods,frequency of acute exacerbations,and CAT scores(P<0.05).The higher the frequency of acute exacerbations and the higher the CAT score,COPD is more likely to be depressed.The higher the rate of self-paid and the cohabitants,the higher the risk of COPD combined with depression.Conclusion: 1.The incidence of COPD with anxiety was 39.9%,and the incidence of depression was 34.8%.2.Independent risk factors for COPD combined with anxiety include: comprehensive evaluation of COPD grouped into D,medical payment methods,frequency of acute exacerbations,and CAT scores.3.Independent risk factors for COPD combined with depression include:comprehensive evaluation of COPD grouped into D,co-residents,medical payment methods,acute exacerbation frequency,and CAT scores. |
