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急诊眩晕患者的焦虑程度及其影响因素

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目的 探讨急诊眩晕患者焦虑程度的影响因素。方法 纳入2022年11月~2023年10月接收的225例急诊眩晕患者,留观期间采用汉密尔顿焦虑量表评估其焦虑情绪,参考评估结果划分为焦虑与无焦虑组。比较两组患者眩晕类型、性别、年龄等病历资料,Logistic回归分析急诊眩晕患者焦虑的影响因素。结果 225例患者中92例患者具有焦虑情绪,检出率40。89%,其中轻度、中度、重度焦虑分别为42例、37例、13例;焦虑组与无焦虑组病因、年龄、就诊时间、文化水平、是否独自就诊、首次发病、合并其他症状差异具有统计学意义(P<0。05),两组性别、居住地差异无统计学意义(P>0。05);多因素分析显示,前庭性眩晕、独自就诊、年龄>70岁、小学及以下文化水平、首次发病是急诊眩晕患者焦虑的影响因素。结论 急诊眩晕患者中焦虑情绪检出率较高,以轻中度为主,前庭性眩晕、独自就诊等会增加患者焦虑风险。
The status of anxiety in emergency dizziness patients and its influencing factors
Objective To explore the factors influencing anxiety in emergency dizziness patients.Methods A total of 225 emergency dizziness patients were selected from November 2022 to October 2023.During the observa-tion period,the hamilton anxiety scale was used to assess their anxiety levels.They were divided into the anxiety and the non anxiety groups according the reference assessment results.The medical records such as dizziness type,gender,and age between two groups of patients were compared.Logistic regression analysis on the influencing factors of anxi-ety in emergency dizziness patients.Results Out of 225 patients,92 had anxiety,with a detection rate of 40.89%.Among them,there were 42 cases of mild,37 cases of moderate,and 13 cases of severe anxiety,respectively.There were statistically significant differences between the anxiety group and the non anxiety group in terms of etiology,age,visit time,educational level,whether to seek medical treatment alone,first onset,and concomitant other symptoms(P<0.05).There was no statistically significant difference in gender and place of residence between the two groups(P>0.05).Multivariate analysis showed that vestibular vertigo,seeking medical treatment alone,age>70 years old,education level below primary school,and first onset of symptoms were the influencing factors for anxiety in emergency vertigo patients.Conclusion The detection rate of anxiety in emergency dizziness patients is relatively high,mainly mild to moderate.Vestibular dizziness and seeking medical treatment alone can increase the risk of anxiety in patients.

Emergency departmentDizzinessAnxiety levelInfluence factor

李秋萍、林玉理、袁露、吴丽云

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厦门大学附属中山医院急诊输液观察室(厦门,361001)

急诊 眩晕 焦虑程度 影响因素

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)