慢性肌肉骨骼疼痛患者焦虑、抑郁状况及相关因素分析

Analysis of Anxiety, Depression Status and Related Factors in Patients with Chronic Musculoskeletal Pain

摘要: 目的：了解慢性肌肉骨骼疼痛患者焦虑、抑郁情况，探讨分析其相关因素。方法：选择2023年01月~2023年06月于海军军医大学第三附属医院骨科门诊就诊的慢性肌肉骨骼疼痛患者85例，选择疼痛视觉模拟评分法(VAS)和医院焦虑抑郁量表(HADS)作为测评工具。结果：共计回收有效问卷85份，患者平均焦虑评分(7.86 ± 3.11)，平均抑郁评分(6.64 ± 3.22)；平均疼痛部位数目(2.66 ± 1.48)，平均VAS评分(3.48 ± 0.87)；人口学单因素分析发现，患者的焦虑抑郁水平与性别(p < 0.05)、受教育程度(p < 0.05)、是否从事过重体力劳动(p < 0.05)相关；通过Pearson检验发现患者焦虑抑郁水平与疼痛部位数目及VAS评分相关。结论：慢性肌肉骨骼疼痛患者常常伴发焦虑、抑郁，性别、受教育程度、是否从事过重体力劳动会影响焦虑、抑郁水平，与疼痛部位数目及VAS评分相关。

Abstract: Objective: To understand the anxiety and depression status of patients with chronic musculoskeletal pain, and explore and analyze their related factors. Method: 85 patients with chronic musculoskeletal pain who were treated at the Orthopedic Clinic of the Third Affiliated Hospital of Naval Medical University from January 2023 to June 2023 were selected, and pain visual analogue scale (VAS) and hospital anxiety and depression scale (HADS) were used as evaluation tools. Result: A total of 85 valid questionnaires were collected, with an average anxiety score of 7.86 ± 3.11 and an average depression score of 6.64 ± 3.22; The average number of pain sites (2.66 ± 1.48) and the average VAS score (3.48 ± 0.87); Demography single factor analysis found that the level of anxiety and depression of patients was related to gender (p < 0.05), education level (p < 0.05), and whether they were engaged in heavy manual labor (p < 0.05); Through Pearson test, it was found that the level of anxiety and depression in patients is related to the number of pain sites and VAS score. Conclusion: Patients with chronic musculoskeletal pain often experience anxiety and depression. Gender, education level, and whether they engage in heavy physical labor can affect anxiety and depression levels, which are related to the number of pain sites and VAS scores.