Analysis of depression and anxiety in patients with chronic obstructive pulmonary disease and mental nursing

【Objective】To estimate the prevalence of depression and anxiety in patients with Chronic Obstructive Pulmonary Disease(COPD) and to analyze the possible impact factors and the significance of mental nursing.【Methods】79 patients with COPD were measured with Hospital Anxiety and Depression Scale(HADS).【Results】54(67.7%) patients had depressive symptoms,and 56 cases(69.3%) had anxiety symptoms.There were 26 patients who had significant depression and anxiety symptoms from 29 patients with level-Ⅳ-COPD.From logistic-regression analysis model,we found that males had more risk of depression/anxiety symptoms than females(1.07,95%CI 1.01～ 2.04,1.15,95%CI 1.02～2.25,respectively) and the risk of depression/anxiety symptoms was 2.36/2.77 times greater for patients with severe COPD than those for mild(OR 2.36,95%CI 1.99～3.33,2.77,95%CI 2.21～4.04,respective-ly).Meanwhile,the patients who knew more about their disease had more risk of epression/anxiety symptom than those who knew less(OR1.26,95%CI 0.99～1.62,1.27,95%CI 1.01～2.32,respectively).【Conclusion】There is a high prevalence rate of depression/anxiety symptom in patients with COPD and the degree of lung function impairment is the major impact factor.Thus,mental nursing is quite important for those detected COPD patients.