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<div id="_page" style="margin: 0px auto; background: rgb(255, 255, 255); width: 210mm; min-height: 297mm; transform: scale(1, 1); transform-origin: 50% 0px 0px;" pagekind="A4" direct="portrait"><div id="_header" style="min-height: 0.65cm; padding-left: 0.65cm; padding-right: 0.65cm; padding-top: 0.65cm; position: relative; outline: none;" contenteditable="false" class="">
<div style="text-align: center; ">&nbsp;</div>
<div style="text-align: center;font-size: 15px;"><span>姓名：</span>
<field tabindex="0" id="name" type="Text" contenteditable="true" class="input blank" title="姓名" value="姓名" name="name" data-code="" data-expression="" multiline="false" validate="false" format="" style="display: inline-block; min-width: 60px;">姓名</field>
<span>&nbsp;科室：</span>
<field tabindex="0" id="department" type="Text" contenteditable="true" class="input blank" title="科室" value="科室" name="department" data-code="" data-expression="" multiline="false" validate="false" format="" style="display: inline-block; min-width: 60px;">科室</field><span>&nbsp;床号：</span>
<field tabindex="0" id="bed_number" type="Text" contenteditable="true" class="input blank" title="床号" value="床号" name="bed_number" data-code="" data-expression="" multiline="false" validate="false" format="" style="display: inline-block; min-width: 60px;">床号</field><span title="" contenteditable="false">&nbsp;住院号：</span>
<field tabindex="0" id="admission_number" type="Text" contenteditable="true" class="input blank" title="住院号" value="文本输入域" name="admission_number" data-code="" data-expression="" multiline="false" validate="false" format="" style="display: inline-block; min-width: 60px;">住院号</field><span>&nbsp;病案号：</span>
<field tabindex="0" id="medical_record_number" type="Text" contenteditable="true" class="input blank" title="病案号" value="文本输入域" name="medical_record_number" data-code="" data-expression="" multiline="false" validate="false" format="" style="display: inline-block; min-width: 60px;">病案号</field>&nbsp;
</div>
</div><div id="_body" style="min-height: calc(1024.25px); padding-left: 0.65cm; padding-right: 0.65cm;" contenteditable="false" class=""><div class="Section0" style=""><p class="MsoNormal" style="margin-top:10.2500pt;margin-left:213.2000pt;mso-outline-level:1;"><span style="letter-spacing: 0.9pt; font-weight: bold; font-size: 16pt;">抑郁焦虑表</span></p><table class="16" id="" title="" data-field="" style="border-width: 1px; border-color: rgb(0, 0, 0);"><colgroup><col style="width: 421px;"><col style="width: 304px;"></colgroup><tbody style=""><tr style="height: 72.8pt"><td colspan="2" class=""><p class="15" style="margin-top: 1pt; margin-left: 26.1pt; line-height: 1.5;"><span style="letter-spacing: 0.266667px; font-size: 10.5pt;">1）我对以往感兴趣的事情还是有兴趣</span></p><p class="15" style="margin-left:24.7500pt;"><group type="radio" id="radio0" style="font-size: 10.5pt;"><input type="radio" id="radio0__0" name="radio0" value="0" checked="true"><label for="radio0__0">肯定一样——0分</label><br><input type="radio" id="radio0__1" name="radio0" value="1" style=""><label for="radio0__1">不像以前那样——1分</label><br><input type="radio" id="radio0__2" name="radio0" value="2"><label for="radio0__2">只有一点——2分</label><br><input type="radio" id="radio0__3" name="radio0" value="3"><label for="radio0__3">基本上没有了——3分</label><br></group><br></p></td></tr><tr style="height:72.5000pt"><td colspan="2" class="" style="border-color: rgb(0, 0, 0)"><p class="15" style="margin-top:1.5500pt;margin-left:25.5000pt;line-height:15.6500pt;
mso-line-height-rule:exactly;"><span style="font-size: 12px; letter-spacing: 0.333333px;">2</span><span style="letter-spacing: 0.333333px; font-size: 10.5pt;">）我能够哈哈大笑，并看到事物好的一面</span></p><p class="15" style="margin-left:24.7500pt;"><group type="radio" id="radio1" style="font-size: 10.5pt;"><input type="radio" id="radio1__0" name="radio1" value="0" checked="true"><label for="radio1__0">我经常这样——0分</label><br><input type="radio" id="radio1__1" name="radio1" value="1"><label for="radio1__1">现在已经不太这样了——1分</label><br><input type="radio" id="radio1__2" name="radio1" value="2"><label for="radio1__2">现在肯定是不太多了——2分</label><br><input type="radio" id="radio1__3" name="radio1" value="3"><label for="radio1__3">根本没有——3分</label><br></group><br></p></td></tr><tr style="height: 72.55pt;"><td colspan="2" class="" style="border-color: rgb(0, 0, 0);"><p class="15" style="margin-top:2.2500pt;margin-left:25.6000pt;"><span style="letter-spacing: 0.15pt; font-size: 9pt;">3</span><span style="letter-spacing: 0.15pt; font-size: 10.5pt;">）我感到愉快</span></p><p class="15" style="margin-top: 5.2pt; margin-left: 24.75pt; line-height: 15.7pt;"><span style="letter-spacing: -0.65pt; position: relative; top: -5pt;"><group type="radio" id="radio2" style="font-size: 10.5pt;"><input type="radio" id="radio2__0" name="radio2" value="0" checked="true"><label for="radio2__0">大多数时间——0分</label><br><input type="radio" id="radio2__1" name="radio2" value="1"><label for="radio2__1">有时——1分</label><br><input type="radio" id="radio2__2" name="radio2" value="2"><label for="radio2__2">并不经常——2分</label><br><input type="radio" id="radio2__3" name="radio2" value="3"><label for="radio2__3">根本没有——3分</label><br></group><br></span></p></td></tr><tr style="height: 72.55pt;"><td colspan="2" class="" style="border-color: rgb(0, 0, 0)"><p class="15" style="margin-top: 3.1pt; margin-left: 25.35pt; line-height: 1.5;"><span style="letter-spacing: 0.25pt; font-size: 9pt;">4</span><span style="font-size: 10.5pt; line-height: 1.5;"><span style="letter-spacing: 0.25pt;">）我对自己的仪容失去兴趣</span><o:p></o:p></span></p><p class="15" style="margin-top: 5.2pt; margin-left: 24.75pt; line-height: 1.5;"><span style="letter-spacing: -0.85pt; position: relative; top: -5pt; line-height: 1.5;"><group type="radio" id="radio3" style="font-size: 10.5pt; line-height: 1.5;"><input type="radio" id="radio30" name="radio3" value="0" checked="true"><label for="radio30">我仍然像以往一样关心——0分</label><br><input type="radio" id="radio31" name="radio3" value="1"><label for="radio31">我可能不是非常关心——1分</label><br><input type="radio" id="radio32" name="radio3" value="2"><label for="radio32">并不像我应该做的那样关心我——2分</label><br><input type="radio" id="radio33" name="radio3" value="3"><label for="radio33">肯定——3分</label><br></group><span style="font-size: 10.5pt; line-height: 1.5;"><br></span></span></p></td></tr><tr style="height: 72.55pt"><td colspan="2" class="" style="border-color: rgb(0, 0, 0)"><p class="15" style="margin-top: 3.8pt; margin-left: 25.6pt; line-height: 1.5;"><span style="font-size: 10.5pt; line-height: 1.5;"><span style="letter-spacing: 0.2pt; position: relative; top: -5pt;">5）我对一切都是乐观地向前看</span><o:p style=""></o:p></span></p><p class="15" style="margin-left: 24.75pt;"><span style="letter-spacing: -0.45pt;"><group type="radio" id="radio4" style="font-size: 10.5pt;"><input type="radio" id="radio40" name="radio4" value="0" checked="true"><label for="radio40">差不多是这样做——0分</label><br><input type="radio" id="radio41" name="radio4" value="1"><label for="radio41">并不完全是这样做的——1分</label><br><input type="radio" id="radio42" name="radio4" value="2"><label for="radio42">很少这样做——2分</label><br><input type="radio" id="radio43" name="radio4" value="3"><label for="radio43">几乎从不这样做——3分</label><br></group><br></span></p></td></tr><tr style="height: 108px"><td colspan="2" class="" style="border-color: rgb(0, 0, 0)"><p class="15" style="margin-top:4.5000pt;margin-left:25.5000pt;line-height:15.7500pt;
mso-line-height-rule:exactly;"><span style="font-size: 10.5pt;"><span style="letter-spacing: 0.25pt; position: relative; top: -5pt;">6）我好像感到情绪在渐渐低落</span><o:p></o:p></span></p><p class="15" style="margin-left:24.7500pt;"><span style="letter-spacing: -0.75pt;"><group type="radio" id="radio5" style="font-size: 10.5pt;"><input type="radio" id="radio5__0" name="radio5" value="0" checked="true"><label for="radio5__0">根本没有——0分</label><br><input type="radio" id="radio5__1" name="radio5" value="1"><label for="radio5__1">有时——1分</label><br><input type="radio" id="radio5__2" name="radio5" value="2"><label for="radio5__2">很经常——2分</label><br><input type="radio" id="radio5__3" name="radio5" value="3"><label for="radio5__3">几乎所有时间——3分</label><br></group><br></span></p></td></tr><tr style="height: 118px"><td colspan="2" class="" style="border-color: rgb(0, 0, 0);"><p class="15" style="margin-top:3.2500pt;margin-left:25.5000pt;"><span style="font-size: 10.5pt;"><span style="letter-spacing: 0.25pt;">7)我能欣赏一本好书或意向好的广播或电视节目</span><o:p></o:p></span></p><p class="15" style="margin-top: 5.25pt; margin-left: 24.75pt; line-height: 15.7pt;"><group type="radio" id="radio6" style="font-size: 10.5pt;"><input type="radio" id="radio6__0" name="radio6" value="0"><label for="radio6__0">常常如此——0分</label><br><input type="radio" id="radio6__1" name="radio6" value="1" checked="true"><label for="radio6__1">有时——1分</label><br><input type="radio" id="radio6__2" name="radio6" value="2"><label for="radio6__2">并非经常——2分</label><br><input type="radio" id="radio6__3" name="radio6" value="3"><label for="radio6__3">很少——3分</label><br></group><br></p></td></tr><tr style="height: 38px"><td class="" style="border-color: rgb(0, 0, 0)"><p class="15" style="margin-top:9.5000pt;margin-left:25.4000pt;"><span style="letter-spacing: 0.1pt; font-size: 10.5pt;"><font face="宋体" style="">抑郁得分（</font>0-21分）</span><span style="font-size: 9pt;"><o:p></o:p></span></p></td><td class=""><p class="MsoNormal" style=""><span style="font-family: Arial; font-size: 10.5pt;"><span>&nbsp;</span><field tabindex="0" id="total1" type="Text" contenteditable="true" class="input" title="文本输入域" value="1" name="total1" data-code="" data-expression="= radio0 + radio1 + radio2 + radio3 + radio4 + radio5 + radio6" multiline="false" validate="false" format="" style="display: inline-block; min-width: 100px; text-align: left;">1</field>&nbsp;</span></p></td></tr>
<tr style="height: 72.55pt"><td colspan="2" class="" style="border-color: rgb(0, 0, 0)"><p class="15" style="margin-top:1.7500pt;margin-left:26.1000pt;"><span style="letter-spacing: 0.1pt; font-size: 10.5pt;">1）我感到紧张（或痛苦）</span></p><p class="15" style="margin-top: 5.2pt; margin-left: 24.75pt; line-height: 15.7pt;"><span style="font-size: 10.5pt;"><group type="radio" id="radio7" style=""><input type="radio" id="radio7__0" name="radio7" value="0" checked="true"><label for="radio7__0">根本没有——0分</label><br><input type="radio" id="radio7__1" name="radio7" value="1"><label for="radio7__1">有时候——1分</label><br><input type="radio" id="radio7__2" name="radio7" value="2"><label for="radio7__2">大多时候——2分</label><br><input type="radio" id="radio7__3" name="radio7" value="3"><label for="radio7__3">几乎所有时候——3分</label><br></group><span>&nbsp;</span></span></p></td></tr><tr style="height: 138px;"><td colspan="2" class="" style="border-color: rgb(0, 0, 0);"><p class="15" style="margin-top:2.5000pt;margin-left:25.5000pt;line-height:15.7000pt;
mso-line-height-rule:exactly;"><span style="font-size: 10.5pt;"><span style="letter-spacing: 0.25pt; position: relative; top: -5pt;">2）我感到有点害怕好像预感到什么可怕的事情要发生</span><o:p></o:p></span></p><p class="15" style="margin-left: 24.75pt;"><group type="radio" id="radio8" style="font-size: 10.5pt;"><input type="radio" id="radio8__0" name="radio8" value="0" checked="true"><label for="radio8__0">根本没有——0分</label><br><input type="radio" id="radio8__1" name="radio8" value="1"><label for="radio8__1">有一点，但并不使我苦恼——1分</label><br><input type="radio" id="radio8__2" name="radio8" value="2"><label for="radio8__2">是有，不太严重——2分</label><br><input type="radio" id="radio8__3" name="radio8" value="3"><label for="radio8__3">非常肯定和十分严重——3分</label><br></group><br></p></td></tr><tr style="height: 127px;"><td colspan="2" class="" style="border-color: rgb(0, 0, 0);"><p class="MsoNormal" style="text-indent: 30px;"><span style="font-size: 10.5pt;">3）我的心中充满烦恼</span></p><p class="MsoNormal" style="margin-left: 24.75pt;"><span style="font-size: 10.5pt;"><group type="radio" id="radio9" style=""><input type="radio" id="radio90" name="radio9" value="0" checked="true"><label for="radio90">根本没有——0分</label><br><input type="radio" id="radio91" name="radio9" value="1" style=""><label for="radio91">有时候——1分</label><br><input type="radio" id="radio92" name="radio9" value="2"><label for="radio92">大多时候——2分</label><br><input type="radio" id="radio93" name="radio9" value="3"><label for="radio93">几乎所有时候——3分</label><br></group></span></p></td></tr><tr class="" style=""><td colspan="2">
<!--StartFragment--><p class="15" style="margin-top:1.9000pt;margin-left:25.3500pt;line-height:15.6500pt;
mso-line-height-rule:exactly;"><span style="font-size: 10.5pt;"><span style="letter-spacing: 0.25pt; position: relative; top: -5pt;">4）我能够安闲而轻松地坐着</span><o:p></o:p></span></p><p class="15" style="margin-left: 24.75pt;"><group type="radio" id="radio10" style=""><input type="radio" id="radio100" name="radio10" value="0" checked="true"><label for="radio100">肯定--0分</label><br><input type="radio" id="radio101" name="radio10" value="1"><label for="radio101">经常--1分</label><br><input type="radio" id="radio102" name="radio10" value="2"><label for="radio102">并不经常--2分</label><br><input type="radio" id="radio103" name="radio10" value="3"><label for="radio103">更本没有--3分</label><br></group></p><!--EndFragment-->
</td></tr><tr class="" style=""><td colspan="2" style="">
<!--StartFragment--><p class="15" style="margin-top:2.9500pt;margin-left:25.6000pt;"><span style="font-size: 10.5pt;"><span style="letter-spacing: 0.25pt;">5）我有点坐立不安，好像感到非要活动不可</span><o:p></o:p></span></p><p class="15" style="margin-top: 5.2pt; margin-left: 24.75pt; line-height: 15.75pt;"><group type="radio" id="radio11" style=""><input type="radio" id="radio11__0" name="radio11" value="0" checked="true"><label for="radio11__0">根本没有——0分</label><br><input type="radio" id="radio11__1" name="radio11" value="1"><label for="radio11__1">并不很少——1分</label><br><input type="radio" id="radio11__2" name="radio11" value="2"><label for="radio11__2">是不少——2分</label><br><input type="radio" id="radio11__3" name="radio11" value="3"><label for="radio11__3">确实非常多——3分</label><br></group></p><!--EndFragment-->
</td></tr><tr class=""><td colspan="2" style=""><span>
</span><!--StartFragment--><p class="15" style="margin-top:3.9500pt;margin-left:25.5000pt;"><span style="letter-spacing: 0.2pt; font-size: 9pt;">6）</span><span style="font-size: 10.5pt;"><span style="letter-spacing: 0.2pt;">我突然发现有恐慌感</span><o:p></o:p></span></p><p class="15" style="margin-top:5.2000pt;margin-left:24.7500pt;line-height:15.7500pt;
mso-line-height-rule:exactly;"><group type="radio" id="radio12" style=""><input type="radio" id="radio12__0" name="radio12" value="0" checked="true"><label for="radio12__0">根本没有——0分</label><br><input type="radio" id="radio12__1" name="radio12" value="1"><label for="radio12__1">并非经常——1分</label><br><input type="radio" id="radio12__2" name="radio12" value="2"><label for="radio12__2">非常肯定，十分严重——2分</label><br><input type="radio" id="radio12__3" name="radio12" value="3"><label for="radio12__3">确实很经常——3分</label><br></group></p><!--EndFragment--><span>
</span></td></tr><tr class="" style=""><td colspan="2" style=""><span>
</span><!--StartFragment--><p class="15" style="margin-top:2.9500pt;margin-left:25.6500pt;line-height:15.7500pt;
mso-line-height-rule:exactly;"><span style="font-size: 10.5pt;"><span style="letter-spacing: 0.25pt; position: relative; top: -5pt;">7）我感到有点害怕，好像某个内脏器官变化了</span><o:p></o:p></span></p><p class="15" style="margin-left: 24.75pt;"><group type="radio" id="radio13" style=""><input type="radio" id="radio13__0" name="radio13" value="0" checked="true"><label for="radio13__0">根本没有——0分</label><br><input type="radio" id="radio13__1" name="radio13" value="1"><label for="radio13__1">有时——1分</label><br><input type="radio" id="radio13__2" name="radio13" value="2"><label for="radio13__2">很经常——2分</label><br><input type="radio" id="radio13__3" name="radio13" value="3"><label for="radio13__3">非常经常——3分</label><br></group></p><!--EndFragment--><span>
</span></td></tr><tr style="height: 35px"><td class="" id="" title="" style="border-color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); vertical-align: middle; text-align: center"><p class="15" style="text-align: center; margin-top: 0pt; margin-left: 0pt;"><span style="letter-spacing: 0.1pt; font-size: 10.5pt;"><font face="宋体" style=""></font>
<!--StartFragment-->焦虑得分</span></p></td><td class="" style="border-width: 1pt; border-color: rgb(0, 0, 0)"><field tabindex="0" id="total2" name="total2" type="Text" contenteditable="true" class="input" title="文本输入域" value="0" data-code="" data-expression="= radio7 + radio8 + radio9 + radio10 + radio11 + radio12 + radio13" multiline="false" validate="false" format="" style="display: inline-block; min-width: 100px; text-align: left;">0</field><span>&nbsp;</span></td></tr><tr class=""><td colspan="1"><span>
</span><!--StartFragment--><p class="15" style="margin-top:1.7500pt;margin-left:129.0500pt;"><span style="font-size: 10.5pt;"><span>结果</span><o:p></o:p></span></p><p class="15" style="margin-top:0.0500pt;margin-right:0.6500pt;margin-left:124.2000pt;
text-indent:-97.2500pt;"><span style="font-size: 10.5pt;"><span style="letter-spacing: 0.2pt;"><font face="宋体">（</font>0-7分为阴性;8-10为轻度;11-14分为</span><span style="letter-spacing: 0.15pt;"><font face="宋体">中度</font>;15-21分为</span>&nbsp;<span style="letter-spacing: -0.1pt;">重</span><span style="letter-spacing: -0.1pt;">度）</span></span></p><!--EndFragment--><span>
</span></td><td colspan="1" class=""><field tabindex="0" id="field_4" name="field_4" type="Text" contenteditable="true" class="input" title="文本输入域" value="1" data-code="" data-expression="=total1 + total2" multiline="false" validate="false" format="" style="display: inline-block; min-width: 100px; text-align: left;">1</field>&nbsp;<br></td></tr></tbody></table></div><p class="MsoNormal" style="margin-left:90.0500pt;"><span style="position:absolute;z-index:1;margin-left:75.5000px;
margin-top:112.3333px;width:680.0000px;height:0.0000px;"><br></span><span style="position:absolute;z-index:1;margin-left:75.5000px;
margin-top:112.3333px;width:680.0000px;height:0.0000px;"><br></span><span style="position:absolute;z-index:1;margin-left:75.5000px;
margin-top:112.3333px;width:680.0000px;height:0.0000px;"><br></span></p><br></div><div id="_footer" style="position: relative; min-height: 0.65cm; padding-left: 0.65cm; padding-right: 0.65cm; padding-bottom: 0.65cm; outline: none;" contenteditable="false" class=""></div>
</div>