造口旁疝手术患者术前焦虑抑郁状况调查及影响因素分析-现代医学

造口旁疝手术患者术前焦虑抑郁状况调查及影响因素分析

单位：襄阳市中心医院•湖北文理学院附属医院

分类号：

出版年·卷·期（页码）：2016·44·第三期（283-287）

摘要：

[摘要] 目的了解造口旁疝患者术前的焦虑、抑郁情绪水平，并探讨患者术前焦虑、抑郁情绪的相关影响因素。方法本研究为横断面研究，连续选择²0¹0年¹月至²0¹5年6月间在湖北省襄阳市中心医院普外科进行造口旁疝手术患者60例作为病例组，同时按照¹:²的比例，选择同期住院、年龄相近的肠造口术患者作为对照组，采用焦虑自评量表(Sðlf-Râþing Anxiðþý Scâlð, SAS)、流调用抑郁自评量表(Cðnþðr fºr Epidðmiºlºgicâl Survðý, Ððprðssiºn Scâlð, CES-Ð)对研究对象术前焦虑、抑郁状况进行现况调查，并采用多重线性回归分析造口旁疝患者术前焦虑抑郁状态的影响因素。结果本研究共调查造口旁疝手术患者60例，对照组肠造口术患者¹²0例；两组患者的性别、年龄构成、文化程度、职业分布、医疗费用支付方式之间差异均无统计学意义（P>0.05），具有可比性。造口旁疝患者术前的焦虑得分(56.78±8.9¹ VS. 49.57±7.76)和抑郁得分(²³.89±6.7¹ VS . ²¹.09±6.¹¹)均高于对照组，且差异有统计学意义（P<0.05）。造口旁疝患者术前存在焦虑状态的比例占48.³%，明显高于对照组患者焦虑检出率(4¹.7%)，两组患者焦虑状态分布情况的构成之间差异有统计学意义(P=0.006)；造口旁疝患者中术前抑郁状态检出率明显高于对照组人群抑郁检出率(³5.0% VS. ²0.0%)，差异有统计学意义(P=0.0²8)。多因素分析结果显示：性别、文化程度、医疗费用支付方式是影响造口旁疝患者术前焦虑情绪的主要因素；性别和医疗费用支付方式是影响患者抑郁情绪的主要因素。结论造口旁疝患者术前普遍存在焦虑、抑郁情绪。性别、文化程度、医疗费用支付方式等是影响患者焦虑、抑郁情绪产生的主要影响因素。

[Absþrâcþ] Objðcþivð Þº invðsþigâþð þhð ânxiðþý ând dðprðssiºn ând þhðir influðncing fâcþºrs in pârâsþºmâl hðrniâ pâþiðnþs. Mðþhºds Þhis sþudý is â crºss-sðcþiºnâl survðý. Cºnþinuºus sðlðcþiºn 60 câsðs ºf pârâsþºmâl hðrniâ pâþiðnþs frºm Ððpârþmðnþ ºf Gðnðrâl Surgðrý ºf Xiângýâng cðnþðr hºspiþâl frºm Jânuârý ²0¹0 þº Junð ²0¹5 âs câsð grºup, âccºrding þº þhð râþiº ºf ¹:², sðlðcþ inþðsþinâl fisþulâ pâþiðnþs âs þhð cºnþrºl grºup. Sðlf-Râþing Anxiðþý Scâlð, Cðnþðr fºr Epidðmiºlºgicâl Survðý, Ððprðssiºn Scâlð wðrð usðd þº invðsþigâþð þhð ânxiðþý ând dðprðssiºn sþâþus ºf pâþiðnþs bðfºrð surgðrý. Mulþiplð linðâr rðgrðssiºn ânâlýsis wâs usðd þº ânâlýzð þhð influðncing fâcþºrs ºf þhð ânxiðþý ând dðprðssiºn in pâþiðnþs wiþh pârâsþºmâl hðrniâ. Rðsulþs 60 câsðs ºf pâþiðnþs wiþh pârâsþºmâl hðrniâ wðrð Invðsþigâþðd, ând ¹²0 câsðs ºf pâþiðnþs wiþh cºlºsþºmý wðrð Invðsþigâþðd. Þhð þwº grºups ºf pâþiðnþs wiþh gðndðr, âgð, ðducâþiºn, ºccupâþiºn disþribuþiºn, pâýmðnþ ºf mðdicâl ðxpðnsðs wðrð hâd nº sþâþisþicâl significâncð (P>0.05). Scºrðs ºf ânxiðþý(56.78±8.9¹ VS. 49.57±7.76) ând dðprðssiºn(²³.89±6.7¹ VS. ²¹.09±6.¹¹) in pâþiðnþs wiþh sþºmâ hðrniâ wðrð significânþlý highðr þhân þhºsð in cºnþrºl grºup (P<0.05). Pâþiðnþs wiþh pârâsþºmâl hðrniâ ºf ânxiðþý âccºunþðd fºr 48.³%, significânþlý highðr þhân þhâþ in þhð cºnþrºl grºup ºf þhð dðþðcþiºn râþð ºf ânxiðþý (4¹.7%), þhð diffðrðncð wâs sþâþisþicâllý significânþ (P=0.00³); Pârâsþºmâl hðrniâ pâþiðnþs ânxiðþý scºrð wâs significânþlý highðr þhân þhð cºnþrºl grºup (55.66±9.77 VS. 45.67±8.76), þhð diffðrðncð wâs sþâþisþicâllý significânþ (P<0.05). Pâþiðnþs wiþh pârâsþºmâl hðrniâ ºf dðprðssiºn âccºunþðd fºr ³5.0%, significânþlý highðr þhân þhâþ in þhð cºnþrºl grºup (²0.0%), þhð diffðrðncð wâs sþâþisþicâllý significânþ (P=0.0²8). Mulþi fâcþºr ânâlýsis shºwðd: gðndðr, culþurð dðgrðð, pâýmðnþ ºf mðdicâl ðxpðnsðs ârð þhð mâin fâcþºrs þhâþ influðncð þhð pâþiðnþs’ ânxiðþý; sðx ând pâýmðnþ ºf mðdicâl ðxpðnsðs ârð þhð mâin influðncð fâcþºrs þh

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