胃食管反流性疾病腹腔镜术后患者精神因素对生活质量的影响  

Effects of Psychiatric Factors on Quality of Life after Laparoscopic Fundoplication in Patients with Gastroesophageal Reflux Disease

作　　者：章华丽[1] 董咏梅[1] 陈琼[1] 蔡希[1] 

机构地区：[1]温州医学院附属第二医院微创外科,浙江温州325000

出　　处：《解放军护理杂志》2011年第23期21-22,62,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨胃食管反流性疾病(gastroesophageal reflux disease,GERD)腹腔镜胃底折叠术后患者精神因素对生活质量的影响。方法采用便利抽样法选取行腹腔镜胃底折叠术的GERD患者60例为研究对象,所有患者在术前应用医院焦虑抑郁量表(The hospital anxiety and depression scale,HADS)进行精神心理状态评分,并分别于术前、术后3和6个月及1年采用消化病生活质量指数(physical quality of life index,GIQLI)进行生活质量评估。结果术前HADS评分正常者42例(70.0%),评分异常者18例(30.0%)。所有患者术前、术后3和6个月及1年生活质量的平均得分为(100.6±14.1)、(119.3±16.2)、(114.5±12.4)、(123.1±17.8)分。经检验,差异有统计学意义(F=4.138,P<0.05)。有精神症状组的患者术前、术后3和6个月及1年的生活质量评分均明显低于无精神症状患者,差异有统计学意义(P<0.05)。结论焦虑、抑郁症状对患者术前和术后的生活质量均有不良影响,对于伴有精神症状的GERD患者,有针对性的心理护理是非常必要的。Objective To investigate the effect of psychiatric factors on quality of life（QOL） after laparo- scopic fundoplication in the patients with gastroesophagea[ reflux disease（GERD）. Methods Sixty GERD patients with laparoscopic fundoplication assessed using hospital anxiety and depression scale9 （HADS） be- fore surgery. The QOL was assessed using the gastrointestinal quality of life index（GIQLI） preoperatively, and at 3, 6, 12 months after surgery seperately. Results The HADS scores were normal in 42 cases （70.0%） and abnormal in 18 cases（30. 0%）. The averge GIQLI scores before surgery, and at 3,6, 12 months after surgery were 100.6 ± 14.1,119.3 ± 16.2,114.5 ± 12.4 and 123.1± 17.8, respectinely. Signifi- cant differences were datected on the average GIQLI scares（F= 4. 138, P〈0.05）. The GIQLI scores before surgery,and at 3,6,12 months after surgery in the anxiety and depression group were significantly lower than those in the group without anxiety and depression（P〈0.05）. Conclusion Anxiety and depression have adverse effect on the QOL in the patients with GERD preoperatively and postoperatively. It is necessary and important to receive psychological nursing for GERD patients with psychiatric symptoms.

关 键 词：胃食管反流性疾病 精神因素 腹腔镜 消化病生活质量指数 

分 类 号：R573[医药卫生—消化系统]