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机构地区:[1]温州医学院附属第二医院泌尿外科,浙江温州325027
出 处:《中国现代医生》2012年第28期39-40,共2页China Modern Doctor
基 金:浙江省温州市科技局科研项目(Y20070088)
摘 要:目的观察气压弹道碎石后结石未排净患者焦虑、抑郁的特点,探讨其临床意义及相关性。方法选取606例气压弹道碎石后结石未净患者作为观察组,选取200例碎石后结石已排净的患者作为对照组,选择体检证实为正常的成人200例作为正常对照组,应用汉密尔顿焦虑及抑郁量表评价三组焦虑及抑郁的差别,分析焦虑及抑郁评分在不同临床特征中的表达差异。结果观察组患者焦虑及抑郁评分明显高于对照组和正常对照组,观察组患者焦虑及抑郁评分与肾积水的严重程度、残余结石大小以及平均结石排净时间密切相关,经线性相关分析显示观察组患者焦虑和抑郁呈正相关性。结论气压弹道碎石后结石未净患者存在着焦虑和抑郁情绪,二者具有相关性,临床中应积极开展心理护理干预,以更好地改善患者的负性情绪。Objective To investigate the anxiety and depression characteristic, study their relationship in patients with residual stones after pneumatic lithotripsy. Methods A total of 606 residual stones patients were collected as the observation group,200 patients with no-residual stones after pneumatic lithotripsy were collected as control group,200 normal adults were collected as the normal control group. We analyzed the anxiety and depression by questionnaires. Their relationship and different clinical characteristics were studied in the observation group. Reasults The score of anxiety and depression were lower in the observation group than in the other two groups. The scores were correlated with severity, stone size and lithagogue time in observation group. Positive correlation of anxiety and depression were found in the observation group. Conclusion The higher socre of anxiety and depression are found in patients with residual stone after pneumatic lithotripsy. The essential intervention should be carried out in clincial work.
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