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  

Study on the anxiety and depression and their influencing factors in parastomal hernia patients

作　　者：吕龙[1] 陈满宇[1] 何秋山[1] 

机构地区：[1]襄阳市中心医院/湖北文理学院附属医院,湖北襄阳441021

出　　处：《现代医学》2016年第3期283-287,共5页Modern Medical Journal

基　　金：湖北省卫生计生委青年科技人才项目(QJX2012-40)

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:选择2010年1月至2015年6月在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(selfrating anxiety scale,SAS)、流调用抑郁自评量表(center for epidemiological survey,depression scale,CES-D)对两组患者术前焦虑、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:两组患者性别、年龄、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)和抑郁得分(23.89±6.71)均高于对照组(分别为49.57±7.76、21.09±6.11),且差异均有统计学意义(P<0.05)。造口旁疝患者术前存在焦虑状态的比例占48.3%,明显高于对照组的41.7%,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。Objective： To investigate the anxiety and depression and their influencing factors in parastomal hernia patients. Methods： Sixty cases of continuous selective parastomal hernia patients from Department of General Surgery of Xiangyang central hospital from January 2010 to June 2015 were served as case group. According to the ratio of 1∶ 2,120 cases of age-matched intestinal fistula patients were selected as control group. Self-Rating Anxiety Scale,Center for Epidemiological Survey and Depression Scale were used to investigate the anxiety and depression status of patients before surgery. Multiple linear regression analysis was used to analyze the influencing factors of the anxiety and depression in patients with parastomal hernia. Results： Sixty cases of patients with parastomal hernia and 120 cases of patients with colostomy were investigated. The gender,age,education,occupation distribution and means of payment for medical expenses of patients in the two groups had no statistically significant difference（ P〉0. 05）. Scores of anxiety（ 56. 78 ± 8. 91 vs 49. 57 ± 7. 76） and depression（ 23. 89 ± 6. 71 vs 21. 09 ±6. 11） in patients with stoma hernia were significantly higher than those in control group（ P〈0. 05）. Patients with parastomal hernia of anxiety accounted for 48. 3%,which was significantly higher than the detection rate of anxiety（ 41. 7%） in the control group,the difference being statistically significant（ P = 0. 003）; Anxiety score in harastomal hernia patients was significantly higher than that in the control group（ 55. 66 ± 9. 77 vs 45. 67 ± 8. 76）with statistically significant difference（ P〈0. 05）. Patients with parastomal hernia of depression accounted for35. 0%,which was significantly higher than that in the control group（ 20. 0%）,the difference being statistically significant（ P = 0. 028）. Multi-factor analysis showed that gender,culture degree,means of payment for medical expenses were the main factors which influenced the patients＇ anxie

关 键 词：肠造口术 造口旁疝 焦虑 抑郁 影响因素 

分 类 号：R656[医药卫生—外科学] R749.72[医药卫生—临床医学]