肺部结节患者接受纤维支气管镜检查前的心理特点及其影响因素  

Investigation of the psychological status and its influencing factors in patients with pulmonary nodules receiving bronchoscopy

作　　者：朱盈盈[1] 周婷满 张焱林[1] 李艳丽[1] 

机构地区：[1]四川大学华西医院呼吸与危重症医学科,四川成都610041

出　　处：《西部医学》2017年第10期1469-1472,1476,共5页Medical Journal of West China

基　　金：国家自然科学基金(81201851);四川省科技计划项目(2014SZ0231)

摘　　要：目的了解肺部结节患者接受纤维支气管镜检查前的心理状况,为针对性地开展临床护理工作提供理论依据。方法选取2014年10月~2016年10月在四川大学华西医院呼吸内科接受纤维支气管镜检查的肺部结节患者,运用焦虑自评量表和抑郁自评量表分别对患者进行焦虑和抑郁状态评估。结果 118例患者完成问卷调查,其中52例(44.9%)患者存在不同程度的焦虑,80例(67.8%)患者存在不同程度的抑郁。单因素分析结果显示,性别、内科合并症、肿瘤家族史、既往吸烟史、文化程度是患者检查前焦虑情绪的影响因素。同时,年龄和婚姻状况是患者检查前抑郁情绪的影响因素。多因素Logistic回归分析结果显示,女性、高中及以上文化程度以及合并内科疾病是患者检查前出现焦虑情绪的独立影响因素;年龄是患者检查前出现抑郁情绪的独立影响因素。结论肺部结节患者接受纤维支气管镜检查前焦虑和抑郁症状的发生率高,护理人员应关注这类患者,并针对性地开展护理干预,以提高患者的生活质量。Objective To investigatethe psychological status and its influencing factors in patients with pulmonary nodules receiving bronchoscopy, and provide evidence for clinical nursing. Methods Patients with pulmonary nodules re- ceiving bronchoscopy in Department of Respiratory Medicine, West China Hospital, Sichuan University between October 2014 to October 2016 were investigated. Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to evaluate symptoms of anxiety and depression. Results 118 patients completed SDS and SAS. The incidence of anxiety was 44.9% （52/118）, and the incidence of depression was 67.8% （80/118）. Univariate analyses indicated that anxiety was associated with sex, comorbidity, family tumor history, smoking, and education level. The depression was associat- ed with age and marriage status. Multivariate analyses suggested that female, with eomorbidity and higher education level were associated with higher incidence of anxiety, and only aged patients were associated with higher incidence of depres- sion. Conclusion The incidence of anxiety and depression in patients with pulmonary nodules receiving bronchoscopy is high. The nurses should take care of these patients according to different situations to improve patients＇ quality of life.

关 键 词：肺部结节 纤维支气管镜 焦虑 抑郁 

分 类 号：R563.9[医药卫生—呼吸系统]