胃镜和结肠镜检查患者焦虑情绪及影响因素研究  

Anxiety levels in patients undergoing sedation for elective gastroscope and colonoscopy

作　　者：申苏建[1] 郑波[1] 林李淼[1] 夏宣平[1] 薛战雄[1] Su-jian Shen;Bo Zheng;Li-miao Lin;Xuan-ping Xia;Zhan-xiong Xue(Department of Gastroenterology, the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou, Zhejiang 325027, China)

机构地区：[1]温州医科大学附属第二医院消化内科

出　　处：《中国内镜杂志》2019年第6期40-44,共5页China Journal of Endoscopy

摘　　要：目的评估将要行胃镜检查和结肠镜检查患者的焦虑程度及其影响因素。方法纳入118例计划接受镇静后行胃镜和结肠镜检查的患者。患者进入内镜室前发放贝克焦虑量表,收集患者人口学统计数据,单因素和多因素Logistic回归分析胃镜和结肠镜检查患者焦虑情绪的影响因素。结果胃镜和结肠镜检查患者焦虑水平高于国内常模(P <0.01)。单因素分析显示,男性患者焦虑程度明显低于女性,不伴合并症患者低于伴合并症患者,大专以上教育程度患者焦虑程度低于教育程度为小学至高中的患者。多元Logistic回归分析显示,合并症和性别是接受胃镜和结肠镜检查患者焦虑情绪的主要影响因素。结论胃镜和结肠镜检查患者焦虑程度与合并症和性别有关,但与年龄和检查类别等因素无关。Objective To assess the level of anxiety and its influencing factors in patients undergoing gastroscopy and colonoscopy. Methods 118 patients were scheduled to undergo sedation for gastroscope and colonoscopy were studied. Beck Anxiety Inventory(BAI) was administered to each patient before brought to the endoscopy room. Demographic data of patients were collected univariate analysis and Multivariate Logistic regression analysis were used to analyze the influencing factors of anxiety in patients undergoing gastroscopy and colonoscopy. Results The levels of anxiety of patients undergoing sedation for elective gastroscope and colonoscopy were higher than that of domestic norm(P < 0.01). Univariate analysis showed that the anxiety degree of male patients was significantly lower than that of female patients, that of non-comorbidity patients was lower than that of comorbidity patients, and that the anxiety degree of patients with education degree above junior college was lower than that of patients with education degree from primary school to high school. Multivariate Logistic regression analysis revealed that comorbidity and gender were the main factors influencing anxiety in patients undergoing gastroscopy and colonoscopy. Conclusions We think that level of anxiety in patients who will undergo gastroscope and colonoscopy was effected by presence of comorbidities and gender, but was not effected by features such as age,procedure type.

关 键 词：焦虑 镇静 胃镜检查 结肠镜检查 

分 类 号：R749.72[医药卫生—神经病学与精神病学] R573[医药卫生—临床医学]