肺癌手术患者术前焦虑或抑郁的影响因素分析  

Analysis of Influencing Factors of Preoperative Anxiety or Depression in Patients with Lung Cancer Surgery

作　　者：杜彦霖 崔永[1] 蔡先启 李亚莉[1] 杨东杰 Yanlin DU;Yong CUI;Xianqi CAI;Yali LI;Dongjie YANG(Department of Thoracic Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院胸外科,北京100050

出　　处：《中国肺癌杂志》2020年第7期568-572,共5页Chinese Journal of Lung Cancer

摘　　要：背景与目的肺癌手术患者术前焦虑、抑郁可带给患者身心双方面的危害,既往关于术前住院天数是否会使肺癌术前患者增加心理负担的研究较少。本研究旨在探讨术前住院天数对患者心理状态是否产生影响以及恶性肿瘤患者术前知情情况对其心理状态的影响。方法以北京友谊医院胸外科处于肺癌围手术期的135例患者作为研究对象,采用一般调查问卷、Zung焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)对患者的一般情况资料、患者的焦虑/抑郁情况进行调查记录。结果入院当天SAS得分为36.25(30.00,42.50)分,术前1天SAS得分为37.50(31.25,43.75)分;入院当天SDS得分为46.25(40.00,52.50)分,术前1天SDS得分为47.50(41.25,53.75)分。对比中国常模,入院当天焦虑患者0例,轻度抑郁患者6例,术前1天轻度焦虑患者2例,轻度抑郁患者8例;通过统计学方法分析,单一影响因素分析表明肺癌围手术期患者术前住院天数与术前焦虑、抑郁呈正相关,结果有统计学意义(P<0.05)。广义线性模型分析表明其他因素如知情情况、性别、年龄、婚姻状况与术前焦虑、抑郁无明显相关性。结论肺癌住院患者术前发生焦虑、抑郁与术前住院天数呈正相关,住院天数越多,则患者的焦虑、抑郁评分越高,医护人员应积极关注肺癌患者的心理状况,应该提倡并积极建议患者住院之前在门诊完善术前检查和术前准备,以缩短入院时间,以期降低入院后发生焦虑、抑郁等不良心理问题的风险。Background and objective Preoperative anxiety/depression can bring physical and mental harm to the patients with lung cancer.There is little study on whether hospital waiting time before surgery can increase the psychological burden of patients with lung cancer.The aim of this study was to investigate the preoperative anxiety and depression of patients with lung cancer in our hospital,and to analyze the related influencing factors.Methods A total of 135 lung cancer inpatients in the Department of Thoracic Surgery of Beijing Friendship Hospital were studied.Their general information and anxiety/depression were recorded by general questionnaire,Zung self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Results The score of SAS was 36.25(30.00,42.50)on the day of admission,and 37.50(31.25,43.75)on one day before operation.The score of self-rating depression scale(SDS)was 46.25(40.00,52.50)on the day of admission,and 47.50(41.25,53.75)on one day before operation.Compared with the Chinese norm,there were 0 patient suffered from anxiety on the day of admission,and one day before operation.There were 2 patients suffered from mild anxiety;6 patients suffered from mild depression on the day of admission,and this number went up to 8 on the day before operation.Single factor analysis showed that the hospital waiting time before surgery was positively correlated with preoperative anxiety and depression,and the results were statistically significant(P<0.05).The generalized linear model analysis showed that other factors such as knowledge,gender,age and marital status had no significant correlation with preoperative anxiety and depression.Conclusion The occurrence of preoperative anxiety in hospitalized patients with lung cancer is positively correlated to the hospital waiting time before surgery.The longer they stayed in the hospital before operation,the greater their risk of anxiety/depression.So medical staff should actively focus on the psychological condition of the patients with lung cancer,and it is strong

关 键 词：焦虑 抑郁 肺肿瘤 

分 类 号：R734.2[医药卫生—肿瘤]