胆石症手术患者入院时焦虑抑郁情绪的影响因素及对住院天数的影响  

Influencing factors of anxiety and depression and its effect on the hospital length of stay among surgical inpatients with cholelithiasis

作　　者：刘星言 郭万军[1] 李涛[1] LIU Xingyan;GUO Wanjun;LI Tao(Mental Health Center,West China Hospitalof Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院心理卫生中心,成都610041

出　　处：《国际精神病学杂志》2020年第5期968-971,共4页Journal Of International Psychiatry

基　　金：四川大学华西医院学科卓越发展1·3·5工程项目资助(编号:ZY2016203)。

摘　　要：目的调查住院手术治疗的胆石症患者入院时焦虑抑郁情绪,分析其影响因素及对住院天数的影响。方法分析入院时接受了华西心情指数问卷(HEI,用于焦虑抑郁评估)的华西医院胆石症手术治疗患者5506例的临床真实世界数据。结果该群患者入院时HEI平均得分为1.86分,平均住院天数为5.40天,女性、年龄小于或等于50岁、单身及胆管结石(相较于男性、年龄大于50岁、已婚及胆囊结石)为入院时焦虑抑郁情绪严重程度的独立相关因素,而焦虑抑郁情绪严重程度、年龄大于50岁、男性、胆管结石、急诊入院及术式为开腹手术为住院天数独立预测性影响因素。结论胆石症患者存在一定的焦虑抑郁情绪,焦虑抑郁情绪延长患者的住院天数,应及时关注和干预。Objective To investigate the influencing factors of emotional distress(anxiety and/or depression on admission among surgical inpatients with cholelithiasis,and the effect of emotional distress on the hospital length of stay(LOS).Methods The emotional distress of 5506 patients who sought surgical therapy for cholelithiasis was measured on admission using the Huaxi emotional-distress index(HEI).Results The average HEI score and LOS was 1.86 and 5.40(days),respectively.Female,age less than or equal to 50,single and bile duct stones(compared to male,older than 50,married and gallbladder stone)were independently associated with the HEI score.The HEI score,older than 50,male,bile duct stones,emergency hospitalization and laparotomy predicted independently the LOS.Conclusion The emotional distress on admission among inpatients with cholelithiasis independently prolong the LOS,and is worthy of further investigation and intervention.

关 键 词：胆石症 焦虑 抑郁 华西心情指数问卷 住院天数 

分 类 号：R749.4[医药卫生—神经病学与精神病学]