早期食管癌内镜黏膜下剥离术前焦虑现状  

Investigation of current anxiety status of early esophageal carcinoma before endoscopic submucosal dissection

作　　者：石小红 张学秀[2] 杨磊[1] 张英[1] 王冬梅[1] 赵丽辉[1] SHI Xiaohong;ZHANG Xuexiu;YANG Lei(Digestive Endoscopy Center,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院消化内镜中心,450000 [2]郑州大学第一附属医院消化内科

出　　处：《中国健康心理学杂志》2021年第5期666-669,共4页China Journal of Health Psychology

基　　金：河南省高等学校重点科研项目计划(编号:20A320054)。

摘　　要：目的:调查早期食管癌内镜黏膜下剥离术(ESD)前焦虑现状。方法:选择某院2018年1月1日到2019年12月31日128例早期食管癌ESD患者作为研究对象,根据汉密尔顿焦虑量表(HAMA)评分结果,将总分<7分者设为无焦虑组,7~28分者设为焦虑组,≥29分者设为重度焦虑组。分析不同焦虑水平患者的基本情况、汉密尔顿抑郁量表(HAMD)、心理弹性量表(CD-RISC)、Herth希望量表,并使用Pearson直线相关法分析早期食管癌ESD术前焦虑的相关因素。结果:根据HAMA评分结果,无焦虑组35例,焦虑组62例,重度焦虑组31例。3组性别、病变类型、病变部位比较,差异均无统计学意义(P>0.05);无焦虑组的年龄、病变长度显著低于焦虑组和重度焦虑组,受教育程度、月收入显著高于焦虑组和重度焦虑组,差异均有统计学意义(F=5.10,32.73,7.401,41.77;P<0.05)。无焦虑组的HAMD评分显著低于焦虑组和重度焦虑组,CD-RISC、Herth希望量表评分显著高于焦虑组和重度焦虑组,差异均有统计学意义(F=315.55,83.01,63.71;P<0.05)。经Pearson直线相关法分析,年龄、病变长度、HAMD与早期食管癌ESD术前焦虑均呈正相关(r=0.373,0.459,0.635;P<0.05),受教育程度、月收入、CD-RISC、Herth希望量表与早期食管癌ESD术前焦虑均呈负相关(r=-0.422,-0.398,-0.437,-0.568;P<0.05)。结论:早期食管癌ESD患者术前焦虑程度多处于中高水平,并与年龄、病变长度、抑郁、受教育程度、月收入、心理弹性及希望水平显著相关。Objective:To investigate the status of anxiety before early esophageal cancer endoscopic submucosal dissection(ESD).Methods:A total of 128 patients with early esophageal cancer ESD from January 1,2018 to December 31,2019 were selected as study subjects.According to the results of the Hamilton Anxiety Scale(HAMA),those with a total score of less than 7 points were set as the anxiety-free group,those with a score of 7 to 28 were set as the anxiety group,and those with a score of≥29 were set as the severe anxiety group.The basic situation of patients with different anxiety levels,Hamilton Depression Scale(HAMD),Psychological Resilience Scale(CD-RISC),Herth Hope Scale wereanalyzed.Pearson line correlation method was used to analyze the related factors of preoperative anxiety in early esophageal cancer ESD.Results:According to the HAMA score,there were 35 cases in the anxiety group,62 cases in the anxiety group,and 31 cases in the severe anxiety group.There were no statistically significant differences in gender,lesion type,and lesion location among the three groups(P>0.05).The age and lesion length of the anxiety-free group were significantly lower than those of the anxiety group and the severe anxiety group,and the education level and monthly income were significantly higher than those of the anxiety group and the severe anxiety group.The differences were statistically significant(F=5.10,32.73,Z=7.401,F=41.77,P<0.05).The HAMD score of the anxiety-free group was significantly lower than that of the anxiety group and the severe anxiety group,and the CD-RISC and Herth Hope Scale scores were significantly higher than that of the anxiety group and the severe anxiety group,andthe differences were statistically significant(F=315.55,83.01,63.71;P<0.05).Pearson linear correlation analysis showed that age,lesion length,HAMD and early esophageal cancer ESD preoperative anxiety were positively correlated(r=0.373,0.459,0.635;P<0.05).Education level,monthly income,CD-RISC,Herth hope were negatively correlated with preoperative

关 键 词：食管癌 内镜黏膜下剥离术 焦虑 抑郁 心理弹性 希望 

分 类 号：R749.92[医药卫生—神经病学与精神病学]