新型冠状病毒肺炎疫情下手术患者术前心理状况及影响因素  

Psychological status and influencing factors of preoperative patients under the epidemic of new coronavirus pneumonia

作　　者：柳成孟 丁锦 陈娟[1] 薛新广 陈建萍 LIU Chengmeng;DING Jin;CHEN Juan;XUE Xinguang;CHEN Jianping(Operating Room,Affiliated Zhuzhou Hospital Xiangya School of Medicine,Central South University,Zhuzhou Hunan 412007;Pharmacy Intravenous Admixture Services,Affiliated Zhuzhou Hospital Xiangya School of Medicine,Central South University,Zhuzhou Hunan 412007,China)

机构地区：[1]中南大学湘雅医学院附属株洲医院手术室,湖南株洲412007 [2]中南大学湘雅医学院附属株洲医院静配中心,湖南株洲412007

出　　处：《临床与病理杂志》2021年第7期1651-1658,共8页Journal of Clinical and Pathological Research

摘　　要：目的:探讨新型冠状病毒肺炎疫情下手术患者术前焦虑、抑郁现状,并分析其影响因素。方法:采用横断面调查方法,应用一般资料调查表、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)对2020年2月1日至3月10日在中南大学湘雅医学院附属株洲医院行择期手术的233例术前患者进行问卷调查。结果:新型冠状病毒肺炎疫情下手术患者术前焦虑得分为46.24±6.52,抑郁得分为50.16±7.97,明显高于国内常模(P<0.05)。担心自己被传染的程度、家人的关心程度、对疫情的关注程度和延迟手术的想法既是导致患者术前焦虑的重要因素,也是导致患者术前抑郁的主要因素(P<0.05);此外,年龄、婚姻是患者术前焦虑的影响因素。结论:新型冠状病毒肺炎疫情下,手术患者术前存在不同程度的焦虑、抑郁,且焦虑、抑郁的影响因素不完全相同,医护人员应对手术患者术前进行针对性的心理护理。Objective:To explore the anxiety and depression before operation in patients under the epidemic of new coronavirus pneumonia and analyze the influencing factors.Methods:With the application of a cross-sectional survey method,self-rating anxiety scale(SAS)and self-rating depression scale(SDS),a qustionnare survey was performed in 233 patients who underwent elective surgery from February 1 to March 10,2020 in the third-class A hospital in Zhuzhou City.Results:The preoperative anxiety score of patients under the epidemic of new coronavirus pneumonia was 46.24±6.52,and the depression score was 50.16±7.97,which was significantly higher than the domestic norm(P<0.05).Worrying about the degree of infection,family’s concern,concerning about the epidemic and the tension of delaying surgery were not only important factors leading to patients‘preoperative anxiety,but also the main factors leading to patients’preoperative depression(P<0.05).In addition,age and marriage were the influencing factors of patients’preoperative anxiety.Conclusion:In the epidemic of new coronavirus pneumonia,there are different degrees of anxiety and depression in patients before surgery,and the influencing factors of anxiety and depression are not the same.Therefore,medical staff should provide patients with targeted psychological care before surgery.

关 键 词：新型冠状病毒肺炎 手术患者 焦虑 抑郁 心理状况 

分 类 号：R619[医药卫生—外科学] R395.6[医药卫生—临床医学]