老年胆囊炎患者术后焦虑情绪的影响因素  

Influencing factors of postoperative anxiety in elderly patients with cholecystitis

作　　者：韦汉群[1] Wei Han-Qun(The First People′s Hospital of Zigong,Zigong 643000,Sichuan,China)

机构地区：[1]自贡市第一人民医院,四川自贡643000

出　　处：《中国老年学杂志》2022年第11期2833-2836,共4页Chinese Journal of Gerontology

摘　　要：目的探讨老年胆囊炎患者术后焦虑情绪的影响因素。方法选取2018~2020年四川自贡市第一人民医院收治的接受手术治疗的156例老年胆囊炎患者作为研究对象,采用焦虑自评量表(SAS)、视觉模拟评分(VAS)、匹兹堡睡眠质量指数(PSQI)量表对患者进行评估,收集患者的一般资料及疾病相关信息,采用单因素检验和多因素Logistic回归分析对老年胆囊炎患者术后焦虑情绪的产生因素进行分析。结果老年胆囊炎患者术后出现焦虑情绪者94例(60.30%)。单因素分析分析结果显示:无焦虑情绪组和存在焦虑情绪者组的学历、医保情况、婚姻状况、疾病类型、胆囊炎患者病程、入院时PSQI评分、并发症发生情况、术后24 h VAS比较,差异有统计学意义(P<0.05)。多因素Logistic回归结果显示:医保情况、婚姻状况、疾病类型、胆囊炎患者病程、入院时PSQI评分、并发症发生情况是影响老年胆囊炎患者术后焦虑情绪的独立影响因素(P<0.05),其中有医保、有配偶是其保护因素(OR<1),慢性胆囊炎、胆囊炎病程长、睡眠质量不好、出后出现并发症、术后24 h疼痛评分是其危险因素(OR>1)。结论老年胆囊炎患者术后存在焦虑情绪的比例较高,应引起重视,尤其是病程长的慢性胆囊炎患者、平时睡眠质量较差的患者、术后出现并发症及术后24 h疼痛较重的患者更容易产生焦虑情况,应该多给予重视和关注。Objective To investigate the influencing factors of postoperative anxiety in elderly patients with cholecystitis.Methods 156 elderly patients with cholecystitis received surgical treatment were admitted to the First People′s Hospital of Zigong in Sichuan from 2018 to 2020 were selected as the research objects.anxiety self-rating scale(SAS),visual analogue scale(VAS),Pittsburgh sleep quality index(PSQI)were used to evaluate patients′related indicators,the patients′general data and disease-related information were collected,and single factor test and multivariate logistic regression analysis were used to analyze the factors that cause anxiety in elderly patients with cholecystitis after surgery.Results 94 cases(60.30%)of elderly patients with cholecystitis developed anxiety after operation.The results of univariate analysis showed that there were statistically significant differences on education background,medical insurance status,marital status,disease type,course of patients with cholecystitis,PSQI score at admission,occurrence of complications,and VAS score at 24 h after surgery between the non-anxiety group and the anxiety group(P<0.05).Multivariate logistic regression results showed that:medical insurance status,marital status,disease type,course of cholecystitis patients,PSQI score at admission,and complications were independent factors that affect postoperative anxiety in elderly patients with cholecystitis(P<0.05).Among them,medical insurance status and spouse were the protective factors(OR<1).Chronic cholecystitis,long course of cholecystitis,poor sleep quality,complications after emergence,and pain score 24 h after surgery were risk factors(OR>1).Conclusions Elderly patients with cholecystitis has a higher proportion of anxiety after surgery,which should be paid attention to,especially in patients with chronic cholecystitis with a long course of disease,patients with poor sleep quality,patients with postoperative complications and severe pain within 24 hours after surgery are more prone to be anxie

关 键 词：胆囊炎 手术 焦虑 焦虑自评量表 

分 类 号：R575.6[医药卫生—消化系统] R749.72[医药卫生—内科学]