全程管理的肺结节患者不良情绪状态及其影响因素分析  

Analysis of negative emotional state and its influencing factors in patients with pulmonary nodules under whole process management

作　　者：杨先碧 刘青[2] 陈凤[2] 王聪[3] 周永召[1,2] YANG Xianbi;LIU Qing;CHEN Feng;WANG Cong;ZHOU Yongzhao(Department of Pulmonary and Critical Care Management Center,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China;Integrated Care Management Center,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China;Evidence-Based Nursing Center,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院呼吸与危重症医学科,成都610044 [2]四川大学华西医院门诊部全程管理中心,成都610044 [3]四川大学华西医院护理质量与安全循证研究中心,成都610044

出　　处：《重庆医学》2023年第24期3707-3712,共6页Chongqing medicine

基　　金：国家重点研发计划项目(2022YFC2406804)。

摘　　要：目的分析经全程管理的肺结节患者的不良情绪状态及其影响因素。方法对2021年6-12月118例已纳入肺结节全程管理的门诊患者进行问卷调查,采集其社会人口学特征和临床相关资料,采用华西心情指数量表(HEI)评估患者的焦虑、抑郁不良情绪,并采用单因素分析和多元线性回归模型分析不良情绪的影响因素。结果肺结节患者HEI得分为5(2,7)分,有焦虑、抑郁不良情绪的患者占16.9%。单因素分析结果显示,年龄、职业、医疗保险支付方式、居住地、恶性肿瘤家族史、吸烟年限、每日吸烟量、肺结节密度对HEI得分有影响(P<0.05);多元线性回归分析结果显示,肺结节大小、呼吸系统疾病症状是肺结节患者HEI得分的影响因素(P<0.05)。结论该研究中接受全程管理的肺结节患者不良情绪发生率较低,年轻、疾病负担承受能力较差、磨玻璃结节、有呼吸系统疾病症状和恶性肿瘤家族史的患者更容易产生不良情绪。Objective To analyze the negative emotional state and its influencing factors in patients with pulmonary nodules under whole process management.Methods A questionnaire survey was conducted on 118 outpatients who had been included in the whole process management of pulmonary nodules from June to December 2021,and their socio-demographic characteristics and clinical data were collected.The Huaxi emotional-distress index(HEI) was used to assess the anxiety and depression of the patients,and the influencing factors of negative emotions were analyzed by univariate analysis and multiple linear regression model.Results The HEI score of patients with pulmonary nodules was 5(2,7),and the patients with anxiety and depression accounted for 16.9%.Univariate analysis showed that age,occupation,medical insurance payment method,place of residence,family history of malignant tumor,duration of smoking,daily smoking amount and lung nodule density had significant effects on HEI score(P<0.05).The results of multiple linear regression analysis showed that the size of pulmonary nodules and symptoms of respiratory diseases were the influencing factors of HEI score in pulmonary nodules patients(P<0.05).Conclusion In this study,patients with pulmonary nodules who received whole process management had a lower incidence of negative emotions,and patients with younger age,poor disease burden tolerance,ground glass nodules,respiratory symptoms,and a family history of malignant tumors are more susceptible to developing negative emotions.

关 键 词：肺结节 全程管理 心理状态 影响因素 

分 类 号：R734.2[医药卫生—肿瘤]