术前焦虑对肺癌根治术后患者的早期预后及创伤后成长的影响  

The influence of preoperative anxiety on early prognosis and immune function in lung cancer patients after radical resection

作　　者：韩小勇 高璐 赵钦 柳亮 杨海灵 耿延栋 李良[1] HAN Xiaoyong;GAO Lu;ZHAO Qin(Department Of Chest Surgery,Baoding NO.1 Central hospital,Baoding 071000,China)

机构地区：[1]保定市第一中心医院胸外科,保定071000

出　　处：《国际精神病学杂志》2024年第2期597-598,609,共3页Journal Of International Psychiatry

基　　金：河北省2023年度医学科学研究课题计划(编号:20232028)。

摘　　要：目的探讨术前焦虑对肺癌根治术后早期预后及创伤后成长的影响。方法本研究选择2018年10月~2022年6月88例肺癌患者,均采用肺癌根治术治疗。术前当天评估患者焦虑情绪,根据评估结果设为焦虑组以及无焦虑组,分别为46例、42例。比较两组患者术后24 h疼痛视觉模拟评分(visual analogue scale,VAS)、首次下床时间、住院时间,评估术后1 d、术后3 d、5 d创伤后成长评定量表(Posttraumatic Growth Inventory,PTGI)。结果焦虑组术后24 h VAS评分、首次下床时间、住院时间均显著低于无焦虑组(P<0.05);两组术后1 d、3 d、5d PTGI评分逐渐升高,且焦虑组均显著低于无焦虑组(P<0.05)。结论术前焦虑会加重患者肺癌根治术后的疼痛感受,延长卧床及住院时间,并会降低创伤后成长水平。Objective To explore the influence of preoperative anxiety on early prognosis and Post-traumatic growth after radical lung cancer surgery.Methods Eighty-eight lung cancer patients from October 2018 to June 2022,allof whom underwent radical lung cancer surgery.patient's anxiety on the same day before surgery were assessed.They were set as the anxiety group and the no anxiety group based on the evaluation results,and 46 cases and 42 cases respectively.The visual analog scale(VAS),first time out of bed,and length of hospital stay between two groups of patients at 24 hours after surgery,and Posttraumatic Growth Inventory(PTGI)was evaluated 1,3 and 5 days after surgery.Results The 24-hour VAS score,first time out of bed,and hospital stay in the anxiety group were significantly lower than those in the non anxiety group(P<0.05).PTGI scores of the two groups were gradually increased at Id,3d and 5d afer surgery,and the anxious group was significantly lower than the non-anxious group(P<0.05).Conclusion Preoperative anxiety can exacerbate postoperative pain,prolong bed rest and hospital stay,and lower levels of post-traumatic growth.

关 键 词：术前焦虑 肺癌根治术 早期预后 创伤后成长 

分 类 号：R749.92[医药卫生—神经病学与精神病学]