胃肠癌患者术前焦虑情绪和术后苏醒期躁动情况及影响因素分析  

Analysis of preoperative anxiety and postoperative recovery restlessness in patients with gastrointestinal cancer and their influencing factors

作　　者：杨星 刘梅 刘思远 张科[1] Yang Xing;Liu Mei;Liu Siyuan;Zhang Ke(Department of Anesthesiology,Nuclear Industry 416 Hospital,Chengdu 61005,China)

机构地区：[1]核工业四一六医院麻醉科,成都610051

出　　处：《中华消化病与影像杂志（电子版）》2024年第2期159-163,共5页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

摘　　要：目的探讨胃肠癌患者术前焦虑情绪和术后苏醒期躁动的发生率,分析影响因素以及相关性。方法采用单中心前瞻性队列研究方法,选择2020年1月1日至2022年12月31日在核工业四一六医院手术治疗的胃肠癌患者为研究对象。所有患者在术前1天采用汉密尔顿焦虑量表(HAMA)评估焦虑情绪状态,采用躁动-镇静程度量表(RASS)评估术后苏醒期躁动情况,收集患者的临床资料,采用单因素和多因素logistic回归分析胃肠癌患者术前焦虑情绪和术后苏醒期躁动的影响因素,分析术前焦虑情绪与术后苏醒期躁动的相关性。结果共入组202名胃肠癌患者,术前焦虑情况的评分为(10.68±2.18)分,术前焦虑发生率为64.85%。单因素和多因素logistic回归分析提示,年龄、教育程度、预计手术时长、付费方式是影响胃肠癌患者术前焦虑情绪的独立因素(P<0.05)。胃肠癌患者术后苏醒期RASS评分为(0.35±0.06)分,术后苏醒期躁动发生率为14.35%,单因素和多因素logistic回归分析提示,年龄、手术时间、麻醉方式、术中低体温是胃肠癌患者术后苏醒期躁动的独立因素(P<0.05)。胃肠癌患者术前焦虑情绪和术后苏醒期躁动具有明显相关性(r=0.511,P<0.001)。结论对于胃肠癌患者,年龄、教育程度、预计手术时长、付费方式是术前焦虑情绪的独立危险因素,年龄、手术时间、麻醉方式、术中低体温是术后苏醒期躁动的独立危险因素,术前焦虑情绪和术后苏醒期躁动具有明显相关性。Objective To investigate the incidence of preoperative anxiety and postoperative recovery restlessness in patients with gastrointestinal cancer,and to analyze the influencing factors and their correlations.Methods Using the single center prospective cohort study method,gastrointestinal cancer patients who underwent surgical treatment in Nuclear Industry 416 Hospital from January 1,2020 to December 31,2022 were selected as the research subjects.All patients were evaluated for preoperative anxiety state using the Hamilton Anxiety Scale(HAMA),and for postoperative recovery restlessness using the Richmond Agitation-Sedation Scale(RASS).Clinical data was collected from patients,and univariate and multivariate logistic regression analysis was used to analyze the factors influencing preoperative anxiety and postoperative recovery restlessness in gastrointestinal cancer patients.The correlation between preoperative anxiety and postoperative recovery restlessness was analyzed.Results A total of 202 gastrointestinal cancer patients were enrolled in this study.The preoperative anxiety score was(10.68±2.18)points,and the incidence of preoperative anxiety was 64.85%.Univariate and multivariate logistic regression analysis showed that age,education level,expected surgical duration,and payment method were independent factors affecting preoperative anxiety in patients with gastrointestinal cancer(P<0.05).The postoperative recovery RASS score of gastrointestinal cancer patients was(0.35±0.06)points,and the incidence of postoperative recovery restlessness was 14.35%.Univariate and multivariate logistic regression analysis showed that age,surgical time,anesthesia method,and intraoperative hypothermia were independent factors for postoperative recovery restlessness in gastrointestinal cancer patients(P<0.05).There was a significant correlation between preoperative anxiety and postoperative recovery restlessness in patients with gastrointestinal cancer(r=0.511,P<0.001).Conclusion For patients with gastrointestinal cancer,age,educat

关 键 词：胃肠癌 全身麻醉 苏醒期躁动 术前焦虑 影响因素 

分 类 号：R735[医药卫生—肿瘤]