西安地区主动脉夹层术后社会支持与焦虑、抑郁状况和躯体功能相关性  

Correlation between Social Support,Anxiety,Depression and Physical Function after Aortic Dissection Surgery in Xi'an

作　　者：贾莎莎 郭红 杨秀玲 潘娜 李劲松 谢文静 王瑞红 阮晓岩 刘冲冲 JIA Shasha;GUO Hong;YANG Xiuling;PAN Na;LI Jinsong;XIE Wenjing;WANG Ruihong;RUAN Xiaoyan;LIU Chongchong(Department of Cardiovascular Surgery,The First Affiliated Hospital of Air Force Military Medical University,Xi'an,710032,China;不详)

机构地区：[1]空军军医大学第一附属医院心血管外科,陕西西安710032 [2]空军军医大学第一附属医院质控科,陕西西安710032

出　　处：《中国社会医学杂志》2024年第5期585-589,共5页Chinese Journal of Social Medicine

基　　金：陕西省重点研发计划项目(2022ZDLSF02-01)。

摘　　要：目的了解西安地区主动脉夹层术后患者社会支持与焦虑、抑郁状况,并分析其与患者躯体功能相关性。方法回顾性收集2021年1月-2022年12月在空军军医大学第一附属医院就诊的948例主动脉夹层术后患者的临床资料进行研究。使用社会支持评定量表(SSRS)、7项广泛性焦虑量表(GAD-7)、简单自测抑郁量表(PHQ-9)、躯体症状量表(SSS-8)调查患者的社会支持水平、焦虑和抑郁状况、躯体功能,并进行相关性分析。结果948例主动脉夹层术后患者的SSRS得分为(42.38±8.17)分;GAD-7得分为(4.82±1.09)分;PHQ-9得分为(4.96±0.82)分;SSS-8得分为(5.26±2.17)分。无障碍组高社会支持水平(SSRS>44分)占比62.20%、不合并焦虑(GAD-7≤4分)占比50.39%、不合并抑郁(PHQ-9≤4分)占比45.67%,均高于有障碍组(上述指标分别为45.19%、40.68%、36.42%)(P<0.05)。Logistic回归分析显示,主动脉夹层术后患者有严重并发症、SSRS≤44分、GAD-7评分>4分、PHQ-9评分>4分是患者合并躯体功能障碍的独立危险因素(P<0.05)。相关性分析显示,948例主动脉夹层术后患者的SSS-8评分与SSRS评分呈显著负相关(r=-0.472,P<0.01);948例主动脉夹层术后患者的SSS-8评分与GAD-7评分、PHQ-9评分呈显著正相关(r=0.423、0.398,P<0.01)。结论西安地区主动脉夹层术后患者社会支持总体处于中等水平,患者普遍存在焦虑、抑郁状况,术后合并躯体功能障碍概率极高,患者社会支持水平越高,焦虑、抑郁情绪越少,躯体功能越强。Objective To investigate social support,anxiety and depression in patients after aortic dissection surgery in Xi'an,and to analyze their correlation with physical function.Methods A retrospective survey was performed on the clinical data of 948 patients undergoing aortic dissection surgery in the First Affiliated Hospital of Air Force Military Medical University between January 2021 and December 2022.The social support level,anxiety and depression,and physical function were investigated by social support rating scale(SSRS),generalized anxiety disorder-7(GAD-7),patient health questionnaire-9(PHQ-9)and somatic symptom scale(SSS-8).Results Of the 948 patients after aortic dissection surgery,scores of SSRS,GAD-7,PHQ-9 and SSS-8 was(42.38±8.17)points,(4.82±1.09)points,(4.96±0.82)points and(5.26±2.17)points,respectively.The proportions of high social support level(SSRS score>44 points),non-anxiety(GAD-7 score≤4 points)and non-depression(PHQ-9 score≤4 points)in non-disorder group was 62.20%,50.39%and 45.67%,higher than those in disorder group 45.19%,40.68%,36.42%(P<0.05).Logistic regression analysis showed that serious complications,SSRS scores≤44 points,GAD-7 score>4 points and PHQ-9 score>4 points were independent risk factors of physical dysfunction(P<0.05).Correlation analysis showed that SSS-8 score was significantly negatively correlated with SSRS score(r=-0.472,P<0.01),while which was significantly positively correlated with GAD-7 and PHQ-9 scores(r=0.423,0.398,P<0.01).Conclusion In patients after aortic dissection surgery in Xi'an,overall social support is at a moderate level,anxiety and depression are common,and the incidence of physical dysfunction is very high.The high level of social support and the low incidence of anxiety and depression could induce the strong physical function.

关 键 词：主动脉夹层术 社会支持 焦虑 抑郁 躯体功能 

分 类 号：R395.6[哲学宗教—心理学]