机器人辅助上尿路手术患者术后焦虑抑郁影响因素分析及管理策略研究  

Influencing factors and management strategies on postoperative anxiety and depression in patients underwent robot-assisted upper urinary tract surgery

作　　者：张玉颖[1] 魏灿[1] 孟月皓 谢文姣 张艳斌[1] ZHANG Yuying;WEI Can;MENG Yuehao;XIE Wenjiao;ZHANG Yanbin(Department of Urology,Hefei Second People’s Hospital,Hefei 230011,China)

机构地区：[1]合肥市第二人民医院泌尿外科,安徽合肥230011

出　　处：《机器人外科学杂志（中英文）》2024年第5期946-951,共6页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金(82004010)。

摘　　要：目的:分析机器人辅助上尿路手术患者术后焦虑抑郁影响因素并研究其管理策略。方法:纳入2021年3月—2024年6月于合肥市第二人民医院行机器人辅助上尿路手术患者86例。术后第3 d用医院焦虑抑郁量表(HADS)评估患者焦虑抑郁状态,根据HADS评分将其分为焦虑抑郁组(41例)、其他组(45例)。收集两组患者人口学及病情相关资料。Logistic回归分析机器人辅助上尿路手术患者术后焦虑抑郁影响因素,探讨针对性管理策略。结果:焦虑抑郁组患者年龄较大,月均收入较低,文化程度在中学及以下比例更高,手术时间更长,疾病知识知晓比例更低(P<0.05)。Logistic回归分析显示月均收入、疾病知识知晓、年龄、手术时间是机器人辅助上尿路手术患者术后焦虑抑郁发生的影响因素(P<0.05)。月均收入、疾病知识知晓、年龄、手术时间及联合指标评估机器人辅助上尿路手术患者术后焦虑抑郁发生受试者曲线(ROC)下面积分别为0.712、0.667、0.793、0.755、0.876(P<0.05)。结论:较低的月均收入、疾病知识知晓差、较高的年龄以及较长的手术时间都会增加机器人辅助上尿路手术患者术后焦虑抑郁风险,临床需针对性完善患者管理流程以帮助患者改善焦虑抑郁。Objective:To analyze the influencing factors of postoperative anxiety and depression in patients underwent robot-assisted upper urinary tract surgery and explore its management strategies.Methods:86 patients underwent robotassisted upper urinary tract surgery in Hefei Second People’s Hospital from March 2021 to June 2024 were included in this study.The anxiety and depression status of patients was evaluated by the hospital anxiety and depression scale(HADS)3 days after surgery,and the patients were divided into the anxiety+depression group(41 cases)and other group(45 cases)according to the HADS score.Demographic and disease data of the two groups were collected.Logistic regression analysis was conducted to analyze the influencing factors on postoperative anxiety and depression in patients underwent robot-assisted upper urinary tract surgery,and to explore targeted management strategies.Results:Patients in the anxiety+depression group were older,with lower average monthly income.The proportion of education in middle school or below in the anxiety+depression group was higher,with longer operative time,and lower proportion of disease cognition(P<0.05).Logistic regression analysis results showed that mean monthly income,disease cognition level,age and operative time were the influencing factors of postoperative anxiety and depression in robot-assisted upper urinary tract surgery(P<0.05).The area under the receiver curve(ROC)of postoperative anxiety and depression in patients underwent robot-assisted upper urinary tract surgery evaluated by the average monthly income,disease cognition,age,operative time and joint indicators were 0.712,0.667,0.793,0.755,0.876(P<0.05).Conclusion:Lower mean monthly income,poor knowledge of disease,higher age and longer operative time can all increase the risk of postoperative anxiety and depression in patients underwent robot-assisted upper urinary tract surgery.It is necessary to optimize patient management procedures specifically to improve their anxiety and depression.

关 键 词：上尿路手术 机器人辅助手术系统 焦虑 抑郁 影响因素 

分 类 号：R691[医药卫生—泌尿科学]