消化道早癌患者ESD术后抑郁情况及其危险因素分析  

Depression and its risk factors in patients with early gastrointestinal cancer after ESD

作　　者：蒋宝玲 申妮 冯菊菊 JIANG Baoling;SHEN Ni;FENG Juju(Endoscopic Examination and Treatment Center of Yan'an Traditional Chinese Medicine Hospital,Yan'an 716000,China)

机构地区：[1]延安市中医医院内镜检查治疗中心,延安716000 [2]榆林市中医医院

出　　处：《国际精神病学杂志》2024年第5期1561-1563,共3页Journal Of International Psychiatry

基　　金：陕西省重点研发计划项目(编号:2020SF-372)。

摘　　要：目的 调查消化道早癌患者内镜下黏膜剥离(endoscopic submucosal dissection,ESD)术后抑郁情况,并分析其危险因素。方法 选取2019年9月~2023年9月在我院进行诊治的消化道早癌患者80例,并将其设为观察组,所有患者均接受ESD术。根据抑郁自评量表(Self-rating depression Scale,SDS)评估患者术后抑郁情况,将SDS评分≥53分的患者归为抑郁组(n=35),SDS评分<53分的患者归为非抑郁组(n=45)。比较抑郁组和非抑郁组基础资料信息及社会支持评定量表(Social Support Rating Scale,SSRS)评分,采用多因素Logistic回归分析影响消化道早癌患者ESD术后抑郁的危险因素。结果 抑郁组女性患者、未接受术前健康教育患者占比高于非抑郁组,且SSRS评分低于非抑郁组(P<0.05);经多因素Logistic回归分析证实,性别、术前健康教育、SSRS评分均是影响消化道早癌患者ESD术后抑郁的危险因素,均P<0.05。结论 消化道早癌患者ESD术后多数存在抑郁情绪,且性别、术前健康教育、SSRS评分均是影响消化道早癌患者ESD术后抑郁的危险因素,需要临床给予高度重视。Objective Investigate the postoperative depression status of patients with early gastrointestinal cancer undergoing endoscopic mucosal dissection(ESD)and analyze its risk factors.Methods Select and study 80patients with early gastrointestinal cancer who underwent diagnosis and treatment in our hospital from September 2019to September 2023,and set them as the observation group.All patients underwent ESD surgery.According to the Self Rating Depression Scale(SDS),patients with postoperative depression were evaluated.Patients with SDS scores ≥ 53were classified as the depression group(n=35),while those with SDS scores<53 were classified as the non depression group(n=45).Compare the basic information and Social Support Rating Scale(SSRS)scores of the depressed and non depressed groups,and use multiple logistic regression analysis to identify the risk factors for postoperative depression in patients with early gastrointestinal cancer undergoing ESD surgery.Results The proportion of female patients in the depression group and those who did not receive preoperative health education was higher than that in the non depression group,and the SSRS score was lower than that in the non depression group(P<0.05).Multiple logistic regression analysis confirmed that gender,preoperative health education,and SSRS score are all risk factors for postoperative depression in patients with early gastrointestinal cancer after ESD surgery,with P<0.05.Conclusion Most patients with early gastrointestinal cancer who undergo ESD surgery have depressive emotions,and gender,preoperative health education,and SSRS score are risk factors that affect postoperative depression in patients with early gastrointestinal cancer,which requires high clinical attention.

关 键 词：消化道早癌 内镜下黏膜剥离术 术后抑郁 社会支持 

分 类 号：R749[医药卫生—神经病学与精神病学]