日间手术模式管理下宫腔粘连患者的焦虑、抑郁症状现状及其影响因素  

Anxiety and depressive symptoms and their influential factors among patients with intrauterine adhesions managed by day surgery model

作　　者：何静 杨玉琼[1,2] 李明轩 HE Jing;YANG Yuqiong;LI Mingxuan(Department of Day Surgery Nursing,West China Second University Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University),Ministry of Education,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西第二医院日间手术护理单元,成都610041 [2]出生缺陷与相关妇儿疾病教育部重点实验室,成都610041

出　　处：《华西医学》2025年第2期211-216,共6页West China Medical Journal

摘　　要：目的调查日间手术模式管理下的宫腔粘连患者的焦虑、抑郁症状的现状,并探索其影响因素。方法采用方便抽样的方法,抽取2021年1月—2022年12月因宫腔粘连于四川大学华西第二医院行日间手术的患者。应用一般资料调查表、医院焦虑抑郁量表调查研究对象的社会人口学资料及焦虑、抑郁症状。应用logistic回归分析焦虑、抑郁症状的影响因素。结果共纳入患者1100例。日间手术模式管理下宫腔粘连患者焦虑症状发生率为16.5%(181/1100),抑郁症状发生率为16.9%(186/1100)。较长的入院等侯天数[比值比(odds ratio,OR)=1.012,95%置信区间(confidence interval,CI)(1.004,1.020),P=0.004]、已婚[OR=0.547,95%CI(0.344,0.869),P=0.011]、较多的分粘次数[OR=0.826,95%CI(0.691,0.986),P=0.034]、较大的年龄[OR=0.947,95%CI(0.909,0.987),P=0.010]是宫腔粘连患者焦虑症状的影响因素。失业[OR=0.504,95%CI(0.256,0.994),P=0.048]、大学或本科[OR=0.326,95%CI(0.208,0.512),P<0.001]及高中或中专[OR=0.532,95%CI(0.319,0.888),P=0.016]是宫腔粘连患者抑郁症状的影响因素。结论日间手术模式管理下宫腔粘连患者的焦虑、抑郁症状发生率较高,影响因素包括社会人口学因素(年龄、学历、婚姻状态和职业)和疾病因素(已分粘次数),医务人员应重视宫腔粘连患者的心理健康状态的早期筛查,并给予针对性的预防与处理措施。Objective To investigate the incidences of anxiety and depressive symptoms among patients with intrauterine adhesions(IUA)managed by day surgery model,and explore their influential factors.Methods Convenience sampling was used to select patients who underwent day surgery at West China Second University Hospital,Sichuan University between January 2021 and December 2022.General information questionnaire and Hospital Anxiety and Depression Scale were used to assess the socio-demographic data and anxiety and depressive symptoms of the participants.Logistic regression was used to analyze the influential factors of anxiety and depressive symptoms.Results A total of 1100 patients were included.The incidence of anxiety and depressive were 16.5%(181/1100)and 16.9%(186/1100)among patients undergoing day surgery for IUA respectively.Longer waiting days for admission[odds ratio(OR)=1.012,95%confidence interval(CI)(1.004,1.020),P=0.004],married[OR=0.547,95%CI(0.344,0.869),P=0.011],more times of adhesion separation[OR=0.826,95%CI(0.691,0.986),P=0.034],older age[OR=0.947,95%CI(0.909,0.987),P=0.010]were influencing factors for anxiety symptoms in patients with IUA.Unemployment[OR=0.504,95%CI(0.256,0.994),P=0.048],university or undergraduate education[OR=0.326,95%CI(0.208,0.512),P<0.001],and high school or vocational school education[OR=0.532,95%CI(0.319,0.888),P=0.016]were the influencing factors for depressive symptoms in patients with IUA.Conclusions There is a high incidence of anxiety and depressive symptoms among patients with IUA under the management of day surgery mode.The influential factors include socio-demographic factors(age,education level,marital status and occupation)and disease factors(times of adhesion).Medical staff should pay attention to the early screening of mental health status of patients with IUA,and give targeted prevention and treatment measures.

关 键 词：宫腔粘连 焦虑症状 抑郁症状 影响因素 

分 类 号：R473.71[医药卫生—护理学]