腹腔镜全胃切除术患者围术期焦虑抑郁状况及其影响因素分析  

Analysis of perioperative anxiety and depression status and influencing factors in patients undergoing laparoscopic total gastrectomy

作　　者：高开阁 关晓青 吕文静 GAO Kaige;GUAN Xiaoqing;LYU Wenjing(Department of Gastroenterology,Zibo Central Hospital,Zibo 255022,China;Trauma Orthopedics and Gastrointestinal Ward,Zibo Central Hospital,Zibo 255022,China)

机构地区：[1]淄博市中心医院胃肠外科,山东淄博255022 [2]淄博市中心医院创伤骨科胃肠病区,山东淄博255022

出　　处：《心理月刊》2024年第24期49-51,共3页

摘　　要：目的 分析腹腔镜全胃切除术患者围术期焦虑抑郁状况及其影响因素与心理护理对策。方法 选取2020年1月~2024年1月本院收治的150例腹腔镜全胃切除术患者,以焦虑自评量表(SAS)与抑郁自评量表(SDS)评估其围术期焦虑、抑郁状况;另收集患者的年龄、性别等信息,探究影响其围术期焦虑抑郁状况的相关因素。结果 150例患者中,发生焦虑抑郁的共26例(17.33%),其中焦虑14例,抑郁12例,共患焦虑抑郁0例;单因素分析显示:吸烟史、饮酒史、基础疾病、婚姻状况、体质量指数、居住地、病程、病理类型与腹腔镜全胃切除术患者围术期焦虑抑郁的发生无关(P>0.05);年龄、性别、文化程度、家庭人均月收入、治疗费用、住院时间与腹腔镜全胃切除术患者围术期焦虑抑郁的发生有关(P<0.05);Logistic回归分析显示:年龄≥40岁(OR=4.182,95%CI=1.572~11.128)、女性(OR=2.704,95%CI=1.117~6.542)、高中及以下文化(OR=7.373,95%CI=2.602~20.897)、家庭人均月收入<5 000元(OR=5.495,95%CI=2.138~14.121)、自费(OR=8.140,95%CI=2.645~25.052)、住院时间≥2周(OR=5.102,95%CI=1.913~13.605)是腹腔镜全胃切除术患者围术期焦虑抑郁发生的独立危险因素(P<0.05)。结论 年龄≥40岁、女性、高中及以下文化、家庭人均月收入<5000元、自费、住院时间≥2周是腹腔镜全胃切除术患者围术期焦虑抑郁发生的独立危险因素。Objective To analyze the perioperative anxiety and depression status,influencing factors,and psychological nursing strategies of patients undergoing laparoscopic total gastrectomy.Methods 150 patients undergoing laparoscopic total gastrectomy admitted to our hospital from January 2020 to January 2024 were selected,and their perioperative anxiety and depression status were evaluated using the self rating anxiety scale(SAS)and self rating depression scale(SDS).Collect information on the patient's age,gender,and other factors to explore the factors that affect their perioperative anxiety and depression status.Results Among the 150 patients,a total of 26 cases(17.33%)experienced anxiety and depression,including 14 cases of anxiety,12 cases of depression,and 0 cases of comorbid anxiety and depression;Univariate analysis showed that smoking history,alcohol consumption history,underlying diseases,marital status,body mass index,place of residence,disease duration,and pathological type were not associated with the occurrence of perioperative anxiety and depression in patients undergoing laparoscopic total gastrectomy(P>0.05).Age,gender,educational level,average monthly household income,treatment costs,and length of hospital stay are associated with the occurrence of perioperative anxiety and depression in patients undergoing laparoscopic total gastrectomy(P<0.05).Logistic regression analysis showed that age≥40 years old(OR=4.182,95%CI=1.572~11.128),female(OR=2.704,95%CI=1.117~6.542),high school education or below(OR=7.373,95%CI=2.602~20.897),average monthly household income<5000 yuan(OR=5.495,95%CI=2.138~14.121),out of pocket(OR=8.140,95%CI=2.645~25.052),and length of hospital stay≥2 weeks(OR=5.102,95%CI=1.913~13.605)were independent risk factors for perioperative anxiety and depression in patients undergoing laparoscopic total gastrectomy(P<0.05).Conclusion Age≥40 years old,female,high school education or below,average monthly household income<5000 yuan,self payment,and hospital stay≥2 weeks are independent risk

关 键 词：腹腔镜全胃切除术 焦虑 抑郁 基础疾病 

分 类 号：R47[医药卫生—护理学]