激光碎石术后肾结石患者焦虑、抑郁发生情况及其相关因素  

The status of anxiety and depression in patients with kidney stones after laser lithotripsy and its related factors

作　　者：刘世俊 朱海涛 LIU Shijun;ZHU Haitao(Department of Urology,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州医科大学附属医院泌尿外科,徐州221000

出　　处：《国际精神病学杂志》2025年第1期290-293,共4页Journal Of International Psychiatry

摘　　要：目的 本论文旨在探讨激光碎石术后肾结石患者焦虑、抑郁发生情况及相关因素分析。方法 选择了2020年2月~2023年1月我院收治的激光碎石术后肾结石病人102例作为被调查者。应用焦虑自评量表(Self-rating Anxiety Scale,SAS)以及抑郁自评量表(Self-rating Depression Scale,SDS)对入组患者的焦虑和抑郁状况进行评估;以及对病人的一般信息的收集,应用单因素分析法,对肾结石患者在接受激光碎石治疗后出现焦虑以及抑郁的相关因素进行了研究。结果 在102例病人中,有18例(17.65%)出现了焦虑,包括9例(50.00%)是轻度的,5例(27.78%)是中度的,3例(16.67%)是重度的,SAS评分(68.19士6.07),其中,运动性紧张条目评分是最高的,达到了(3.21±1.56)分;25例(24.51%)出现了抑郁状况,包括轻度9例(36.00%)、中度12例(48.00%)、重度4例(16.00%),SDS评分(66.57士2.96)分。精神运动障碍的得分是最高的,达到了(3.67±1.14)分;单因素结果显示,激光碎石术后肾结石焦虑和抑郁患者不同年龄、不同家庭收入、不同医保形式、不同碎石后疼痛程度之间存在着统计学差异(P<0.05)。结论 激光碎石术后肾结石患者焦虑、抑郁情况发生情况较高,可能与患者年龄、家庭收入、医保形式、碎石后疼痛程度等因素有关。针对病人的精神状态,应进行针对性的干预,以减轻病人的焦虑与抑郁。Objective This paper aims to explore the incidence of anxiety and depression in patients with kidney stones after laser lithotripsy and analyze related factors.Methods 102 patients with kidney stones after laser lithotripsy admitted to our hospital from February 2020 to January 2023 were selected as the respondents.The Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)were used to evaluate the anxiety and depression status of enrolled patients;The collection of general information from patients and the application of univariate analysis method were used to study the related factors of anxiety and depression in kidney stone patients after receiving laser lithotripsy treatment.Results Out of 102 patients,18(17.65%)experienced anxiety,including 9(50.00%)who were mild,5(27.78%)who were moderate,and 3(16.67%)who were severe.The SAS score was(68.19±6.07),among which the motor tension item score was the highest,reaching(3.21±1.56).25 cases(24.51%)experienced depression,including 9 mild cases(36.00%),12 moderate cases(48.00%),and 4 severe cases(16.00%),with an SDS score of(66.57±2.96).The score for psychomotor disorders is the highest,reaching(3.67±1.14)points.The univariate results showed that there were statistical differences(P<0.05)between patients with anxiety and depression after laser lithotripsy for kidney stones of different ages,family incomes,medical insurance forms,and pain levels after lithotripsy.Conclusion Patients with kidney stones after laser lithotripsy have a higher incidence of anxiety and depression,which maybe related to factors such as patient age,family income,medical insurance form,and degree of pain after lithotripsy.Targeted interventions should be carried out to alleviate patients' anxiety and depression based on their mental state.

关 键 词：激光碎石术后肾结石 焦虑 抑郁 相关因素 

分 类 号：R749.99[医药卫生—神经病学与精神病学]