颅内动脉瘤患者手术前焦虑和抑郁情况及护理干预策略  

Concept of preoperative anxiety and depression in patients with intracranial aneurysms and nursing intervention strategies

作　　者：王新琦 郑敏 王平 邓秀蕊 梁阳 WANG Xinqi;ZHENG Min;WANG Ping(Neurosurgery Department of the Second Affiliated Hospital of Air Force Medical University,Xi'an 710038,China)

机构地区：[1]空军军医大学第二附属医院神经外科,西安710038

出　　处：《国际精神病学杂志》2025年第1期328-333,共6页Journal Of International Psychiatry

基　　金：陕西省重点研发计划项目(编号:2017SF-043)。

摘　　要：目的 探究颅内动脉瘤患者手术前焦虑和抑郁情绪及护理干预策略构想。方法 2022年6月~2023年11月,选取本院128例颅内动脉瘤患者行回顾性研究,按手术前焦虑和抑郁情绪发生状况分为焦虑组(66例)、无焦虑组(62例);抑郁组(60例)、无抑郁组(68例);通过二元Logistic回归分析颅内动脉瘤患者手术前焦虑和抑郁情绪影响因素。结果 二元Logistic回归分析显示,年龄(≥60岁)、月收入(<3000元)、文化程度(初中及以下)、发现方式(症状)均是焦虑发生的危险因素(P<0.05)。二元Logistic回归分析显示,年龄(≥60岁)、月收入(<5000元)、文化程度(初中及以下)均是抑郁发生的危险因素(P<0.05)。结论 年龄较高、月收入较低、文化程度也较低的颅内动脉瘤患者更容易产生焦虑抑郁,发现方式(症状)是焦虑发生另一危险因素。针对颅内动脉瘤患者手术前焦虑和抑郁情绪的影响因素,应积极沟通、心理疏导患者,以减轻患者术前负面情绪,为手术治疗创造良好心理条件。Objective Exploring preoperative anxiety and depression in patients with intracranial aneurysms and proposing nursing intervention strategies.Methods From June 2022 to November 2023,128 patients with intracranial aneurysm were selected for retrospective study,divided into anxiety group(66 cases)and non anxiety group(62 cases)based on the occurrence of preoperative anxiety and depression.Depression group(60 cases)and non depression group(68 cases).Analyze the influencing factors of preoperative anxiety and depression in patients with intracranial aneurysms through binary logistic regression.Results Binary logistic regression analysis showed that age(≥60 years old),monthly income(<3000 yuan),educational level(junior high school and below),and discovery method(symptoms)were all risk factors for anxiety occurrence(P<0.05).Binary logistic regression analysis showed that age(≥60 years old),monthly income(<5000 yuan),and educational level(junior high school and below)were all risk factors for depression(P<0.05).Conclusion Patients with intracranial aneurysms of higher age,lower monthly income and lower education level are more likely to develop anxiety and depression,and the detection method(symptoms)is another risk factor for anxiety.In view of the influencing factors of anxiety and depression before surgery in patients with intracranial aneurysm,active communication and psychological counseling should be conducted to reduce the negative emotions before surgery and create good psychological conditions for surgical treatment.

关 键 词：颅内动脉瘤 焦虑情绪 抑郁情绪 手术前 影响因素 

分 类 号：R749.99[医药卫生—神经病学与精神病学]