摘要
目的:探讨腰椎间盘突出症患者术前焦虑情绪与术后疼痛、术后恢复的关系。方法:用医院焦虑抑郁量表(hospital anxiety and depressionscale,HADS)评估行腰椎间盘手术的54例患者的焦虑情绪,以≥8分判为有焦虑情绪;用疼痛量表评估患者的疼痛程度,并记录病情恢复情况。用卡方检验,t检验比较焦虑组和非焦虑组的差异情况。结果:54例患者中有25例有焦虑;睡眠情况、对手术的认知程度、手术费用的承受能力与焦虑水平相关(OR=0.495,0.657,1.485)。在术后6小时、2天、5天时,焦虑组的疼痛得分高于非焦虑组的疼痛得分[(9.0±4.1)vs.(6.0±3.4),(12.5±4.2)vs.(10.0±3.5),(4.5±1.6)vs.(2.5±1.2);均P<0.05]。焦虑组患者的住院时间长于非焦虑组患者[(12.5±2.3)dvs.(9.7±2.1)d,P=0.008],排尿困难发生率高于非焦虑组患者(32%vs.17%,P=0.006)。腰腿疼在术后第2天、第5天、1个月时焦虑组评分高于非焦虑组[(14.0±3.7)vs.(11.5±3.5),(9.5±4.2)vs.(6.5±3.3),(7.0±4.3)vs.(4.5±2.8);P<0.05]。结论:术前焦虑情绪影响术后刀口疼痛,术前焦虑与术后恢复有关。
Objective: To investigate the relationship of pre-operative anxiety with pain after surgery and recovery in patients with lumbar disc herniation. Methods: The Hospital anxiety and depression scale was used to assess the anxiety level in 54 patients who received lumbar surgery. Those who got 8 or higher score were divided into the case group. Their degree of pain was assessed with the McGill questionnaire. The difference was compared between case group and non-case group by chi-square test and t test. Results: Twenty-five of the 54 patients were classified into the case group. Anxiety level was associated with sleeping status, knowledge of the surgery and the ability to afford the surgery ( OR values were 0. 495, 0. 657, and 1. 485 respectively ) . Post-surgery pain at the operative site had significant difference between case group and non-case group at time points of six hours, two days and five days after surgery [ (9.0±4.1) vs. (6.0±3.4), (12.5±4.2) vs. (10.0±3.5), (4.5±1.6) vs. (2.5±1.2); P〈0.05] ± Patients with anxiety had longer stay in hospital than those without anxiety [ ( 12. 5 ± 2. 3 ) d vs. ( 9. 7 ± 2. 1 ) d, P = 0. 008 ] . People with pre-operative anxiety were more prone to have difficulty in urinating after surgery than those without anxiety (32% vs. 17%, P =0. 006) . The melosalgia scores were higher in case group than in non-case group at the time points of six hours, two days and five days after surgery [ ( 14.0 ± 3.7 ) vs. ( 11.5 ± 3.5 ), ( 9.5 ± 4. 2 ) vs. (6. 5 ± 3. 3 ), ( 7.0 ± 4. 3 ) vs. (4.5 ± 2. 8 ) ; P 〈 0. 05 ] . Conclusion: Pre-oporative anxiety is probably related to higher pain degree after surgery and lower recovery rate.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2009年第6期394-397,共4页
Chinese Mental Health Journal
关键词
术前焦虑
腰椎
术后恢复
随访研究
pre-operative anxiety
lumbar vertebrae
post-operative recovery
follow-up study