125I粒子植入术并发胃瘫患者焦虑状况及影响因素

Anxiety and its influencing factors of Iodine-125 implantation patients with gastroparesis syndrome

目的调查125I粒子植入术并发胃瘫患者焦虑状况，分析其影响因素，以缓解125I粒子植入术并发胃瘫患者的心理压力，确保治疗顺利进行。方法应用Zung的焦虑自评量表（SAS）对38例125I粒子植入术并发胃瘫患者的焦虑状况及其影响因素进行问卷调查。结果本组患者焦虑平均得分为（64．32±9．29）分，其中50—69分30例（占78．95％），出现轻、中度焦虑症状，≥70分8例（占21．05％），出现重度焦虑症状，患者焦虑的阳性率为100％，高于正常人群。产生焦虑症状的主要影响因素为并发PGS导致的躯体不适感（占100％）、对手术和疾病治疗效果的担心（占78．95％）、对住院费用的担心（占55．26％）等。结论125I粒子植入术后并发胃瘫患者的焦虑情绪应受到重视，建议通过术前帮助患者提高对治疗的正确认知，加强病情观察，识别胃瘫早期症状及早治疗；教会患者心理调适方法；充分发挥社会家庭支持系统作用等减轻或消除患者的焦虑情绪，保证治疗顺利进行。

Objective To investigate the anxiety status of Iodine-125 implantation patients with gastroparesis syndrome and analyze its influencing factors so as to provide evidence for intervention. Methods A questionnaire investigation was conducted in 38 Iodine-125 implantation patients combined with gastroparesis syndrome with the Zung, Anxiety self-assessment scale （SAS）. Results The results showed that 100 percent patients had anxious symptoms of varying degrees. The average SAS score was （64.32±9.29） ,with 78.95% patients had the symptoms of mild to medium degree. 21.05% patients had serious degree symptoms. Primary influencing factors included the physical uncomfortable feeling （100%）, worrying about the effective of operation（78.95% ）, worrying about the hospitalization expenses（55.26% ） and so on. Conclusions Anxiety of Iodine-125 implantation patients with gastroparesis syndrome should be pay more attention, so it is important to improve patients＇ cognation on the treatment, help them adjust psychology, give more family and social support, and strengthen the observation so as to early treatment.