胸外科肿瘤患者抑郁焦虑情绪的调查分析

Investigation of depression and anxiety emotion in perioperative patients with thoracic neoplasms

目的了解加速康复外科理念下胸外科肿瘤患者手术前、后抑郁焦虑情绪的现状。方法纳入2016年9~11月在胸外科病房住院或在护理专家门诊随访的195例肿瘤患者,其中男118例、女77例,年龄17~80(55.72±12.66)岁。采用华西心晴指数量表(HEI)对患者的心理健康状态进行调查分析。结果患者手术后心理健康水平明显低于患者手术前,差异有统计学意义(11.01±9.78 vs.3.70±3.41,P<0.001);患者手术后抑郁焦虑情绪的发生率显著高于手术前,差异有统计学意义(50.00%vs.9.60%,P<0.001);其中患者手术后以中至重度抑郁焦虑情绪为主,患者手术前以轻至中度抑郁焦虑情绪为主,差异有统计学意义(P<0.001)。结论胸外科肿瘤患者手术前后均存在一定程度的抑郁焦虑情绪,手术后患者抑郁焦虑情绪的发生率及严重程度均高于手术前患者。

Objective To understand the status quo of depression and anxiety emotion in perioperative patients with thoracic neoplasms under the concept of enhanced recovery aftersurgery. Methods Huaxi emotional-distress index scale （HEI） was adopted to investigate the mental status of 195 patients with thoracic neoplasms in Department of Thoracic Surgery, West China Hospital, and the nursing outpatients between September and November in 2016. There were 118 males and 77 females at age of 17–80 （55.72±12.66） years. Results There was significant difference in mental health level between the preoperative patients and the postoperative patients （3.70±3.41vs. 11.01±9.78,P〈0.001）. The incidence of depression and anxiety emotion in the postoperative patients was significantly higher than that in the preoperative patients （50.00%vs. 9.60%, P〈0.001）. Besides, there was significant difference of depression and anxiety degree between the preoperative patients and postoperative patients （P〈0.001）. Moderate to severe depression and anxiety were mostly found in the postoperative patients while mild to moderate depression and anxiety in the preoperative patients. Conclusion Patients with thoracic neoplasms have much emotional obstacle in perioperative period. The incidence and severity degree of depression and anxiety emotion in postoperative patients are higher than those in preoperative patients.