胸部肿瘤术后患者不良情绪现状及影响因素分析

A study on the status quo and its influencing factors of depression and anxiety in postoperative patients with thoracic neoplasms

目的分析加速康复外科理念下胸外科肿瘤手术后患者抑郁焦虑等不良情绪现状及影响因素。方法纳入2016年9~11月在胸外科护理专家门诊随访的70例胸部肿瘤术后患者,其中男43例、女27例,年龄18~78(56.20±11.34)岁。采用一般资料调查表与华西心晴指数量表(HEI)对术后患者的心理健康状态进行测评。结果胸部肿瘤术后患者不良情绪的发生率为50.0%,且以中至重度不良情绪为主;不良情绪与正常情绪患者的文化程度、术后住院时间和术后并发症差异有统计学意义(P<0.05),而年龄、性别、疾病种类、合并疾病、肿瘤性质、手术方式、病理分期及住院费用差异无统计学意义(P>0.05)。结论胸部肿瘤术后患者不良情绪的发生率较高,文化程度、术后住院时间和并发症是患者发生不良情绪的危险因素。

Objective To investigate the status quo and influencing factors of depression and anxiety in postoperative patients with thoracic neoplasms.Methods The general information questionnaire and Huaxi emotionaldistress index scale（HEI） were adopted to survey 70 patients after surgery of thoracic neoplasms at the thoracic nursing outpatients from September to November 2016.There were 43 males and 27 females with age of 18-78（56.20±11.34）years.Results The prevalence rate of depression and anxiety among postoperative patients with thoracic neoplasms was50.0%,and moderate to severe negative emotions predominated.There was significant difference in educational levels,postoperative hospitalization and postoperative complications（P〈0.05）,while no significant difference in age,gender,disease types,complicated diseases,surgical procedures,pathological stages and hospitalization expenditures between patients with unhealthy emotions and normal emotions（P〉0.05）.Conclusion There is a high prevalence rate of negative emotion among postoperative patients with thoracic neoplasms.Educational levels,postoperative hospitalization and postoperative complications are important factors for negative emotion.