阑尾炎术后感染患者焦虑状态的影响因素分析

Analysis the influencing factors of anxiety status in the appendicitis patients with postoperative infection

目的探讨阑尾炎术后感染患者焦虑状态的影响因素,为此类患者心理干预措施的制定提供依据。方法选取2014年1月至2017年9月于我院进行阑尾炎手术治疗且发生术后感染的52例患者为研究对象,用焦虑(SAS)自评量表评估其焦虑状态,比较不同性别、年龄、文化程度、手术种类及手术方式者的评估结果,并以多因素logistic回归分析确定阑尾炎术后感染患者焦虑状态的影响因素。结果52例阑尾炎术后感染患者中,SAS量表阳性者27例,阳性率为51.92%,不同年龄、性别、文化程度、手术种类及手术方式者的评估结果也存在较大差异,经多因素logistic回归分析显示,上述指标均与此类患者焦虑有密切的关系(P<0.05)。结论阑尾炎术后感染患者焦虑状态明显,且年龄≥60岁、女性、文化程度为小学和初中、急诊手术及开放手术对其焦虑状态影响均较大,应对此类患者重点关注。

Objective To explore the influencing factors of anxiety status in the appendicitis patients with postoperative infection,and provide evidence for the development of psychological intervention measures for such patients.Methods We selected 52 cases of the appendicitis patients with postoperative infection who underwent appendicitis surgery from January 2014 to September 2017 as a study object.The salf-rating anxiety scale(SAS)was used to assess anxiety status,and we compared gender,age,education level,type of surgery and the results of the evaluation of the surgical methods.Multivariate logistic regression analysis was used to determine the influencing factors of anxiety in the appendicitis patients with postoperative infection,Results In the 52 the appendicitis patients with postoperative infection,The SAS scale showed that 27cases were positive with a positive rate of 51.92%.The results of different ages,genders,educational levels,types of surgery,and the results of the evaluation of the surgical methods were also significantly different.Multivariate logistic regression analysis showed that the above indicators were closely related to the anxiety of such patients(P<0.05).Conclusion The appendicitis patients with postoperative infection had obvious anxiety status,which were mainly affected by the factors such as the age of≥60 years old,female,and education level with primary and junior high school,emergency surgery and open surgery.These patients should be paid attention to the anxiety status in patients with appendicitis after surgery.