负性情绪和腹腔镜胆囊切除手术患者便秘的关系分析

Analysis of Relationship between Negative Emotion and Constipation in Patients Undergoing Laparoscopic Cholecystectomy

目的探究负性情绪和腹腔镜胆囊切除手术患者便秘的关系,旨在为临床上治疗腹腔镜胆囊切除手术患者提供科学依据。方法方便选取2018年10月-2019年4月该院肝胆外科425例行腹腔镜胆囊切除手术患者为研究对象,按照是否发生便秘将患者分为两组,对照组未发生便秘,共232例,观察组发生便秘,共193例,比较两组患者的焦虑(焦虑自评量表)、抑郁水平(抑郁自评量表)、睡眠质量水平(匹兹堡睡眠质量指数),并使用Pearson法分析便秘与焦虑、抑郁以及睡眠质量的相关性。结果观察组焦虑自评量表(SAS)评分为(43.29±4.91)分,抑郁自评量表(SDS)评分为(45.03±5.23)分,对照组SAS评分为(54.52±5.57)分,SDS评分为(55.19±5.82)分,差异有统计学意义(t=2.304,P=0.032;t=2.381,P=0.025);观察组匹兹堡睡眠质量指数(PSQI)评分为(6.04±1.02)分,对照PSQI评分为(7.34±1.15)分,差异有统计学意义(t=2.146,P=0.038);便秘与SAS评分、SDS评分、PSQI评分均呈正相关关系,相关系数r分别为0.451、0.602、0.554。结论腹腔镜胆囊切除手术患者焦虑、抑郁情绪越严重,睡眠质量越差,便秘的发生率越高,临床上应该加以重视,通过缓解患者的消极情绪,改善患者的睡眠质量,预防便秘的发生,提高患者的预后效果。

Objective To explore the relationship between negative emotions and constipation in patients undergoing laparoscopic cholecystectomy,in order to improve the therapeutic effect of patients undergoing laparoscopic cholecystectomy.Methods A total of 425 patients undergoing laparoscopic cholecystectomy in the department of hepatobiliary surgery,Wuwei city people’s hospital,Gansu province,from October 2018 to April 2019,were conveniently selected as subjects.According to whether constipation occurred,the patients were divided into two groups.There were no constipation in the control group,a total of 232 cases,constipation occurred in the observation group,a total of 193 cases.The anxiety(self-rating anxiety scale),depression level(depression self-rating scale),sleep quality level(pittsburgh sleep quality index)were compared between the two groups,and the correlation between constipation and anxiety,depression and sleep quality was analyzed by Pearson method.Results The observation group self-assessment scale(SAS)score was(43.29±4.91)points,the depression self-assessment scale(SDS)score was(45.03±5.23)points,and the control group SAS score was(54.52±5.57)points,SDS score.The score was(55.19±5.82)points,the difference was statistically significant(t=2.304,P=0.032;t=2.381,P=0.025);the Pittsburgh Sleep Quality Index(PSQI)score of the observation group was(6.04±1.02)points,control PSQI score was(7.34±1.15)points points,the difference was statistically significant(t=2.146,P=0.038);constipation was positively correlated with SAS score,SDS score,PSQI score,and the correlation coefficients r were 0.451,0.602,0.554.Conclusion The more serious anxiety and depression in patients with laparoscopic cholecystectomy,the poorer sleep quality,the higher the incidence of constipation,clinical attention should be paid to alleviate the negative mood of patients,improve the sleep quality of patients,prevent the occurrence of constipation,and improve the prognosis of patients.