新型冠状病毒肺炎武汉疫区82例直肠癌患者术后心理状况评测及医生主动微信随访的价值

Evaluation of psychological status of 82 patients with rectal cancer after operation in Wuhan epidemic area of COVID-19 and the value of WeChat follow-up by doctors

目的:探讨新型冠状病毒肺炎(COVID-19)武汉疫区82例直肠癌术后患者心理状况评测及其医生主动微信随访的价值。方法:回顾性分析疫情期间武汉市第八医院82例直肠癌术后患者心理状况,按照符合纳入标准的病例分为观察组和对照组各41例,观察组为医生主动微信随访,对照组为患者常规按出院医嘱执行,随访前和随访后分别评测症状自评量表(SCL-90)、抑郁测量表(SDS)、焦虑自评量表(SAS)和匹茨堡睡眠质量指数(PSQI),比较两组评分之间的差异。结果:两组治疗2月后SCL-90、SAS和SDS各项指数评分与同组治疗前相比,差异具有统计学意义(t=1.487、1.203、1.578,均P<0.05)。观察组SCL-90、SAS和SDS各项指数评分均低于对照组,差异具有统计学意义(t=1.267、0.872、0.755,均P<0.05)。对照组PSQI总分与同组治疗前相比,差异无统计学意义(t=1.022,P>0.05),观察组PSQI总分低于对照组,差异具有统计学意义(t=8.369,P<0.05)。结论:两组在各自随访前和随访后SCL-90、SAS和SDS各项指数评分均有所降低;随访后,观察组要明显低于对照组;对照组PSQI总分下降不明显,而观察组PSQI总分远低于对照组。故在COVID-19疫情期间,医生对患者主动微信随访可以缓解其恐惧、焦虑情绪,减轻抑郁心情,提高睡眠质量。

Objective:To investigate the postoperative psychological status of rectal cancer patients during the outbreak of coronavirus disease 2019(COVID-19) epidemic in Wuhan,and to evaluate the outcomes of We Chat follow-up.Methods:A total of 41 patients with rectal cancer after operation were included into observation group and were followed up by doctors through We Chat,and another 41 postoperative cases without We Chat follow-up were set as control group.The Symptom Checklist 90(SCL-90),Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),and Pittsburgh Sleep Quality Index(PSQI)were adopted to evaluate all the patients′ postoperative psychological status before discharge from hospital and two months later.Results:After two months,the scores of SCL-90,SAS,and SDS,respectively,of all patients showed significantly changes(t=1.487,1.203,and 1.578,respectively,all P<0.05),and their changes were more significant in observation group than in control group(t=1.267,0.872,0.755,respectively,all P<0.05).No significant changes in the total scores of PSQI were found in control group(t=1.022,P>0.05),but the total scores of PSQI in observation group showed a significant decrease after two months′ We Chat followup and were lower than in control group(t=8.369,P<0.05).Conclusion:During the outbreaking of COVID-19 epidemic in Wuhan,the scores of SCL-90,SAS,and SDS in the post-operative patients were all decreased,but the total scores of PSQI in We Chat follow-up group was significantly lower than that in the control group.Doctors′ active We Chat follow-up on patients can alleviate their fear,anxiety,depression,and especially,and improve their sleep quality.