库欣病患者术前焦虑和抑郁的影响因素分析

Influencing factors of preoperative anxiety and depression in patients with Cushing's

目的 探讨库欣病患者术前焦虑和抑郁的影响因素。方法 选取2018年1—6月北京协和医院收治的38例经单鼻蝶窦垂体瘤切除术库欣术前患者,采用焦虑自评量表和抑郁自评量表对患者的焦虑和抑郁状况进行评分,并分析相关影响因素。结果 38例库欣病患者中,31.6%患有焦虑,52.6%患有抑郁。与人均月收入<1 000元者相比,1 000~2 999元者抑郁得分较低,≥5 000元者焦虑和抑郁得分最低(P<0.05);与受教育时间≤12年比较,>12年者焦虑得分更低(P<0.05)。Logisitic回归分析显示,匹兹堡睡眠质量指数量表白天功能紊乱为焦虑的危险因素,健康调查评分量表精力为抑郁的保护因素。结论 库欣病患者术前焦虑和抑郁患病率较高,临床护理应关注患者白天功能和精力。

Objective To investigate the influencing factors of preoperative anxiety and depression in patients with Cushing’s disease.Methods A total of 38 patients undergoing transsphenoidal pituitary adenoma resection between January and June 2018 were enrolled.The Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to score the levels of anxiety and depression of these patients before related influencing factors were analyzed.Results Among these Cushing's patients,31.6%had anxiety and 52.6%had depression.Patients with an average monthly income of 1000 to 2999 yuan had lower scores of depression than those who made 1000 yuan or less a month.The scores of anxiety and depression were the lowest among those whose monthly incomes exceeded 5000 yuan(all P<0.05).Compared with patients who had received schooling of 12 years or longer,the scores of anxiety were lower among those who had not(P<0.05).Regression analysis showed that daytime dysfunction was a risk factor for anxiety,while energy was a protective factor against depression.Conclusion The prevalence of anxiety and depression in patients with Cushing's disease is high.Nurses should pay attention to the daytime function and energy of patients.