260例肺结节患者抑郁焦虑状态、睡眠质量的相关研究

Correlation study on depression,anxiety and sleep quality in 260 patients with pulmonary nodules

目的:探讨肺结节患者的抑郁焦虑状态、睡眠质量与肺结节发病的相关性。方法:纳入2020年7月26日至2021年3月31日期间260例符合诊断标准的肺结节门诊就诊患者,通过微信向患者发放调查问卷,运用《抑郁-焦虑-压力量表》及《匹兹堡睡眠质量指数量表》收集肺结节患者精神及睡眠状态方面相关资料,采用《肺结节病因调查观察表》收集患者肺结节在呼吸系统症状等方面的临床资料,并运用SPSS 27.0统计软件进行有关数据的分析。结果:260例肺结节患者中,呼吸系统症状积分为6.931分,属于“非常不明显”;具有抑郁、焦虑相关表现的患者分别为159例(61.15%)及161例(61.92%),存在睡眠问题的患者为161例(61.92%),抑郁、焦虑、睡眠问题存在正相关。抑郁、焦虑、睡眠问题与结节性质、数量、直径大小无显著相关性,与呼吸道症状有一定相关性。结论:表明抑郁焦虑状态及睡眠质量差与肺结节存在发病关联。

Objective:To explore the correlation between depression,anxiety and sleep quality with the onset of pulmonary nodules.Methods:A total of 260 subjects who fulfilled the diagnostic criteria were recruited between the period of 26 July 2020 to 31 March 2021.To collect clinical data,each subject was requested to fill in questionnaire which composed of Depression Anxiety Stress Scale,Pittsburgh Sleep Quality Index and Cause of Pulmonary Nodule Observation Form.All data was analyzed with statistical software SPSS 27.0.Results:The average score for respiratory system symptom score was 6.931,it belonged to‘very not obvious’.The percentage of subjects with manifestations of depression,anxiety and poor sleep quality were 159(61.15%),161(61.92%)and 161(61.92%),respectively.This study found that the state of depression,anxiety and sleeping quality were positively co-related,whilst the state of depression,anxiety and sleeping quality were negatively co-related to the nature,number and diameter of pulmonary nodules,the state of depression,anxiety and sleeping quality were positively corelated with the level of severity of respiratory related manifestations.Conclusion:Depression,anxiety and poor sleep quality are correlated to the onset of pulmonary nodules.