早期胃癌患者围手术期疾病不确定感与焦虑、抑郁的相关性研究

Correlation of illness uncertainty with anxiety and depression in perioperative patients with early gastric cancer

目的了解早期胃癌患者围手术期的疾病不确定感与焦虑、抑郁情况并探讨其相关性。方法该研究为横断面调查。采用便利抽样法选取2020年4月至2021年8月于北京协和医院消化内科就诊的107例早期胃癌住院患者为研究对象,采用一般资料调查表、Mishel疾病不确定感量表(MUIS)、ZUNG焦虑自评量表(SAS)、ZUNG抑郁自评量表(SDS)进行问卷调查并评分。采用Spearman相关分析对早期胃癌患者疾病不确定感与焦虑、抑郁之间的相关性进行探讨。结果早期胃癌患者疾病不确定感总分为(93.2±14.0)分,处于中等水平;焦虑和抑郁自评量表总得分分别为(46.5±9.7)和(47.7±10.2)分,发生率分别为34.6%(37/107)和31.8%(34/107)。早期胃癌患者疾病不确定感与焦虑、抑郁均呈正相关(r=0.40、0.31,均P<0.05)。结论部分早期胃癌围手术期患者存在疾病不确定感、焦虑与抑郁情绪,且疾病不确定感与焦虑、抑郁呈正相关。

Objective To investigate the correlation of illness uncertainty with anxiety and depression in perioperative patients with early gastric cancer.Methods A cross-sectional survey was conducted among 107 patients with early gastric cancer who were admitted in Department of Gastroenterology of a Class A tertiary hospital in Beijing from April 2020 to August 2021.The demographic data questionnaire was used for survey,and the psychological status of patients was evaluated with Mishel′s Uncertainties in Illness Scales(MUIS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Spearman correlation analysis was used to explore the correlation of disease uncertainty with anxiety and depression in patients with early gastric cancer.Results The illness uncertainty in patients with early gastric cancer was at a moderate level(93.2±14.0).The total scores on the SAS and SDS were(46.5±9.7)and(47.7±10.2),respectively.And the incidence rate of anxiety and depression was 34.6%(37/107)and 31.8%(34/107)respectively.The illness uncertainty of patients with early gastric cancer was positively correlated with anxiety and depression(r=0.40,0.31,all P<0.05).Conclusion Some patients with early gastric cancer have illness uncertainty,anxiety and depression,and the illness uncertainty is related to anxiety and depression.