肺部肿瘤术后监护期患者焦虑症状的相关因素

Related factors of anxiety symptoms in patients with lung tumors during postoperative monitoring period

目的:调查肺部肿瘤术后监护期患者的焦虑状况,分析其相关因素,为术后临床干预提供参考依据。方法:选取接受手术治疗的肺部肿瘤患者213例,采用自制调查表收集患者人口学和临床资料,使用焦虑自评量表(SAS)评定焦虑症状,并分为焦虑组(标准分≥50分)和非焦虑组(标准分<50分),采用多因素logistic回归分析焦虑症状发生的相关危险因素。结果:肺部肿瘤术后监护期患者焦虑症状的发生率为32.4%(69/213)。多因素logistic回归分析显示,自费医疗(OR=2.08,95%CI:1.04～4.15)、多次住院(OR=5.45,95%CI:1.70～17.47)、有吞咽障碍(OR=8.76,95%CI:2.80～27.43)是发生焦虑症状的危险因素。结论:肺部肿瘤术后监护期患者焦虑发生率较高,医护人员应高度关注自费医疗、多次住院和有吞咽障碍的患者的心理状态。

Objective:To investigate the anxiety status of patients with lung tumors during the post-operative monitoring period,and analyze its related factors,so as to provide reference for clinical intervention after operation.Methods:A total of 213 patients with lung tumors who underwent surgical treatment were recruited.Demographic and clinical data were collected by self-made questionnaire.Self-rating Anxiety Scale(SAS)was used to assess anxiety symptoms.They were divided into anxiety group(standard score≥50)and non-anxiety group(standard score<50).Multivariate logistic regression analysis was used to analyze the related risk factors of anxiety symptoms.Results:The rate of anxiety symptoms was 32.4%(69/213)in patients with lung tumor during the post-operative monitoring period.Multivariate logistic regression analysis showed that self-payment of medical expenses(OR=2.08,95%CI:1.04-4.15),multiple hospitalizations(OR=5.45,95%CI:1.70-17.47)and dysphagia(OR=8.76,95%CI:2.80-27.43)were risk factors for anxiety symptoms.Conclusion:The incidence of anxiety is higher in patients with pulmonary cancer during the post-operative monitoring period.Medical staff should pay more attention to the psychological state of patients with self-paid medical treatment,multiple hospitalizations and dysphagia.