情感障碍与颈椎前路手术后生活质量的相关性分析

发布时间：2019-05-15 15:42

【摘要】：[目的]探讨颈椎前路手术患者的情绪与生活质量的关系。[方法]通过术前和术后3个月对患者的心理和生活质量的评估。分析情感与生活质量之间的关系,并且结合受试者特征(receiver operating characteristic,ROC)曲线用于揭示情绪度量的截断分数,以确定不利的生活质量。[结果]手术前测试13%的患者为抑郁症,30%的患者为焦虑症状。术后测试仍然有13%的患者报告抑郁症,38%的患者显示焦虑症状。焦虑症状在术后持续存在,并且发现抑郁症和焦虑是明显的,并且明显影响手术后生活质量的特定结构域。手术前后时间截点的抑郁和/或焦虑水平预测与不利的术后生活质量关系被确立。[结论]本前瞻性研究显示特定的情感因素如:抑郁和焦虑,对手术后患者的生活质量有显著影响。因此,临床医生必须更加重视患者的情绪调节。
[Abstract]:Objective to investigate the relationship between emotion and quality of life (QOL) in patients undergoing anterior cervical spine surgery. [methods] the psychological and quality of life of the patients were evaluated before and 3 months after operation. The relationship between emotion and quality of life was analyzed, and combined with the subject characteristic (receiver operating characteristic,ROC) curve was used to reveal the truncated score of emotional measurement in order to determine the unfavorable quality of life. [results] 13% of the patients tested before operation were depressed and 30% of them had anxiety symptoms. Depression was still reported in 13% of patients and anxiety in 38% of patients. Anxiety symptoms persisted after operation, and depression and anxiety were found to be obvious, and specific domains that significantly affected the quality of life after operation were found. The relationship between depression and / or anxiety levels before and after operation and adverse postoperative quality of life was established. [conclusion] this prospective study shows that specific affective factors, such as depression and anxiety, have significant effects on the quality of life of patients after operation. Therefore, clinicians must pay more attention to the emotional regulation of patients.
【作者单位】：上海市同济大学附属东方医院脊柱外科;
【基金】：国家自然基金项目资助(编号:81371994) 浦东新区卫生系统重点学科建设资助项目(编号:PWZx2014-02)
【分类号】：R687.3

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