微创外科治疗慢性鼻窦炎患者的负性情绪调查
发布时间：2018-09-08 16:31
【摘要】：目的探讨慢性鼻-鼻窦炎(CRS)患者行鼻内镜微创手术前的心理特点。方法选取2010年1月-2014年12月该院收治行鼻内镜微创手术的310例CRS患者为研究对象,归为观察组,同时选取同期的200名健康成人作为对照组,采用Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)、症状自评量表SCL-90来评估研究对象的情绪和心理状态,然后对鼻塞、流涕、头痛、面部疼痛或压迫感、精力下降、嗅觉减退等6个CRS症状进行视觉模拟量表(VAS)评分。比较两组患者的SAS和SDS标准分及SCL-90的因子分和总均分,通过单因素和多因素Logistic回归分析筛选出患者发生焦虑和抑郁等不良情绪的影响因素。结果观察组的SAS和SDS标准分均明显高于对照组(P0.05)。观察组中无、轻度、中度和重度焦虑者分别为247例(79.7%)、28例(9.0%)、22例(7.1%)和13例(4.2%),无、轻度、中度和重度抑郁者分别为228例(73.5%)、36例(11.6%)、26例(8.4%)和20例(6.5%)。观察组SCL-90的躯体化、人际关系敏感、抑郁和焦虑等的因子分及总均分均明显高于对照组(P0.05),且与SAS评分和SDS评分呈正相关(P0.05)。多因素Logistic分析结果表明,女性和合并哮喘是患者发生单纯焦虑的独立危险因素(P0.05),女性、合并哮喘及变应性鼻炎(AR)是患者发生单纯抑郁的独立危险因素(P0.05),女性、鼻塞评分≥5分、头痛评分≥5分是患者发生焦虑合并抑郁的独立危险因素(P0.05)。结论 CRS患者进行鼻内镜微创手术前常合并焦虑、抑郁等不良情绪,故在进行术前谈话过程中应注重其情绪和心理状态,及时进行心理干预。
[Abstract]:Objective to investigate the psychological characteristics of patients with chronic rhinosinusitis (CRS) before endoscopic minimally invasive surgery. Methods from January 2010 to December 2014, 310 patients with CRS treated by endoscopic minimally invasive surgery were selected as the observation group and 200 healthy adults as the control group. Zung self-rating anxiety scale (SAS), (SDS), symptom Checklist (SCL-90) was used to assess the subjects' emotional and psychological state, and then they suffered from nasal obstruction, runny nose, headache, facial pain or pressure, and decreased energy. Visual analogue scale (VAS) was used for 6 CRS symptoms. The standard scores of SAS and SDS, the factor scores and the total average scores of SCL-90 were compared between the two groups, and the influencing factors such as anxiety and depression were screened by univariate and multivariate Logistic regression analysis. Results the standard scores of SAS and SDS in the observation group were significantly higher than those in the control group (P 0.05). In the observation group, there were 247 cases (79.7%) with mild, moderate and severe anxiety, 22 cases (7.1%) and 13 cases (4.2%) with mild, moderate and severe anxiety, and 228 cases (73.5%) with mild, moderate and severe depression (26 cases (8.4%) and 20 cases (6.5%) respectively) with mild, moderate and severe anxiety. The scores of somatization, interpersonal sensitivity, depression and anxiety of SCL-90 in the observation group were significantly higher than those in the control group (P0.05), and were positively correlated with the SAS score and SDS score (P0.05). The results of multivariate Logistic analysis showed that women and asthma were independent risk factors of simple anxiety (P0.05), and women with asthma and allergic rhinitis (AR) were independent risk factors of simple depression (P0.05). Headache score 鈮，
本文编号：2231069
[Abstract]:Objective to investigate the psychological characteristics of patients with chronic rhinosinusitis (CRS) before endoscopic minimally invasive surgery. Methods from January 2010 to December 2014, 310 patients with CRS treated by endoscopic minimally invasive surgery were selected as the observation group and 200 healthy adults as the control group. Zung self-rating anxiety scale (SAS), (SDS), symptom Checklist (SCL-90) was used to assess the subjects' emotional and psychological state, and then they suffered from nasal obstruction, runny nose, headache, facial pain or pressure, and decreased energy. Visual analogue scale (VAS) was used for 6 CRS symptoms. The standard scores of SAS and SDS, the factor scores and the total average scores of SCL-90 were compared between the two groups, and the influencing factors such as anxiety and depression were screened by univariate and multivariate Logistic regression analysis. Results the standard scores of SAS and SDS in the observation group were significantly higher than those in the control group (P 0.05). In the observation group, there were 247 cases (79.7%) with mild, moderate and severe anxiety, 22 cases (7.1%) and 13 cases (4.2%) with mild, moderate and severe anxiety, and 228 cases (73.5%) with mild, moderate and severe depression (26 cases (8.4%) and 20 cases (6.5%) respectively) with mild, moderate and severe anxiety. The scores of somatization, interpersonal sensitivity, depression and anxiety of SCL-90 in the observation group were significantly higher than those in the control group (P0.05), and were positively correlated with the SAS score and SDS score (P0.05). The results of multivariate Logistic analysis showed that women and asthma were independent risk factors of simple anxiety (P0.05), and women with asthma and allergic rhinitis (AR) were independent risk factors of simple depression (P0.05). Headache score 鈮，
本文编号：2231069
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