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目的探索术后炎症性肠梗阻(PISBO)患者抑郁和焦虑情绪的具体程度,为其临床治疗提供依据。方法前瞻性收集甘肃省兰州市第二人民医院普外科于2008年1月至2014年10月期间收治的79例PISBO患者,选用抑郁自评量表(SDS量表)和焦虑自评量表(SAS量表)进行测查,并与常模比较,同时探讨PISBOS患者抑郁和焦虑的影响因素。结果本组患者的抑郁标准分为(49.23±11.39)分,焦虑标准分为(50.31±6.25)分,均高于相应常模得分(P<0.05)。logistic回归分析结果显示:病程、疾病性质、术后其他并发症发生及失眠情况均是PISBO患者抑郁和焦虑的影响因素(P<0.05),病程>15 d、罹患恶性疾病、术后有并发症发生及失眠者的抑郁和焦虑发生率均较高。结论 PISBO患者存在明显的抑郁和焦虑情绪,在临床治疗中应予以干预。
Objective To explore the degree of depression and anxiety in patients with postoperative inflammatory intestinal obstruction (PISBO) and provide the basis for its clinical treatment. Methods A total of 79 patients with PISBO who were admitted to Department of General Surgery, Second People’s Hospital of Lanzhou, Gansu Province from January 2008 to October 2014 were prospectively selected. The self-rating depression scale (SDS) and self-rating anxiety scale SAS scale) were measured and compared with norm, at the same time to explore the influencing factors of depression and anxiety in patients with PISBOS. Results The depression standard of this group was (49.23 ± 11.39) points, the anxiety standard was (50.31 ± 6.25) points, both higher than the corresponding norm (P <0.05). Logistic regression analysis showed that the course of disease, the nature of the disease, the occurrence of other complications and the insomnia were the influencing factors of depression and anxiety in PISBO patients (P <0.05), the course of disease was> 15 days, the patients had the malignant disease, the postoperative complication Occurrence and insomnia were higher incidence of depression and anxiety. Conclusions PISBO patients have obvious depression and anxiety and should be intervened in the clinical treatment.