摘要
目的早期喉切除术为喉癌的主要治疗方法,虽然有一定的效果,但是手术创伤比较大,可造成严重的发音、吞咽呼吸等生理功能障碍,并可造成永久性气管造口、容貌改变等问题,诱发患者出现焦虑与抑郁情绪,严重影响其预后康复与生活质量,为此研究影响喉癌术后患者焦虑与抑郁情绪的影响因素意义重大。本研究旨在调查与分析喉癌术后患者焦虑与抑郁情绪的影响因素。方法采用回顾性研究方法,选择2014年2月—2016年8月在哈尔滨医科大学附属第二医院诊治的喉癌患者92例作为研究对象,调查患者的焦虑与抑郁情况,同时进行临床资料的调查与影响因素分析。结果 92例患者术后焦虑与抑郁评分分别为(46.40±5.30)分和(48.25±4.14)分,焦虑发生率为23.9%,抑郁发生率为33.7%。Logistic回归分析结果显示;年龄、文化程度、手术方式、临床分期与婚姻状况为导致焦虑与抑郁情绪发生的主要独立危险因素(P<0.05)。全喉切除术、临床分期Ⅳ期、文化程度为高中及其以上、未婚、年龄≥60岁患者的焦虑与抑郁情绪发生率明显增加。结论喉癌术后患者焦虑与抑郁情绪比较常见,年龄、文化程度、手术方式、临床分期与婚姻状况为主要的影响因素,要积极进行预防性护理干预。
Objective Early laryngectomy is the main method in the treatment of laryngeal carcinoma which is effective to certain extent. But the surgical trauma is relatively large, which can cause serious respiratory physiological pronouncing and swallowing dysfunction, and it may cause permanent tracheostomy, appearance change and other issues. It can in- duce patients＇ anxiety and depression and seriously affect the prognosis and rehabilitation the quality of life. Thus the study of the influencing factors of anxiety and depression in postoperative patients with laryngeal carcinoma is significant. This study is to investigate and analyze the influencing factors of anxiety and depression in postoperative patients with la- ryngeal carcinoma. Methods The anxiety and depression scores in the 92 postoperative patients were （46.40 ± 5.30） points and （48.25 ±4.14） points, the incidence of anxiety was 23.9% , and the incidence of depression was 33.7%. Logistic regression analysis showed that age, education level, surgical method, clinical stage and marital status were the main independent risk factors for anxiety and depression（ P 〈 0.05 ）. Total laryngectomy, clinical stage IV, the education level of high school and above, unmarried, aged 60 years significantly increased the incidence of anxiety and depression in patients. Conclusion Anxiety and depression are common in postoperative patients with laryngeal carcinoma, age, education level, surgical method, clinical stage and marital status are the main influencing factors.
作者
韩晶
徐锐
王超
HAN Jing;XU Rui;WANG Chao(Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150081, China)
出处
《中华全科医学》
2018年第2期313-315,共3页
Chinese Journal of General Practice
基金
黑龙江省教育厅科研课题(12531375)
关键词
喉癌
焦虑
抑郁
影响因素
护理
Laryngeal cancer
Anxiety
Depression
Influencing factors
Nursing
