摘要
目的探讨老年患者甲状腺术后焦虑的影响因素,为临床干预提供科学依据。方法收集2021年1月至2024年4月在中国科学技术大学附属第一医院(安徽省立医院)行甲状腺手术的65例老年患者的一般情况(性别、年龄、居住地、吸烟史、饮酒史、是否为留守老人以及睡眠情况)和甲状腺疾病特征的资料(病程、病理性质、病变长径、发病侧别、转移情况以及术前甲状腺功能),并采取焦虑自评量表评估焦虑情绪。利用多因素logistic回归分析评估老年患者甲状腺术后焦虑的影响因素。结果老年患者甲状腺术后,焦虑组留守老人、每日睡眠<6 h、病灶转移及术前促甲状腺激素异常者发病率明显高于非焦虑组(P<0.05)。多因素logistic回归分析提示,留守老人(OR=7.267,95%CI:1.340~39.413,P=0.021)及每日睡眠<6 h(OR=5.015,95%CI:1.339~18.776,P=0.017)是老年患者甲状腺术后焦虑的危险因素。结论留守老人及每日睡眠<6 h的老年患者甲状腺术后出现焦虑的风险更大,早期干预焦虑的影响因素,有助于老年患者甲状腺术后焦虑情绪的预防。
Objective To investigate the factors that contribute to anxiety in elderly patients following thyroid surgery,with the aim of providing a scientific foundation for clinical intervention.Methods The general conditions(gender,age,place of residence,history of smoking,history of alcohol consumption,whether they were left elderly or not,and sleep)and information on the characteristics of thyroid disease(duration,pathological nature,longest diameter of the lesion,side of onset,metastasis,and preoperative thyroid function)of 65 elderly patients who underwent thyroid surgery in the First Affiliated Hospital of University of Science and Technology of China from January 2021 to April 2024 were collected.The Self-assessment Scale for Anxiety was adopted to assess anxiety.The multifactorial logistic regression analysis were employed to ascertain the factors influencing postoperative anxiety in elderly patients following thyroid surgery.Results Among elderly patients who underwent thyroid surgery,those who exhibited anxiety symptoms were more likely to exhibit the following characteristics:empty nest elderly,sleeping for less than six hours,having metastatic lesions,and having preoperative thyroid-stimulating hormone abnormalities.These differences were statistically significant(P<0.05).The results of the multicategorical logistic regression analysis indicated that empty nest elderly(OR=7.267,95%CI:1.340-39.413,P=0.021)and elderly who slept for less than six hours(OR=5.015,95%CI:1.339-18.776,P=0.017)were at an increased risk of developing postoperative anxiety in elderly patients who had undergone thyroid surgery.Conclusions Empty nest elderly and elderly who slept for less than six hours are at a greater risk of developing anxiety after thyroid surgery.Early intervention on the factors that influence anxiety can help prevent post-thyroid surgery anxiety in elderly patients.
作者
赵婉
亓晓宇
凌森
万光伦
孙家强
孙敬武
李万举
ZHAO Wan;QI Xiaoyu;LING Sen;WAN Guanglun;SUN Jiaqiang;SUN Jingwu;LI Wanju(Department of Otolaryngology-Head and Neck Surgery,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China)
出处
《中国临床保健杂志》
CAS
2024年第3期402-405,共4页
Chinese Journal of Clinical Healthcare
基金
国家自然科学基金项目(82271180,81600793)
安徽省自然科学基金项目(1608085QH224)。
