| 摘要 |
【摘要】进行预防性肠造口患者术后焦虑、抑郁现状调查。方法 选择武汉市红十字会医院2020年3月~2023年2月共108例低位直肠癌患者，均进行预防性肠造口，术后采用医院焦虑抑郁量表(Hospital anxiety and depression scale, HADS)进行焦虑、抑郁情绪调查，并比较是否合并焦虑、抑郁情绪患者年龄、性别等一般资料，通过单因素、多因素分析术后焦虑、抑郁的影响因素。结果 108例预防性肠造口患者检出焦虑情绪40例，抑郁情绪34例；是否合并焦虑患者年龄、家庭收入、工作情况、居住地、文化水平差异具有统计学意义（P<0.05）,是否合并抑郁患者性别、年龄、合并并发症、家庭收入、工作情况、文化水平差异具有统计学意义（P<0.05）；年龄＜45岁、低收入家庭、在职、居住农村是术后焦虑的危险因素，（P<0.05），女性、年龄＜45岁、合并并发症、低收入家庭是术后抑郁的危险因素，（P<0.05）。结论 预防性肠造口患者术后焦虑、抑郁情绪较为常见，中青年、低收入家庭等可能增加焦虑、抑郁风险。
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| Abstract |
[Abstract] Objective To investigate of postoperative anxiety and depression in patients with preventive enterostomy. Methods A total of 108 patients with low rectal cancer were selected from Wuhan Red Cross Hospital from March 2020 to February 2023, all of whom underwent preventive enterostomy. Postoperative investigation of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS). The general information such as age and gender of patients with concomitant anxiety and depression were compared. The influencing factors of postoperative anxiety and depression were analyzed through single factor and multiple factor analysis. Results Among 108 patients with preventive enterostomy, 40 had anxiety and 34 had depression; There were statistically significant differences in age, family income, work situation, place of residence, and educational level among anxiety patients (P<0.05). There were statistically significant differences in gender, age, comorbidities, family income, work status, and educational level among patients with depression (P<0.05). Age<45 years old, low-income families, working, and living in rural areas are risk factors for postoperative anxiety (P<0.05). Women, age<45 years old, comorbidities, and low-income families are risk factors for postoperative depression (P<0.05). Conclusion Postoperative anxiety and depression are common in patients with preventive enterostomy, and may increase the risk of anxiety and depression in middle-aged, young, and low-income families.
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