早期上消化道肿瘤患者内镜下黏膜剥离术前后心理焦虑和抑郁变化及影响因素

Changes of psychological anxiety and depression in patients with early upper gastrointestinal cancer before and after endoscopic mucosal dissection

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(4)
作者
作者单位

河南科技大学第一附属医院 ;

摘要
目的:探讨内镜下黏膜剥离术运用在早期上消化道肿瘤患者中对心理状态的影响情况。方法:选择2018年1月-2019年6月期间我院收治的早期上消化道肿瘤患者32例为研究对象,随机分为两组,均行内镜下黏膜剥离术治疗,其中给予对照组常规护理,而观察组在此基础上,再行心理干预,比较两组护理效果。结果:术前,两组各项评分比较无差异(P>0.05);术后,观察组的HAMD和HAMA评分均低于对照组(P<0.05);两组的住院、术后禁食以及手术时间比较无差异(P>0.05);与对照组比较,观察组的术后不良反应发生率低,组间对比差异明显(P<0.05);观察组的满意度高于对照组(P<0.05);同时,两组的SCL-90评分有统计意义(P<0.05)。结论:临床上运用内镜下黏膜剥离术治疗早期上消化道肿瘤患者时,患者会出现不同程度的抑郁和焦虑,通过给予患者心理干预,能够减轻不良情绪,减少术后不良反应,提高患者满意度。
Abstract
Objective: To explore the effect of endoscopic mucosal dissection on the mental state of patients with early upper gastrointestinal cancer. Methods: from January 2018 to June 2019, 32 patients with early upper gastrointestinal cancer admitted to our hospital were randomly divided into two groups. They were all treated with endoscopic mucosal dissection, and the control group was given routine care, while the observation group was given psychological intervention on the basis of this, to compare the nursing effect of the two groups. Results: before operation, there was no difference between the two groups (P > 0.05); after operation, the scores of HAMD and HAMA in the observation group were lower than those in the control group (P < 0.05); there was no difference between the two groups in hospitalization, postoperative fasting and operation time (P > 0.05); compared with the control group, the incidence of adverse reactions in the observation group was low, and there was significant difference between the two groups (P < 0.05); the satisfaction of the observation group was higher than that of the control group At the same time, the SCL-90 scores of the two groups were statistically significant (P < 0.05). Conclusion: when endoscopic mucosal dissection is used in the treatment of early upper gastrointestinal cancer patients, patients will have different degrees of depression and anxiety. Through psychological intervention, patients can reduce adverse emotions, reduce postoperative adverse reactions, and improve patient satisfaction.
关键词
抑郁、焦虑、内镜下黏膜剥离术、上消化道肿瘤
KeyWord
depression, anxiety, endoscopic mucosal dissection, upper gastrointestinal tumor
基金项目
页码 839-842
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曹蕾*. 早期上消化道肿瘤患者内镜下黏膜剥离术前后心理焦虑和抑郁变化及影响因素 [J]. 国际精神病学杂志. 2020; 47; (4). 839 - 842.

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