颅内动脉瘤患者手术前焦虑和抑郁情绪及护理干预策略

Pre-surgical anxiety and depression mood and nursing intervention strategies in patients with intracranial aneurysms

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(1)
作者
作者单位

空军军医大学第二附属医院 神经外科

摘要
【摘要】目的:探究颅内动脉瘤患者手术前焦虑和抑郁情绪及护理干预策略。方法:选取2022年6月到2023年11月本院收治的128例颅内动脉瘤患者实施回顾性研究,按手术前焦虑和抑郁情绪发生状况分为焦虑组(66例)、无焦虑组(62例);抑郁组(60例)、无抑郁组(68例);通过二元Logistic回归分析颅内动脉瘤患者手术前焦虑和抑郁情绪影响因素。结果:二元Logistic回归分析显示,年龄(≥60岁)、月收入(<3000元)、文化程度(初中及以下)、发现方式(症状)均是焦虑发生的危险因素(P<0.05)。二元Logistic回归分析显示,年龄(≥60岁)、月收入(<5000元)、文化程度(初中及以下)均是抑郁发生的危险因素(P<0.05)。结论:年龄较高、月收入较低、文化程度也较低的颅内动脉瘤患者更容易产生焦虑抑郁,发现方式(症状)是焦虑发生另一危险因素。针对颅内动脉瘤患者手术前焦虑和抑郁情绪的影响因素,应积极沟通、心理疏导、提供社会支持、提高疾病认知水平和关注早期患者。以减轻患者手术前的负面情绪,为手术治疗创造良好的心理条件。
Abstract
【Abstract】Objective:To explore strategies for anxiety and depression and nursing intervention in patients with intracranial aneurysmsMethods: A retrospective study was conducted on 128 patients with intracranial aneurysms admitted to our hospital from June 2022 to November 2023. They were divided into an anxiety group (66 cases) and a non anxiety group (62 cases) based on the occurrence of preoperative anxiety and depression; Depression group (60 cases) and non depression group (68 cases); Analyze the influencing factors of preoperative anxiety and depression in patients with intracranial aneurysms through binary logistic regression. Results:Binary logistic regression analysis showed that age (≥ 60 years old), monthly income (<3000 yuan), educational level (junior high school and below), and discovery method (symptoms) were all risk factors for anxiety occurrence (P<0.05). Binary logistic regression analysis showed that age (≥ 60 years old), monthly income (<5000 yuan), and educational level (junior high school and below) were all risk factors for depression (P<0.05).Conclusion:Patients with intracranial aneurysms with higher age, lower monthly income and lower education level are more likely to develop anxiety and depression, and the detection method (symptoms) is another risk factor for anxiety. For the influencing factors of anxiety and depression before surgery in patients with intracranial aneurysms, active communication, psychological counseling, social support, improvement of disease cognition and attention to early patients should be provided. In order to reduce the negative emotions of patients before surgery, to create a good psychological conditions for surgical treatment.
关键词
【关键词】颅内动脉瘤;焦虑情绪;抑郁情绪;手术前;影响因素
KeyWord
【Keywords】Intracranial aneurysm; Anxiety emotions; Depressive emotions; Before surgery; influence factor
基金项目
页码 328-333
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王新琦. 颅内动脉瘤患者手术前焦虑和抑郁情绪及护理干预策略 [J]. 国际精神病学杂志. 2025; 52; (1). 328 - 333.

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