胆囊切除术患者焦虑抑郁情绪现状和影响因素调查研究

目的调查胆囊切除术患者焦虑抑郁情绪现状和影响因素。方法采用自编问卷、抑郁自评量表（SDS）、焦虑自评量表（SAS）、社会支持评定量表（SSRS）、匹兹堡睡眠质量指数问卷（pSQI）和sF-36量表对2010年8月～2012年8月在我院肝胆外科住院治疗的56例胆囊切除术患者进行测评。结果56例胆囊切除术患者焦虑、抑郁平均标准分分别为（54．57±3．28）分和（56．82±3．26）分，焦虑和抑郁情绪发生率分别为48．21％和57．14％，而高龄、工作压力大、术后并发症和睡眠问题是胆囊切除术患者出现焦虑抑郁情绪的危险因素，而文化程度和社会支持评定量表总分高是胆囊切除术患者出现焦虑抑郁情绪的保护因素。结论胆囊切除术患者的生活质量较低。受很多因素影响，我们在临床工作中要采取针对性的干预措施减少患者焦虑抑郁情绪的出现。

Study on anxiety and depression status and the influential factors in pa- tients with cholecystectomy

Objective To investigate the anxiety and depression status and its influential factors in patients with cholecystectomy. Methods The clinical data of fifty-six patients with cholecystectomy who were treated in the depart- ment of hepatobiliary surgery in our hospital from August 2010 to August 2012 were collected,they were surveyed by the self-made general data questionnaire, Self-Rating Anxiety Scale （SAS）, Self-Rating depression Scale （SDS）, the social support rating scale （SSRS）,Pittsburgh Sleep Quality Index （PSQI）and SF-36 measure scale. Results The mean scores of anxiety and depression were （54.57＋3.28）and （56.82＋3.26）, the overall prevalence of anxiety and depres- sion was 48.21% and 57.14% in patients with cholecysteetomy,respectively. Multivariate logistic analysis indicated that venerable age had a risk effect on depression, stressful work,the postoperative complications and sleep problems were risk factor for anxiety and depression,but culture degree and high scores of the social support rating scale had a protective effect on anxiety and depression. Conclusion The anxiety and depression is common in patients with chole- cystectomy and affected by many factors,we should be take appropriate preventive measures in accordance with the patient＇s specific situation to reduce the occurrence of anxiety and depression in patients with cholecystectomy.