肺结节患者心理健康状况及影响因素分析

目的分析肺结节患者的心理健康状况及影响因素。 方法通过问卷调查的形式对偶发肺结节的成人进行横断面调查。 结果通过对178例肺结节患者的焦虑和抑郁程度评价,发现大多数肺结节患者有轻度或中度焦虑。根据IES-R评分方差分析,女性患者比男性患者更易出现焦虑状态(P＝0.036)。其他组别的IES-R评分之间无统计学差异。单变量Logistic回归分析显示,结节直径越大焦虑水平程度越高(P＝0.041),"在CT上看到肺结节"(P＝0.001)会增加焦虑水平,如何解释"肺结节很常见"可以减轻患者焦虑程度(P＝0.006)。多因素回归分析显示,年轻(P＝0.010)、低月收入(P＝0.014)和结节直径较大(P＝0.038)与较高的焦虑水平相关,"在CT上看到肺结节"可导致焦虑水平升高(P＝0.002)。EQ-5D-5L效用得分为0.9578±0.0634,EQ-5D-5L量表对肺结节患者健康相关生活质量的评价是可以接受的,EQ-5D-5L效用与事件影响量表修订版(IES-R)得分呈负相关(r＝0.3495,P<0.0001)。 结论肺结节人群中女性较男性更容易焦虑;如果患者自己在CT上看到肺结节,会增加焦虑程度。告诉患者肺结节很常见,可以降低焦虑水平。

Investigation on psychological and health status and influencing factors of patients with pulmonary nodules

ObjectiveTo examine the psychological and health status of patients with pulmonary nodules. MethodsIt was administered that a cross-sectional survey to adults with incidental pulmonary nodules. ResultsThrough the evaluation of anxiety and depression in 178 patients with pulmonary nodules, It was found that most patients with pulmonary nodules had mild or moderate anxiety. According to the analysis of variance of IES-R score, female patients were more prone to anxiety than male patients (P=0.036). There was no significant difference in IES-R scores among other groups. Univariate logistic regression analysis showed that the larger the diameter of the nodule, the higher the degree of anxiety (P=0.041), "seeing pulmonary nodule on CT" (P=0.001) would increase the level of anxiety, if the doctor explained that "pulmonary nodule is very common" could reduce the degree of anxiety (P=0.006). Multivariate regression analysis showed that younger age (P=0.010), lower monthly income (P=0.014) and larger nodule diameter (P=0.038) were associated with higher anxiety level, "seeing pulmonary nodules on CT" could lead to higher anxiety level (P=0.002). The utility score of EQ-5D-5L was 0.9578±0.0634 The utility of EQ-5D-5L was negatively correlated with the score of IES-R (r=-0.3495, P<0.0001). ConclusionsFemale patients were more anxious than male patients. If patients have seen the pulmonary nodules on CT themselves, this can increase the anxiety levels. If a doctor has told a patient that pulmonary nodules are common before CT imaging, this can reduce the anxiety levels.