妇产科手术患者的焦虑抑郁心理调查和分析

目的：研究分析妇产科患者围手术期焦虑、抑郁及相关心理状态,为患者心理支持提供依据。方法随机选择2008年2月至2008年12月在本院就诊的妇科手术患者100例,术前1天和术后7天由患者在无干扰的情况下分别自行填写Wmiarn WK Zung编制的焦虑自评量表（SeIf-rating anxiety scale,SAS）、抑郁自评最表（Self-ratingdepression scale,SDS）㈨及自制的与手术相关心理状态调查表,并进行统计分析。结果妇科手术患者手术前后SAS评分均高于常模值（P〈0．001）,手术前及手术后的SAS评分比较,术后分值较术前低（P〈0．001）;妇科手术患者SDS术前评分高于常模值（P〈0．01）,而术后与常模值比较（P〉0．05）。结论妇产科手术患者术前应实施心理健康教育,解答与疾病及手术相关问题,协助患者提高认知能力并消除或减轻焦虑与抑郁,利于术后康复。     

妇产科手术患者的焦虑抑郁心理调查和分析

目的 研究分析妇产科患者围手术期焦虑、抑郁及相关心理状态,为患者心理支持提供依据.方法 随机选择妇科手术患者100例,术前1 d和术后7 d由患者在无干扰的情况下分别自行填写William WK Zung编制的焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-ratin...     

心理干预对不同妇科疾病患者焦虑抑郁状态的影响

目的探讨心理干预对不同妇科疾病患者焦虑抑郁的影响。方法选取恶性组、切除组、核除组各50例共150例患者，住院期间在常规护理的基础上给予心理支持、松弛训练、内心意象等措施，入院及出院时采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评定患者情绪状态。结果干预后恶性组SAS、SDS较干预前显著降低（P〈0．05，P〈0．01）；切除组、核除组SAS较干预前显著降低（P〈0．05）。结论妇科疾病患者存在明显的焦虑、抑郁状态，针对性心理干预可有效缓解其焦虑、抑郁状态。     

心理干预改善全喉切除术患者焦虑和抑郁状态的探讨

目的探讨心理干预对全喉切除术后患者焦虑、抑郁的影响,以评估心理干预的疗效.方法将符合条件的60例患者按随机数字表法分为观察组(31例)和对照组(29例).对照组行常规围手术期护理及心理疏导,观察组在此基础上进行支持型心理治疗及认知疗法.结果术后2周、6个月观察组SAS、SDS评分显著低于对照组(均P＜0.05).结论对全喉切除术患者积极进行心理干预,有助于改善其焦虑、抑郁程度,提高其生活质量.     

门诊更年期妇女更年期症状与抑郁焦虑的情况调查

目的调查门诊更年期妇女更年期症状与抑郁焦虑症状的发生情况。方法收集2005年3~5月就诊于本院更年期门诊的130名45~70岁确诊的更年期妇女,满足入选标准后采用一般情况问卷和自评抑郁(SDS)、焦虑量表(SAS)进行调查。结果128例符合入选标准的更年期妇女,抑郁症状的发病率为8.6%,焦虑症状的发病率为11.7%。年龄、文化程度、职业、退休和绝经与否与抑郁、焦虑症状的发生无相关性。更年期症状中,焦躁、心悸和尿频、尿急是更年期抑郁症状的主要危险因素,潮热出汗、眩晕和心悸是更年期焦虑症状的主要危险因素。抑郁症状和焦虑症状之间存在显著相关。结论更年期门诊更年期妇女抑郁、焦虑症状的发生率不高,更年期症状增加了抑郁、焦虑症状的发生危险。抑郁和焦虑症状增加了彼此之间发生的危险性。     

心理干预对不同妇科疾病患者焦虑抑郁状态的影响

目的 探讨心理干预对不同妇科疾病患者焦虑抑郁的影响.方法 选取恶性组、切除组、核除组各50例共150例患者,住院期间在常规护理的基础上给予心理支持、松弛训练、内心意象等措施,入院及出院时采用焦虑自评量表(SAS)和抑郁自评量袁(SDS)评定患者情绪状态.结果 干预后恶性组SAS、SDS较干预前显著降低(P＜0.05,P＜0.01);切除组、核除组SAS较干预前显著降低(P＜0.05).结论 妇科疾病患者存在明显的焦虑、抑郁状态,针对性心理干预可有效缓解其焦虑、抑郁状态.     

血友病患者焦虑抑郁状况与生活质量调查分析

目的 了解血友病患者焦虑、抑郁状况及影响因素,并探究其与生活质量的关系。方法 采用一般情况调查表、焦虑自评量表、抑郁自评量表和健康状况调查表对89例血友病患者进行调查。结果 血友病患者焦虑总分为51.25（44.37,59.95）分、抑郁总分53.75（42.50,61.87）分。焦虑、抑郁与生活质量呈负相关（均P＜0.05）。多元线性回归显示,家庭来源、是否独生子女、经济条件和出血频率是血友病患者焦虑、抑郁的影响因素（均P＜0.05）。结论 血友病患者容易出现焦虑、抑郁负面情绪,生活质量下降,医护人员应重点关注来自农村、独生子女、家庭经济条件差以及经常出血的患者,采取针对性的干预措施,降低其焦虑、抑郁水平,提高生活质量。     

心理干预对Miles术后伴发焦虑抑郁的影响

目的:探讨心理干预对Miles术后伴发焦虑抑郁的影响.方法:将80例Miles术患者随机分为两组.对照组(40例)按常规指导;观察组(40例)在原有基础上给予心理干预.结果:干预后件发焦虑抑郁的概率显著低于对照组,差异有统计学意义(P＜0.05).结论:心理干预能够有效降低Miles术后伴发焦虑抑郁的概率.     

系统性红斑狼疮青年女性病人焦虑抑郁状态调查分析

应用Zung氏焦虑自评量表 (SAS)和抑郁自评量表 (SDS) ,对 32例系统性红斑狼疮 (SLE)青年女性病人进行调查 ,对有焦虑、抑郁症状的病人发放调查问卷调查表。结果SLE青年女性病人SAS、SDS评分较国内常模高 ,差异有显著性意义 (均P <0 .0 1) ;其焦虑、抑郁原因主要是疾病带来的痛苦、影响学习工作、药物的毒副作用、形象改变、医疗费用等。提出护士有针对性地进行健康教育及心理护理 ,以促进病人恢复     

围手术期心理干预对乳腺癌改良根治术患者焦虑和抑郁状态的影响

目的探讨心理干预对乳腺癌改良根治术患者焦虑和抑郁状态的改善效果。方法将56例乳腺癌改良根治术患者随机分为2组,各28例。对照组给予常规护理,观察组在对照组基础上行心理护理。根据焦虑自评量表(SAS)和抑郁自评量表(SDS)比较2组患者护理干预前后的SAS和SDS评分。结果护理干预前,2组患者的SAS和SDS评分差异无统计学意义(P0.05)。护理干预后,2组患者的SAS和SDS评分均较干预前降低,但观察组患者SAS和SDS的改善程度均显著优于对照组,2组差异均有统计学意义(P0.05)。结论对乳腺癌改良根治术患者实施心理护理,可有效改善其焦虑和抑郁不良情绪,提高治疗依从性,提升护理质量。     

腹腔镜金陵术对改善顽固性便秘患者焦虑抑郁状态疗效分析

目的初步评价金陵术对顽固性便秘患者改善焦虑抑郁状态疗效。方法回顾性分析2013年1月至2015年6月施行腹腔镜下金陵术治疗顽固性便秘10例患者资料。观察患者手术前后平均每日(周)完全自发排便(SCBM)的次数,并采用健康状况调查问卷(SF-36)、焦虑自评量表(SAS)和抑郁自评量表(SDS)比较治疗前后患者便秘症状改善对心理状态变化的影响。所有数据分析应用SPSS 17.0统计软件完成。数据以x珋±s表示,手术前后各组均数比较采用One-Way ANOVA检验,P0.05为差异有统计学意义。结果 10例患者均康复出院,术后患者出现排粪频次明显增多,SCBM由术前每周(0.4±0.5)次,增加到术后3、6、12、24个月分别为(7.0±1.8)次/d、(5.4±1.2)次/d、(4.6±1.5)次/d和(4.6±2.1)次。SF-36评分显示患者生活质量在术后12个月后明显改善。SAS评分由术前57.6±7.7分,下降到术后3、6、12、24个月分别为(57.2±7.4)分、(51.7±6.4)分、(45.3±4.0)分和(44.3±4.2)分;术后12和24个月评分比术前显著下降,差异均有统计学意义(均P0.01)。SDS评分由术前(54.9±7.2)分,下降到术后3、6、12、24个月分别为(53.1±7.8)分、(51.4±6.7)分、(42.8±6.4)分和(43.0±4.1)分,术后12和24个月评分比术前显著下降,差异均有统计学意义(分别P0.01,P0.05)。结论腹腔镜下金陵术能明显改善患者便秘症状及生活质量,进而改善了患者焦虑抑郁状态。     

心理护理干预对骨折患者抑郁焦虑及生活质量的影响

目的：探讨心理护理干预对骨折患者抑郁焦虑及生活质量的影响。方法选择骨折患者60例作为研究对象,随机分为护理干预组和对照组,对照组给予常规护理,干预组在常规护理基础上给予心理护理干预,比较两组焦虑抑郁情况以及生活质量。结果两组护理后焦虑和抑郁评分均显著下降（P ＜0.01）,护理后,干预组焦虑抑郁评分显著低于对照组（P ＜0.01）。出院后1个月随访,干预组生活质量各维度得分显著高于对照组（P ＜0.01）。结论心理干预能够显著缓解骨折后患者的焦虑和抑郁情绪,从而提高患者的生活质量。     

Actual change in anxiety and depression among Australian men with prostate cancer

Background

The clinical significance of anxiety and depression in prostate cancer patients remains largely unclear. In particular, the importance of somatic symptoms and their change over time has been largely unaddressed in spite of their immediate relevance to an understanding of these psychosocial aspects of prostate cancer and its treatment.

Methods

Self-reports of current and previous states of anxiety and depression were collected from 183 Australian men with prostate cancer between 9 and 71 months (average = 1 year 10 months) after initial diagnosis. An ‘Actual Change’ methodology was used to overcome the effects of extraneous sources of invalidity. Statistical tests of the total scores and specific item-changes over time were conducted.

Results

Mean anxiety and depression levels reduced from time of diagnosis to time of the survey, with the most prominent changes being associated with reductions in psychomotor agitation, weakness, fatigue and pessimism. Clinically significant anxiety reduced from about 20% to 12%; clinical depression reduced from about 24% to 12.5%.

Conclusion

While many prostate patients reported anxiety and depression at the time of receiving their diagnosis, about half of those for whom these disorders were of clinical significance had lowered their symptomatology 2 years later. Assessment of somatic symptoms remains a key indicator of depression and anxiety among this patient group.     

Pre-injury depression and anxiety in patients with orthopedic trauma and their treatment

PurposeDepressive symptoms have a known negative impact on outcomes following musculoskeletal injury. This study determined the pre-injury prevalence of psychiatric diagnoses of depression and anxiety, medication lapses and psychiatric consult services among patients admitted for orthopaedic trauma.MethodsThis is a retrospective study of data from our Level-1 trauma center. Patients admitted to the orthopaedic trauma service during 2010–2015 were included (N = 4053). Demographics, Injury Severity Scores (ISS), mental health diagnoses, psychotropic medications, medication type and delay, psychiatric consultation use, intensive care unit (ICU) stay and total hospital length of stay (LOS) were abstracted from medical records and the institutional trauma registry.ResultsThe 12-month prevalence of a major depressive episode is 6.6%–8.6% in adults in the United States. In our database, only 152/4053 (3.8%) of the patients had documented medical history of depression (80%) or anxiety (30%), and these patients had a 32% longer LOS (p < 0.016). Nearly two-thirds of patients who used psychotropic medications prior to injury experienced a delay in receiving these medications in the hospital (median = 1.0 day, range 0–14 days). Sixteen percent of patients also received a new psychotropic medication while hospitalized: an antipsychotic (8/16 patients, to treat delirium), an anxiolytic (3/16 patients for acute anxiety), or an antidepressant (1/16). Among patients with depression or anxiety, 16.7% received a psychiatric consult. Patients with psychiatric consults had higher ISS, were more likely to have longer ICU LOS and had longer hospital LOS than those without consults (all p < 0.05).ConclusionThe prevalence of depression and anxiety is grossly under-reported in our registry compared to national prevalence data. Patients with pre-existing disease had longer LOS and a higher rate of extended ICU care. Further studies are needed to characterize the true prevalence of disease in this patient population and its effect on patient outcomes after traumatic orthopaedic injury.     

Quality of life in patients with Cystic Fibrosis: Association with anxiety and depression

BackgroundFew studies of patients with CF have looked at the association between patient reported Health-Related Quality of Life (HRQoL) and anxiety and depression. This study investigated whether CF patients with symptoms of anxiety or depression reported lower Health-Related Quality of Life (HRQoL) scores.Methods57 adult CF patients completed the Hospital Anxiety and Depression Scale (HADS) and the Cystic Fibrosis Questionnaire, a CF-specific measure of HRQoL. Analyses of variance with lung function as a covariate were used to investigate differences in HRQoL between groups of patients with and without symptoms of anxiety and depression.ResultsMean age was 26.7 years (SD 8.1), mean FEV1 %predicted was 65.09 (SD 22.18). Anxiety and depression scores were low and similar to normative scores. After controlling for lung function, patients with symptoms of anxiety reported lower on vitality, emotional functioning, social, treatment burden, health perceptions and respiratory symptoms. Those with depressive symptoms reported lower HRQoL scores for emotional functioning, eating disturbances and body image.ConclusionsPreliminary evidence was found of the role of anxiety and depression in different areas of quality of life in CF, which may help in the development of appropriate medical and psychosocial treatment programs.     

血液透析与心力衰竭患者抑郁和焦虑的比较

目的 比较维持性血液透析患者与心力衰竭患者抑郁和焦虑程度.方法 采用Zung抑郁自评量表和焦虑自评量表分别评估21例心力衰竭患者(心力衰竭组)和22例维持性血液透析患者(血液透析组)抑郁和焦虑得分.结果 心力衰竭患者组抑郁和焦虑得分远远高于维持性血液透析患者组(P＜0.01).结论 心力衰竭患者的抑郁和焦虑程度重于维持...     

绝经后患者焦虑、抑郁状态对骨质疏松和生活质量的影响

目的了解骨质疏松症与焦虑、抑郁状态的相关性。方法选取来我院门诊就诊和住院的绝经后骨质疏松患者74例和非骨质疏松患者76例,采用综合性医院焦虑抑郁量表和健康状况调查问卷对其焦虑、抑郁状态及生活质量进行评估,同时采用RIA方法测定雌二醇、睾酮、孕酮、促卵泡素和促黄体生成素水平。结果骨质疏松组患者血清E2水平较对照组降低,差异有显著性(P=0.020),而骨质疏松组FSH较对照组有所升高,差异有显著性(P=0.024),骨质疏松患者的焦虑分、抑郁分均显著高于对照组,差异均有显著性(P<0.01)。骨质疏松患者的生活质量显著低于对照组,8个纬度分值均显著高于对照组,差异均有显著性(P<0.01)。结论焦虑、抑郁状态也是绝经后骨质疏松的危险因素,对这部分患者进行有针对性的心理咨询和干预治疗也是非常必要的。     

益生菌制品消费水平对维持性血液透析患者焦虑及抑郁的影响

目的探讨维持性血液透析(maintenance hemodialysis,MHD)患者益生菌制品消费情况对患者抑郁、焦虑状态的影响。方法纳入MHD患者102例,根据过去半年益生菌制品包括酸奶和肠道微生物制剂消费情况进行分组,运用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)比较不同组间抑郁、焦虑状态的差异。结果纳入的患者中,酸奶高消费者50例(49.02%),肠道微生物制剂高消费者29例(28.43%),益生菌制品高消费者79例(77.45%);酸奶高消费组患者SAS、SDS评分低于酸奶低消费组,差异有统计学意义(P<0.05);肠道微生物制剂高消费组SAS、SDS评分均低于肠道微生物制剂低消费组,差异有统计学意义(P<0.05);益生菌制品高消费组SAS、SDS评分均低于益生菌制品低消费组,差异有统计学意义(P<0.05);酸奶高消费组SAS、SDS评分均高于肠道微生物制剂高消费组,差异有统计学意义(P<0.05)。结论益生菌制品消费水平越高,MHD患者的SAS、SDS评分越低,合理补充益生菌制品可能可以改善MHD患者焦虑、抑郁状态。益生菌制品对MHD患者情绪影响值得临床关注及进一步探讨。