胃肠道肿瘤患者围手术期焦虑抑郁状态影响因素及非药物干预方法的研究

目的：探讨胃肠道肿瘤患者围手术期焦虑抑郁状态影响因素及非药物干预策略．方法：将已病理确诊拟行手术治疗的156例胃肠道恶性肿瘤患者随机分为干预组（78例）与对照组（78例），对照组给予常规围手术期治疗和护理，干预组在围手术期常规处理的基础上接受团体治疗、认知行为治疗和家庭治疗的序惯心理干预．采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评定患者焦虑抑郁水平．同时利用简单问卷方式进行精神健康影响相关因素调查．结果：干预前两组患者的SAS和SDS均分无统计学差异．序惯心理干预后，术前1d，术后5d干预组SAS和SDS评分显著低于对照组（P〈0．05）．焦虑抑郁人数与患者的年龄呈反比关系，但与是否施加干预无相关（P=0．943）；患者对病情的了解程度、手术的恐惧感、手术根治的效果、经济负担状况、疼痛程度、睡眠质量、术后生活质量、就业和工作前途的担忧等8项因素与焦虑抑郁状态的发生显著相关（P〈0．01）．结论：胃肠道肿瘤患者围手术期的焦虑抑郁状态受到多种因素的影响，给与序惯心理干预可显著降低患者围手术期焦虑抑郁水平．

Influential factors and non-pharmacal intervention strategies for anxious and depressive state of patients with gastrointestinal tumors in perioperative period

AIM: To investigate the influential factors and non-pharmacal intervention strategies for anxious and depressive state of patients with gastrointestinal tumors in perioperative period and its.METHODS: One hundred and fifty-six patients,who were diagnosed as having malignant gastrointestinal tumors by pathological analysis and were to receive operations,were randomly divided into intervention group(78 patients) and control group(78 patients).On top of conventional therapy,patients in intervention group were ...