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冠脉搭桥手术后患者不适症状与焦虑抑郁关系的研究

  • 李贺

* 通信作者: 李贺, 单位:驻马店市中心医院 手术室

摘要


目的:探讨冠脉搭桥手术后患者不适症状与焦虑抑郁关系。

方法:选定本院于2017年8月到2019年5月收诊的130例冠脉搭桥手术患者,均以焦虑抑郁、不适症状相关量表对其作有效评测,比较130例冠脉搭桥手术患者的各项不适症状得分情况、不良情绪得分情况以及两者间的相关性。

结果:130例冠脉搭桥手术患者的额外症状主要为头痛;相对常见的症状主要包括腹泻、呕吐恶心、小便困难、手臂麻木、胸前疼痛、心悸、胀气、便秘、缺乏食欲及劳累;最为常见症状则包括体温上升、心绞痛、头晕、气促、手臂疼痛、肩背疼痛、睡眠障碍、腿切口痛及胸切口痛等;其不适症状总分均值为47.7231。冠脉搭桥手术患者焦虑症状评分均值最低为(51.39±7.23)分,抑郁症状评分均值最高为(52.75±8.42)分。 以不适症状量表总分为自变量,经分析,冠脉搭桥手术患者抑郁、焦虑症状与其不适症状存在相关性,其P值小于0.05。

结论:冠脉搭桥患者手术结束后的焦虑抑郁症状与其不适症状存在相关性,若不适症状越严重,不良情绪越多,应适时辅以心理指导及健康宣教等手段行对症干预。

关键词:抑郁;焦虑;不适症状;冠脉搭桥

ABSTRACT


Objective: To explore the relationship between anxiety and depression in patients with coronary artery bypass grafting.

Methods: 130 patients with coronary artery bypass surgery admitted to our hospital from August 2017 to may 2019 were selected and evaluated with the related scale of anxiety, depression and discomfort symptoms. The scores of various discomfort symptoms, the scores of adverse emotions and the correlation between them were compared among 130 patients with coronary artery bypass surgery.

Results: the additional symptoms of 130 patients with CABG were headache; the relatively common symptoms were diarrhea, vomiting, nausea, dysuria, numbness of arm, chest pain, palpitation, flatulence, constipation, lack of appetite and fatigue; the most common symptoms were body temperature rise, angina, dizziness, shortness of breath, arm pain, shoulder back pain, sleep disorder, leg cutting The mean total score of discomfort was 47.7231. The lowest mean score of anxiety was (51.39 ± 7.23), and the highest mean score of depression was (52.75 ± 8.42). The total score of discomfort symptom scale was used as independent variable. Through analysis, there was a correlation between depression, anxiety and discomfort symptoms in patients undergoing coronary artery bypass surgery, and the p value was less than 0.05.

Conclusion  : there is a correlation between anxiety and depression symptoms and discomfort symptoms after CABG. If the more serious the discomfort symptoms, the more bad emotions, we should timely assist with psychological guidance and health education and other means of intervention.

Key words: depression; anxiety; discomfort; coronary artery bypass

引用本文 / How to Cite This Article

李贺.冠脉搭桥手术后患者不适症状与焦虑抑郁关系的研究[J]. 国际精神病学杂志, 2021, 48(2): 286-288

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