| 程 琳,王玉萍,杨锦雷,杨家利,张 伟.肺癌患者术前焦虑的影响因素探讨及对术后生活质量和预后的影响[J].,2022,(5):930-934 |
| 肺癌患者术前焦虑的影响因素探讨及对术后生活质量和预后的影响 |
| Influencing Factors of Preoperative Anxiety in Patients with Lung Cancer and its Impact on Postoperative Quality of Life and Prognosis |
| 投稿时间：2021-08-04 修订日期：2021-08-27 |
| DOI：10.13241/j.cnki.pmb.2022.05.027 |
| 中文关键词: 肺癌 焦虑 影响因素 生活质量 预后 |
| 英文关键词: Lung cancer Anxiety Influencing factors Quality of life Prognosis |
| 基金项目:安徽省卫生计生委科研计划项目（2016YK32） |
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| 中文摘要: |
| 摘要 目的：探讨肺癌患者术前焦虑的影响因素及焦虑对术后生活质量和预后的影响。方法：选取我院2016年1月至2019年12月收治的100例行胸腔镜肺癌根治术患者，术前根据医院焦虑抑郁量表(HADS)分为焦虑组(n=27)和非焦虑组(n=73)。统计患者基础资料，多因素Logistic回归分析肺癌患者术前焦虑的影响因素。比较两组患者术后欧洲癌症治疗研究组织生命质量测定量表-核心30(EORTC QLQ-C30)评分和早期预后。结果：男性、家庭收入≥50000元/年为肺癌患者术前焦虑独立保护因素，年龄≥60岁、吸烟史、合并慢性疾病、术前住院时间≥5 d为独立危险因素(P＜0.05)。相比非焦虑组，焦虑组躯体功能、情绪功能、认知功能、社会功能、总体健康分值明显降低，疲劳、失眠、食欲丧失分值和术后视觉模拟量表(VAS)评分、恶心比例、新发心律失常比例、舒芬太尼用量、盐酸托烷司琼用量明显升高，术后住院时间明显延长(P＜0.05)。结论：性别、年龄、吸烟史、家庭收入、合并慢性疾病、术前住院时间均可影响肺癌患者术前焦虑，术前焦虑会降低患者术后生活质量并影响预后，应完善术前心理干预，降低焦虑风险。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the influencing factors of preoperative anxiety in patients with lung cancer and their influence on postoperative quality of life and prognosis. Methods: A total of 100 patients undergoing thoracoscopic radical resection of lung cancer who were admitted to our hospital from January 2016 to December 2019 were selected. According to the preoperative hospital anxiety and depression scale (HADS), they were divided into anxiety group (n=27) and non-anxiety group (n=73). Basic data of patients were counted, multivariate Logistic regression was used to analyze the influencing factors of preoperative anxiety in patients with lung cancer. Postoperative European organization for research in cancer quality of life scale-core 30(EORTC QLQ-C30) scores and early prognosis were compared between the two groups. Results: Male, household income≥50000 yuan/year were an independent protective factor for preoperative anxiety in patients with lung cancer, aged≥60 years, smoking history, combined chronic diseases, preoperative hospital stay≥5 d were independent risk factors(P＜0.05). Compared with the non-anxiety group, the physical function, emotional function, cognitive function, social function and overall health scores of the anxiety group were significantly lower, fatigue, insomnia, loss of appetite scores and postoperative visual analog scale (VAS) score, the proportion of nausea, the proportion of new arrhythmias, the dosage of sufentanil, and the dosage of tropisetron hydrochloride were significantly increased, postoperative hospital stay was significantly prolonged(P＜0.05). Conclusion: Gender, age, smoking history, household income, combined chronic diseases, and preoperative hospital stay can affect preoperative anxiety in patients with lung cancer. Preoperative anxiety can reduce the postoperative quality of life of patients and affect the prognosis. Preoperative psychological intervention should be improved to reduce the risk of anxiety. |
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