胃癌患者围手术期焦虑、抑郁的评价

Q4 Medicine
Shinichi Adachi, Atsushi Ueyama, Fumiaki Abe, Takuya Tokunaga, Yujiro Fujie, Naozumi Higaki, Shigeyuki Ueshima, Tadashi Ohnishi
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引用次数: 0

摘要

简介:医院焦虑抑郁量表(Hospital anxiety and depression Scale, HADS)通过要求患者回答14个问题来评估患者的焦虑和抑郁水平,有助于评估患者的沮丧和不安等症状。本研究旨在评价胃切除术后使用HADS治疗胃癌患者焦虑、抑郁等心理特征的变化。患者和方法:我们回顾性分析了2017年1月至2023年8月期间接受胃切除术的79例胃癌患者的临床资料,并回答了HADS问题。HADS是一种测量焦虑(HADS- a)和抑郁(HADS- d)感觉的工具。Total-HADS = (HADS-A) + (HADS-D)。术前、术后3个月、6个月观察总hads、HADS-A、HADS-D的变化。结果:两组患者HADS-D无明显变化。然而,术前和术后HADS-A和总hads有显著变化。讨论与结论:有趣的是,随着时间的推移,焦虑分(HADS-A)有改善的趋势。手术后患者对手术的焦虑可能会得到缓解。围手术期心理评估和支持治疗可使胃癌患者的心理健康得到全面改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Evaluation of Perioperative Anxiety and Depression in Gastric Cancer Patients].

Introduction: To evaluate the level of anxiety and depression of the patients, Hospital Anxiety and Depression Scale (HADS) is useful to evaluate symptoms such as dejection and uneasiness by asking patients to answer 14 questions. The aim of this study was to evaluate the changes of psychological characteristics such as anxiety and depression using HADS after gastrectomy in gastric cancer(GC)patients.

Patients and methods: We retrospectively analyzed the clinical data of 79 patients with GC who underwent gastrectomy and answered HADS questions between January 2017 and August 2023. HADS is a tool to measure the feeling of anxiety(HADS-A)and depression(HADS-D). Total-HADS=(HADS-A)+(HADS-D). We examined the changes of total-HADS, HADS-A and HADS-D preoperatively, and at 3 and 6 months after operation.

Result: There were no significant changes in HADS-D. However, there were significant changes in HADS-A and total-HADS preoperatively and postoperatively.

Discussion and conclusion: Interestingly, anxiety points(HADS-A)tended to be improved after operation over time. Anxiety that the patients feel about operation might be resolved after undergoing it. Perioperative psychological evaluation and support therapy might lead to overall improvement in mental health in GC patients.

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CiteScore
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