A study on the status quo and its influencing factors of depression and anxiety in postoperative patients with thoracic neoplasms_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

TANG Yudong ¹ , MEI Xiaoli ² , ZHENG E ² , LI Hairui ¹ , HU Xu ¹ ,  CHE Guowei ²

1. West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

CHE Guowei, Email: chebenben2005@163.com

Keywords：

Thoracic neoplasms; enhanced recovery after surgery; Huaxi emotional-distress index; depression; anxiety

DOI：

10.7507/1007-4848.201706026

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the status quo and influencing factors of depression and anxiety in postoperative patients with thoracic neoplasms. Methods The general information questionnaire and Huaxi emotional-distress index scale (HEI) were adopted to survey 70 patients after surgery of thoracic neoplasms at the thoracic nursing outpatients from September to November 2016. There were 43 males and 27 females with age of 18-78 (56.20±11.34) years. Results The prevalence rate of depression and anxiety among postoperative patients with thoracic neoplasms was 50.0%, and moderate to severe negative emotions predominated. There was significant difference in educational levels, postoperative hospitalization and postoperative complications (P<0.05), while no significant difference in age, gender, disease types, complicated diseases, surgical procedures, pathological stages and hospitalization expenditures between patients with unhealthy emotions and normal emotions (P>0.05). Conclusion There is a high prevalence rate of negative emotion among postoperative patients with thoracic neoplasms. Educational levels, postoperative hospitalization and postoperative complications are important factors for negative emotion.

Citation： TANG Yudong, MEI Xiaoli, ZHENG E, LI Hairui, HU Xu, CHE Guowei. A study on the status quo and its influencing factors of depression and anxiety in postoperative patients with thoracic neoplasms. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(1): 67-70. doi: 10.7507/1007-4848.201706026 Copy

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4.	赵彩萍, 方建群, 李媛, 等. 胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究. 中华护理杂志, 2012, 47(1): 65-67.
5.	Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): A Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
6.	王叶凤. 术前心理护理对手术患者焦虑情绪的影响. 中国现代医生, 2012, 50(4): 122-123.
7.	莫晓娟, 杨巧贞, 叶斐斐. 心理健康教育对肺癌患者生活质量的影响. 中国卫生产业, 2016, 13(25): 102-104.
8.	陈明华, 雷丽婵, 杨翠芹, 等. 个体化护理干预对非小细胞肺癌患者睡眠质量和负性情绪的影响. 实用临床医药杂志, 2014, 18(24): 162-163.
9.	Richardson A, Addington-Hall J, Amir Z, et al. Knowledge, ignorance and priorities for research in key areas of cancer survivorship: findings from a scoping review. Br J Cancer, 2011, 105 Suppl 1: S82-S94.
10.	李伟萍, 赵雯雯, 王玉珍, 等. 癌症患者反刍性沉思水平及影响因素的调查研究. 临床护理杂志, 2016, 15(5): 2-5.
11.	岳长红, 马静松. 对死亡恐惧的形而上追问. 医学与哲学, 2014, (7): 11-14.
12.	丁娜, 胡成文, 陶艳, 等. 恶性肿瘤患者死亡焦虑与焦虑、抑郁的相关性研究. 医学与哲学, 2015, 36(18): 78-81.
13.	李力, 黄坤, 余建中, 等. 恶性肿瘤住院患者伴发抑郁的调查. 现代预防医学, 2006, 33(10): 1841-1843.
14.	孙颖. 98例恶性肿瘤病人抑郁症及影响因素的调查. 医学理论与实践, 2012, 25(24): 2999-3011.
15.	韩静, 刘均娥, 孟洁, 等. 癌症患者心理困扰程度及相关原因分析. 中华护理杂志, 2008, 43(6): 516-518.
16.	Mitchell AJ. Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders. J Clin Oncol, 2007, 25(29): 4670-4681.
17.	Gottlieb BH, Bergen AE. Social support concepts and measures. J Psychosom Res, 2010, 69(5): 511-520.

1. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
2. Taniguchi H, Sasaki T, Fujita H, et al. Modified ERAS protocol using preoperative oral rehydration therapy: outcomes and issues. J Anesth, 2014, 28(1): 143-147.
3. 叶婷婷, 潘乃林. 晚期肿瘤患者与照顾者心理状况的相关性研究. 上海护理, 2012, 12(1): 32-36.
4. 赵彩萍, 方建群, 李媛, 等. 胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究. 中华护理杂志, 2012, 47(1): 65-67.
5. Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): A Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
6. 王叶凤. 术前心理护理对手术患者焦虑情绪的影响. 中国现代医生, 2012, 50(4): 122-123.
7. 莫晓娟, 杨巧贞, 叶斐斐. 心理健康教育对肺癌患者生活质量的影响. 中国卫生产业, 2016, 13(25): 102-104.
8. 陈明华, 雷丽婵, 杨翠芹, 等. 个体化护理干预对非小细胞肺癌患者睡眠质量和负性情绪的影响. 实用临床医药杂志, 2014, 18(24): 162-163.
9. Richardson A, Addington-Hall J, Amir Z, et al. Knowledge, ignorance and priorities for research in key areas of cancer survivorship: findings from a scoping review. Br J Cancer, 2011, 105 Suppl 1: S82-S94.
10. 李伟萍, 赵雯雯, 王玉珍, 等. 癌症患者反刍性沉思水平及影响因素的调查研究. 临床护理杂志, 2016, 15(5): 2-5.
11. 岳长红, 马静松. 对死亡恐惧的形而上追问. 医学与哲学, 2014, (7): 11-14.
12. 丁娜, 胡成文, 陶艳, 等. 恶性肿瘤患者死亡焦虑与焦虑、抑郁的相关性研究. 医学与哲学, 2015, 36(18): 78-81.
13. 李力, 黄坤, 余建中, 等. 恶性肿瘤住院患者伴发抑郁的调查. 现代预防医学, 2006, 33(10): 1841-1843.
14. 孙颖. 98例恶性肿瘤病人抑郁症及影响因素的调查. 医学理论与实践, 2012, 25(24): 2999-3011.
15. 韩静, 刘均娥, 孟洁, 等. 癌症患者心理困扰程度及相关原因分析. 中华护理杂志, 2008, 43(6): 516-518.
16. Mitchell AJ. Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders. J Clin Oncol, 2007, 25(29): 4670-4681.
17. Gottlieb BH, Bergen AE. Social support concepts and measures. J Psychosom Res, 2010, 69(5): 511-520.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

A study on the status quo and its influencing factors of depression and anxiety in postoperative patients with thoracic neoplasms

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