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find Keyword "焦虑" 108 results
  • 抗焦虑治疗对减少冠心病绝经妇女心绞痛发作干预的临床疗效观察

    摘要:目的:探讨抗焦虑治疗对绝经后妇女心绞痛的临床疗效。方法:对60例患冠心病的经正规抗心绞痛治疗后症状仍反复发作的绝经妇女分两组,其中一组按原方案仅进行冠心病的治疗,另一组在冠心病治疗的同时进行抗焦虑治疗,随访时间1年,比较两组病员在1年中心绞痛发作频率、住院率、心肌梗死发生率及1年后焦虑评分比较。结果:1年后有80%以上病员完成观察,结合抗焦虑治疗组的心绞痛发作次数及程度明显少于对照组。结论:对绝经妇女患有冠心病在正规治疗后心绞痛反复发作的病员应考虑相当一部份患有焦虑症或伴随焦虑症状,行抗焦虑治疗后可明显减少心绞痛的发作。

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • Clinical analysis of 102 Tibetan epilepsy patients comorbid with depression, anxiety, depression and anxiety

    Objectives To analyze the prevalence and clinical features of depression, anxiety, depression and anxiety in Tibetan patients with epilepsy and to improve the diagnosis and treatment. Methods 102 patients with epilepsy, who had been admitted to the Department of Neurology of the People's Hospital of Tibet Autonomous Region from January 2017 to December 2017, were diagnosed according to the Chinese Standard Classification and Diagnostic Criteria for Mental Disorders (3rd Edition) (CCMD-3). The Hamilton depression scale (HAMD 24 items) and the Hamilton anxiety scale (HAMA 14 items) were used to measure depression and anxiety. Different genders, ages, durations, frequency of attacks, and seizures types were analyzed for depression, anxiety, depression and anxiety. Univariate analysis was used to screen the factors that may cause depression, anxiety, depression and anxiety in patients with epilepsy. Logistic regression was used to analyze the risk factors of depression, anxiety, depression and anxiety in patients with epilepsy. Results Among the 102 patients with epilepsy, 35 (34.31%) comorbid depression, 10 (9.80%) comorbid anxiety, and 54 (52.94%) comorbid depression and anxiety. Univariate analysis showed that there was a significantly statistical difference in the duration of the disease and the frequency of seizures in local patients with epilepsy (P<0.05). There was a statistically significant difference in the frequency of epileptic seizures and anxiety (P<0.05). Multivariate logistic regression analysis showed that the probability of anxiety in patients with a disease duration of ≤2 years was only 10.1% of those with a course >2 years [OR=0.101, 95%CI (0.012, 0.915), P<0.05]; and the frequency of seizures was not an risk factors for epileptic comorbid with anxiety (P>0.05). The rate of depression and anxiety in patients with seizure frequency >2 times per month was 4.853 times higher than that of patients with seizure frequency ≤2 times per month [OR=4.853, 95%CI (2.024, 11.634), P<0.05]. Conclusions Tibetan patients with epilepsy have a high prevalence of depression, anxiety, depression and anxiety. In the diagnosis and treatment, we should strengthen the understanding and provide the appropriate prevention and treatment to improve the diagnosis and treatment level.

    Release date:2018-09-18 10:17 Export PDF Favorites Scan
  • Effect of mindfulness-based stress reduction on negative emotion in elderly patients with chronic heart failure

    ObjectiveTo investigate the role of mindfulness-based stress reduction in improving anxiety and depression in elderly patients with chronic heart failure.MethodsFrom August 2016 to August 2018, a total of 196 elderly patients with chronic heart failure were randomly divided into the treatment group and the control group, with 98 cases in each group. The control group received routine care. The treatment group received routine care plus mindfulness-based stress reduction in two 60-minute sessions a week for 8 weeks. The level of serum N-terminal pro-brain natriuretic peptide (NT-proBNP) was detected by electrochemiluminescence immunoassay, and left ventricular ejection fraction (LVEF) was measured by echocardiography before intervention and at week 8 of intervention; the effective rate was calculated. Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and General Well-Being scale (GWB) were used to assess the degree of anxiety, depression, and well-being of patients before intervention and at week 8 of intervention.ResultsThe serum NT-proBNP levels at week 8 of intervention in the two groups were lower than those before intervention, and the LVEFs were higher than those before intervention (P<0.05). The treatment group showed significant changes when compared with the control group (P<0.05). The effective rate of the treatment group was higher than that of the control group (89.80% vs. 69.39%, P<0.05). Before intervention, the SAS scores in the treatment group and the control group were 56.61±8.25 and 55.98±6.32, respectively, the SDS scores were 59.98±7.21 and 58.86±6.17, respectively, and the GWB scores were 53.19±12.38 and 54.06±10.93, respectively; at week 8 of intervention, the SAS scores in the treatment group and the control group were 40.56±8.17 and 46.25±5.43, respectively, the SDS scores were 42.85±5.77 and 48.34±8.01, respectively, and the GWB scores were 76.17±9.63 and 68.58±13.30, respectively. At week 8 of intervention, the SAS and SDS scores of the two groups were both lower than those before intervention, and the GWB scores were higher than those before intervention (P<0.05). The treatment group showed significant changes when compared with the control group (P<0.05).ConclusionMindfulness-based stress reduction can improve the anxiety and depression of elderly patients with chronic heart failure, improve their well-being and promote the recovery of heart function.

    Release date:2019-08-15 01:20 Export PDF Favorites Scan
  • Research on the Mental Health and Quality of Life of Patients with Impaired Glucose Tolerance

    目的 探讨糖耐量异常患者的焦虑抑郁状况及其与生活质量的相关性,为糖尿病相关心理问题的早期识别与干预提供参考。 方法 以2010年1月-2012年6月糖耐量异常患者145例为试验组,健康人群147例作为对照组,两组分别填写焦虑自评量表(SAS)和抑郁自评量表(SDS),试验组还需填写世界卫生组织生活质量测定量表简表(WHOQOL-BREF)并对其焦虑、抑郁得分与WHOQOL-BREF的各因子的相关性进行分析。 结果 145例患者中有51例(35.2%)存在抑郁情绪,47例(32.4%)存在焦虑情绪,焦虑合并抑郁情绪者29例(20%)。糖耐量异常患者焦虑、抑郁评分明显高于对照组(P<0.01),其生活质量多个领域评分低于对照组(P<0.01),且生活质量与焦虑、抑郁情绪存在负相关(P<0.05)。 结论 糖耐量异常患者焦虑、抑郁情绪明显高于正常人群,其生活质量偏低,提示了对在该人群进行早期心理干预的必要性。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • Anxiety and depressive symptoms and their influential factors among patients with intrauterine adhesions managed by day surgery model

    Objective To investigate the incidences of anxiety and depressive symptoms among patients with intrauterine adhesions (IUA) managed by day surgery model, and explore their influential factors. Methods Convenience sampling was used to select patients who underwent day surgery at West China Second University Hospital, Sichuan University between January 2021 and December 2022. General information questionnaire and Hospital Anxiety and Depression Scale were used to assess the socio-demographic data and anxiety and depressive symptoms of the participants. Logistic regression was used to analyze the influential factors of anxiety and depressive symptoms. Results A total of 1100 patients were included. The incidence of anxiety and depressive were 16.5% (181/1 100) and 16.9% (186/1 100) among patients undergoing day surgery for IUA respectively. Longer waiting days for admission [odds ratio (OR)=1.012, 95% confidence interval (CI) (1.004, 1.020), P=0.004], married [OR=0.547, 95%CI (0.344, 0.869), P=0.011], more times of adhesion separation [OR=0.826, 95%CI (0.691, 0.986), P=0.034], older age [OR=0.947, 95%CI (0.909, 0.987), P=0.010] were influencing factors for anxiety symptoms in patients with IUA. Unemployment [OR=0.504, 95%CI (0.256, 0.994), P=0.048], university or undergraduate education [OR=0.326, 95%CI (0.208, 0.512), P<0.001], and high school or vocational school education [OR=0.532, 95%CI (0.319, 0.888), P=0.016] were the influencing factors for depressive symptoms in patients with IUA. Conclusions There is a high incidence of anxiety and depressive symptoms among patients with IUA under the management of day surgery mode. The influential factors include socio-demographic factors (age, education level, marital status and occupation) and disease factors (times of adhesion). Medical staff should pay attention to the early screening of mental health status of patients with IUA, and give targeted prevention and treatment measures.

    Release date:2025-02-25 09:39 Export PDF Favorites Scan
  • The Anxiety Status and Related Factors of H1N1 Patients at the Influenza Peak of Fever Clinics

    【摘要】 目的 了解甲型H1N1流感发热病区门诊就诊高峰期患者焦虑状况及相关因素,采取针对性护理措施减轻患者焦虑情绪。 方法 2009年11月上旬-12月上旬采用一般资料调查和Zung′s焦虑自评量表(SAS)对219例患者进行调查分析。 结果 219例患者SAS平均分为(33.70±8.60)分,其中17例SAS总分≥50分,存在焦虑情绪,发生率7.76%。多元回归分析结果显示,在年龄、性别、城乡差异、发热程度等因素中,与焦虑症状有关的主要因素为年龄和发热程度。 结论 甲型H1N1流感发热病区门诊就诊高峰期患者焦虑情绪明显高于常模,应引起重视,在门诊工作中加强心理护理,减轻和尽力消除患者的焦虑情绪,以免对病情产生不利影响,不利于控制流感疫情。【Abstract】 Objective To investigate the anxiety status and related factors of H1N1 patients at influenza peak of fever clinics,and to take specific measures to reduce anxiety in patients. Methods The general information and Zung′s self rating anxiety scale (SAS) were taken to analyze 219 patients from early November to early December 2009. Results The average SAS score of the 219 patients was 33.70±8.60, in which there were 17 patients (7.76%) with total scores ≥ 50 and anxiety. Multiple regression analysis showed that the age and temperature were related factors among age, gender, urban-rural differences, and fever. Conclusion The survey suggests that the pafients at the H1N1 influenza peak of fever clinics are significantly more anxious than normal anxiety. Out-patient work should strengthen psychological care to reduce and try to eliminate the anxiety of patients, in order to avoid adverse impact which is not conducive to control influenza outbreaks.

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • 尿道下裂术后伤口敷料包扎新方法的效果观察与护理

    目的 探讨尿道下裂矫治术后伤口敷料包扎新方法的临床效果。 方法 将 2015 年 9 月—2016 年 3 月 80 例拟行尿道下裂矫治术的患儿按入院床位的单双号分为对照组和研究组,每组各 40 例。术后对照组采用传统的尿道下裂手术敷料包扎方式将阴茎直立包扎,研究组采用新的包扎方式让阴茎贴近下腹壁包扎。观察比较两组患儿每次伤口换药耗费的时间和出血量、伤口感染发生率和患儿家属的焦虑评分。 结果 研究组与对照组每次换药时耗费的时间分别为(21.80±2.54)、(21.45±2.65)min,差异无统计学意义(t=0.614,P=0.541)。研究组与对照组每次换药时伤口出血量分别为(0.74±0.62)、(0.82±0.87)mL,差异亦无统计学意义(t=–0.517,P=0.607)。研究组伤口感染 3 例,伤口感染率为 7.5%;对照组伤口感染 2 例,伤口感染率为 5.0%,两组比较差异无统计学意义(χ2=0.213,P=0.644)。研究组与对照组患儿家属的焦虑评分分别为(1.90±0.11)、(2.50±0.12)分,差异有统计学意义(t=–4.088,P<0.001)。 结论 尿道下裂敷料包扎的新方法可提升患儿的舒适度,敷料不易松脱,尿管不易打折,护理更方便,减轻了患儿家属的焦虑,值得推广。

    Release date:2017-10-27 11:09 Export PDF Favorites Scan
  • Effect of Visual and Audiovisual Distraction on Anxiety and Acceptance Levels in Patients Undergoing Colonoscopy

    Objective To evaluate the effect of visual and audiovisual distraction on anxiety and acceptance levels among patients undergoing colonoscopy. Methods A total of 180 consecutive patients undergoing colonoscopy were randomly divided into three groups: group A received visual distraction; group B received audiovisual distraction; and group C received routine care alone. Levels of anxiety and willingness to accept the same intervention if the procedure needed to be repeated were compared among the three groups. Results The reduction of anxiety score after colonoscopy in group A and group B was greater than that in group C, but the difference was not statistically significant. The rate of willingness to accept the same intervention if the procedure needed to be repeated was significantly different among the three groups: the rates for group A and group B were higher than for group C (Plt;0.05). Conclusions Both visual distraction and audiovisual distraction can significantly improve patients’ acceptance of colonoscopy. Visual distraction and audiovisual distraction have no significant effect on reducing anxiety.

    Release date:2016-09-07 02:18 Export PDF Favorites Scan
  • 肺癌手术焦虑患者术前指导护理的作用

    摘要 目的 探讨对肺癌手术焦虑患者术前指导护理的作用,以期提高患者对围手术期的耐受力,有效降低术后并发症,缩短术后康复时间。方法 将2008年1月-2009年1月拟行肺叶切除的180例患者(男132例,女48例)分为干预组和对照组进行观察比较,并对干预组患者进行多项心理疏导、术前训练,提供舒适、轻松的休眠环境。结果 对照组术晨血压偏高17例,焦虑症状68例,术前睡眠时间8~10 h的23例,lt;6 h的28例;干预组分别为0、5、73和7例。术后首次排痰时间对照组1023 h,首次下床时间52.8 h,住院天数1567 d;而干预组分别为352 h、463 h和1209 d。结论 术前指导护理能缓解和消除患者术前的焦虑情绪,增强患者对手术的心理应对能力,使之在心理和行为上适应手术带来的诸多问题。

    Release date:2016-09-08 09:31 Export PDF Favorites Scan
  • 放松疗法对肛瘘患者术后焦虑和疼痛的影响

    目的观察放松疗法干预对缓解肛瘘患者术后的焦虑状态,以及伤口疼痛的效果。 方法以2013年10月-2014年3月的100例肛瘘术后患者为观察对象,随机分为干预组和对照组,每组各50例。对照组给予常规护理,干预组在常规护理基础上,进行放松疗法干预。分别于术后6、12、24 h对两组患者进行焦虑和疼痛评分。 结果干预组患者在术后各个时点的疼痛和焦虑评分均明显低于对照组,差异有统计学意义(P<0.05)。术后24 h干预组与对照组止痛药用量分别为(1.84±1.36)、(2.94±1.71)片,差异有统计学意义(t=3.560,P=0.001)。 结论通过放松疗法能缓解肛瘘患者术后焦虑紧张情绪,减轻疼痛,值得推广。

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