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find Keyword "焦虑" 109 results
  • 糖尿病视网膜病变手术前患者焦虑调查及心理干预效果分析

    目的了解糖尿病视网膜病变患者术前的焦虑状况及对焦虑患者实施心理干预后的效果。 方法对2012年1月-8月36例糖尿病视网膜病变手术患者术前焦虑状况进行调查,并将焦虑自评量表(SAS)评分≥40分的患者随机分为对照组和试验组,对照组采用常规心理护理,试验组采取常规心理护理和专项心理疏导,比较两组术后SAS评分。 结果30例糖尿病视网膜病变患者术前SAS总分≥40分,焦虑率发生率为83.3%。30例患者被随机分为试验组和对照组,每组各15例,两组SAS评分均为40~45分11例,46~50分4例。术前进行心理干预后,试验组患者术后SAS总分<40分9例,40~45分5例,46~50分1例;对照组患者SAS总分<40分3例,40~45分9例,46~50分3例;两组差异有统计学意义(Z=-2.182,P=0.029)。 结论糖尿病视网膜病变手术患者术前行心理干预对减轻术后焦虑是有效的。

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  • Analysis of quality of life and influencing factors in newly diagnosed epilepsy patients with co-morbid anxiety and depression

    ObjectiveTo investigate the status of quality of life and influencing factors among newly diagnosed epilepsy patients with co-morbid anxiety and depression. MethodsA total of 180 newly diagnosed epilepsy patients from June 2022 to December 2022 in a district of Shanghai were selected as the study subjects. The Quality of Life in Epilepsy-31 (QOLIE-31), Hamilton Depression Rating Scale (HAMD-24), Hamilton Anxiety Rating Scale (HAMA), and Epilepsy Self-Management Scale (ESMS) were used to assess patients' quality of life, depression levels, anxiety levels, and self-management abilities, respectively. Patients were divided into the co-morbid depression group (HAMA≥14 and HAMD>17) and the control group (HAMA<14 and HAMD≤17), and their general characteristics and scale scores were compared. Spearman correlation, Pearson correlation, and multiple linear regression analysis were used to identify influencing factors of quality of life in epilepsy patients with co-morbid depression. ResultsCompared to the control group, the anxiety comorbid with depression group of older adults had a higher proportion, higher unemployment rate, lower personal and family annual income in the past year, higher frequency of epileptic seizures, and lower medication adherence (P<0.05). The correlational analysis revealed a negative correlation between the quality of life abilities of epilepsy patients with comorbid anxiety and depression and the severity of anxiety and depression. (r=−0.589, −0.620, P<0.05). The results of multiple linear regression analysis showed that the frequency of seizures in the past year (β=−1.379, P<0.05), severity of anxiety (β=−0.279, P<0.05), and severity of depression (β=−0.361, P<0.05) have an impact on the ability to quality of life in epilepsy patients with co-morbid anxiety and depression. These factors account for 44.1% of the total variability in quality of life (R2=0.4411, P<0.05). ConclusionThe frequency of seizures in the past year, as well as the severity of anxiety and depression, are important factors that influence the ability to quality of life in epilepsy patients with comorbid anxiety and depression. For these patients, it is crucial to take into account these factors and provide appropriate support and interventions.

    Release date:2024-03-07 01:49 Export PDF Favorites Scan
  • 汶川地震伤员焦虑状况调查分析

    目的:调查汶川地震伤员焦虑状况。方法:采用Zung氏自评焦虑量表(SAS)对2008年5月住院的81例汶川地震伤员的焦虑状况进行调查,有效问卷79例。结果:地震伤员焦虑水平(50.25±11.40)显著高于国内常模(29.78±0.46)(P=0.000lt;0.05),存在焦虑的共38例,占受试者的48.10%(38/79),其中中至重度焦虑共13例,占16.45%(13/79);焦虑水平与文化程度(P=0.270gt;0.05)、伤情(P=0.846gt;0.05)及性别(P=0.139gt;0.05)差异无统计学意义。结论:在应激情况下地震伤员存在明显的焦虑心理问题,医护人员要重视伤员的心理问题,加强心理护理,促进康复。

    Release date:2016-09-08 09:56 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
  • Investigation on Anxiety and Depression of Postoperative Patients with Colorectal Neoplasms

    【摘要】 目的 了解结直肠癌患者术后发生抑郁、焦虑状况,分析其影响因素。 方法 2010年1-3月,采用Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)和一般资料调查问卷,结合病历资料及心理评估,对64例结直肠癌术后患者进行测评,采用SPSS 13.0软件对数据进行统计分析。 结果 64例患者SDS(47.02±10.38)分,SAS评分(42.42±7.96)分,均高于国内常模(Plt;0.001)。抑郁和焦虑发生率分别为42.2%、20.3%。造口患者抑郁得分高于非造口患者(P=0.004),Miles术患者抑郁得分高于非造瘘根治术患者(P=0.039),姑息术患者抑郁得分高于非造瘘根治术患者(P=0.007);家庭月收入≤1 000元者抑郁得分高于1 001~3 000元及gt;3 000元者(P=0.040,0.017)。不同情况患者焦虑得分差异无统计学意义(Pgt;0.05)。SDS与SAS呈正相关(Plt;0.001)。 结论 结直肠癌术后患者存在不同程度的抑郁和焦虑。护理人员尤其应关注造口术后、晚期患者及收入低下患者,并进行针对性健康教育和心理干预。【Abstract】 Objective To evaluate the postoperative anxiety and depression of patients with colorectal cancer and investigate its related factors.  Methods From January to March 2010, 64 patients who were diagnosed to have colorectal cancer and received therapeutic operations were investigated with self-rating depressive scale (SDS), self-rating anxiety scale (SAS) and self-made related questionnaire respectively. Psychological assessment and medical records gathering were also carried out. The data collected were analyzed by SPSS 13.0. Results The total score of SDS (47.02±10.38) and SAS (42.42±7.96) of the 64 patients were both higher than those of the general population (Plt;0.001). The incidence rate of depression and anxiety was 42.2% and 20.3% respectively. Patients without stoma had lower SDS scores than those with stoma (P=0.004); patients undergoing Miles operation had higher SDS scores than those receiving non-fistula formation radical operations (P=0.039); patients receiving palliative treatment had higher SDS scores than those receiving non-fistula formation radical operations (P=0.007); patients with family monthly income less than 1 000 RMB had higher SDS scores than those with more than 3 000 RMB and between 1 001-3 000 RMB (P=0.017, 0.040). SAS scores among different patients were not significantly different (Pgt;0.05). SDS had positive correlation with SAS (Plt;0.001). Conclusions Patients with colorectal cancer have higher emotions of anxiety and depression after operation than those in the general population. It is suggested that more psychological consultation, treatment and nursing should be carried out to promote the overall physical and mental rehabilitation of the patients, especially for those having undergone stoma formation, late-stage patients and those with a low income.

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • Analysis on the influencing factors of anxiety and depression in spinal cord injury patients based on patient-environment-occupation model

    Objective To identify related factors of anxiety and depression in spinal cord injury (SCI) patients based on patient-environment-occupation (PEO) model, and provide evidences for clinical practice. Methods A total of 241 patients with SCI treated between April 2014 and April 2015 were collected as the study subjects. All the patients were confirmed with SCI through CT or MRI, and had physical dysfunction. Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were applied in all the 241 SCI patients to measure their psychological state. Meanwhile, PEO factors such as demographic information as well as ability of activities of daily living (ADL) and relatives’ stress were assessed by self-made questionnaire, Modified Barthel Index (MBI) and Relatives’ Stress Scale (RSS). Then, multiple stepwise regression was applied to identify significant covariance with SAS/SDS as dependent variables and other 14 factors as independent variables. Results The regression equation showed that only SDS, MBI, living environment and disease course were significantly associated with SAS. Only SAS, MBI and RSS were significantly associated with SDS. Conclusions The ability of ADL and environment are significantly correlated with psychological state of SCI patients. Early intervention of ADL and decreasing environmental barriers are needed to improve patients’ psychological state.

    Release date:2017-03-27 11:42 Export PDF Favorites Scan
  • 围手术期患者焦虑状况及认知特点的分析

    目的:了解围手术期患者焦虑状况及认知特点的改变,为围手术期护理工作提供帮助。方法:用随机的方法选择16例手术患者为试验组,16例非手术患者为对照组。采用焦虑状态/特质问卷及情绪stroop实验,对试验组患者手术前1d及术后3d和对照组患者的焦虑状态及认知特点进行评估,获得的数据进行统计分析。结果:试验组手术前后焦虑分值均高于对照组(Plt;0.05);试验组术前在威胁性图片与负性词、正性词及中性图片与正性词同时出现时,反应速度与对照组相比明显降低(Plt;0.05),但在中性图片与负性词同时出现时,两组反应速度差异无统计学意义(Pgt;0.05),而术后,试验组与对照组的实验反应时间接近一致,仅中性图片与正性词同时出现时差异有统计学意义(Plt;0.01);试验组患者手术前在威胁性图片与正性词、负性词及中性图片与正性词同时出现时,反应速度明显低于术后(Plt;0.01),只有在中性图片与负性词同时出现,反应速度较为一致(Pgt;0.05)。结论:围手术期患者手术前焦虑及认知改变程度较手术后重,对患者进行心理干预应侧重于手术前。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • Quality of life, social support and anxiety in children with epilepsy and their correlation analysis

    ObjectiveTo explore the correlation between quality of life and social support and anxiety level in children with epilepsy. MethodsA total of 207 children with epilepsy and their parents from March 2023 to December 2023 from Shanghai Children's Hospitalwere selected as the investigation objects, and the children's quality of life scale, Children's perceptive Social support Scale and PROMIS parental Report version anxiety brief form were used to investigate. The correlation between the quality of life of children with epilepsy and the level of social support and anxiety was analyzed. ResultsThe results of univariate analysis showed that the quality of life of children with epilepsy was affected by whether they had siblings and the frequency of onset in the past month (P<0.05). Pearson correlation analysis showed that social support was positively correlated with quality of life (P<0.05). The scores of anxiety and quality of life were negatively correlated (P<0.05). Social support was negatively correlated with anxiety scores (P<0.05). The results of multiple linear regression analysis showed that siblings, social support and anxiety were independent factors affecting the quality of life of children with epilepsy (P<0.05). ConclusionSocial support has a positive effect on the quality of life of children with epilepsy, anxiety level has a negative effect on the quality of life, and social support has a negative effect on anxiety. Therefore, clinical psychological support should be strengthened for children with epilepsy, fully mobilize their positive psychological factors, reduce their anxiety and other negative emotions, play a full range of social support, to achieve the goal of improving the quality of life.

    Release date:2025-09-05 01:18 Export PDF Favorites Scan
  • 孕产妇第一产程状态焦虑与常模的对比性研究

    目的调查孕产妇第一产程状态焦虑得分情况,并与常模进行比较。 方法采用《状态焦虑问卷》对2015年3月20日-5月20日在成都市某三级甲等妇产儿童医院准备自然分娩的113例孕产妇进行调查。 结果孕产妇第一产程的状态焦虑总体得分为(41.97±6.25)分,高于常模[(38.97±8.45)分],差异有统计字意义(P<0.001),且第一产程孕产妇“我感到安逸”“我是轻松的”“我感到愉快”“我感到心满意足”“我感到舒适”等正性情绪得分偏高,而“我感到紧张束缚”“我极度紧张不安”“我优柔寡断”“我觉得神经过敏”“我现在正烦恼,感到这种烦恼超过了可能的不幸”等负性情绪得分偏低。 结论在分娩过程中,尤其是第一产程,助产人员应对孕产妇的状态焦虑情况进行评估,并进行适当的引导及干预,以促进愉快分娩的进行。

    Release date:2016-10-02 04:54 Export PDF Favorites Scan
  • 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
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