摘要
目的观察重症急性胰腺炎治疗后患者心理健康现状,并分析其影响因素。方法选取2020年7月至2021年6月黑龙江省医院收治的86例重症急性胰腺炎患者为研究对象。治疗1个月后,采用医院焦虑抑郁量表(HADS)评估患者心理健康状况,收集患者一般资料,并记录研究所需资料,将可能的影响因素纳入,采用logistic回归分析对重症急性胰腺炎治疗后患者心理健康的影响因素进行分析。结果治疗1个月后,重症急性胰腺炎患者中心理不良者38例,占44.19%。心理不良组文化水平、有无并发症、社会支持度(SSRS)评分、家庭关怀度(APGAR)评分与心理良好组比较,差异有统计学意义(P<0.05);两组患者其他一般资料比较,差异无统计学意义(P>0.05)。logistic回归分析结果显示,初中及以下文化水平、有并发症是重症急性胰腺炎治疗后患者心理不良的危险因素(β>0,OR>1,P<0.05);SSRS评分、APGAR评分是其保护因素(β<0,OR<1,P<0.05)。结论重症急性胰腺炎治疗后患者心理不良可能与初中及以下文化水平、有并发症、SSRS评分低、APGAR评分低等因素有关。
Objective To observe the mental health status of patients with severe acute pancreatitis after treatment and analyze its influencing factors.Methods A total of 86 patients with severe acute pancreatitis admitted to Heilongjiang Provincial Hospital from July 2020 to June 2021 were selected as the research objects.After 1 month of treatment,use the hospital anxiety and depression scale(HADS)to assess the patients′mental health,record the patients′general information,and record the data needed for the research,including possible influencing factors,logistic regression analysis was used to analyze the influencing factors of mental health of patients with severe acute pancreatitis after treatment.Results After 1 month of treatment,38 patients with severe acute pancreatitis had poor central management,accounting for 44.19%.There were significant differences in education level,presence or absence of complications,social support rating scale(SSRS)score,and adaptation,partnership,growth,affection and resolve(APGAR)score between the mental illness group and the mentally well group,the differences were statistically significant(P<0.05).The other general information between the two groups was not statistically significant(P>0.05).The logistic regression analysis showed that the education level of junior high school and below,had concurrent symptoms were risk factors for patients with severe acute pancreatitis after treatment(β>0,OR>1,P<0.05).SSRS score and APGAR score were protective factors for patients with severe acute pancreatitis after treatment(β<0,OR<1,P<0.05).Conclusion The psychological problems of patients with severe acute pancreatitis after treatment may be related to factors such as junior high school and below education level,complications,low SSRS score,and low APGAR score.
作者
田甜
刘亚男
周照旭
TIAN Tian;LIU Ya′nan;ZHOU Zhaoxu(The Second Department of Gastroenterology,Heilongjiang Provincial Hospital,Heilongjiang Province,Harbin150000,China)
出处
《中国当代医药》
CAS
2022年第15期128-130,134,共4页
China Modern Medicine
关键词
重症急性胰腺炎
心理健康
文化水平
并发症
社会支持度
Severe acute pancreatitis
Mental health
Education level
Complications
Social support
