摘要
目的探讨宫颈癌根治术后继发下肢深静脉血栓形成(LEDVT)患者焦虑及抑郁的影响因素。方法采用回顾性分析方法,选取2019年6月—2022年6月新疆维吾尔自治区人民医院收治的92例宫颈癌根治术后继发LEDVT存在焦虑及抑郁状态的患者作为观察组,依照是否存在焦虑、抑郁状态分为焦虑组(65例)、抑郁组(58例)(部分患者同时存在焦虑与抑郁2种状态),另选同期90例宫颈癌根治术后继发LEDVT不存在焦虑及抑郁状态的患者作为对照组。设计临床资料调查表、疾病认知情况调查表了解患者临床资料、疾病认知情况,使用社会支持评定量表(SSRS)评估患者社会支持水平,进行宫颈癌根治术后继发LEDVT患者抑郁与焦虑状态单因素分析。结果焦虑组和抑郁组自费、未生育子女、待业或无业、家庭月收入<5000元、社会支持较少、疾病认知度<80分占比分别为36.92%、67.69%、69.23%、66.15%、46.15%、70.77%和34.48%、68.97%、72.41%、65.52%、44.83%、68.97%,均显著高于对照组的14.44%、40.00%、33.33%、32.22%、11.11%、23.33%(均P<0.01);焦虑组和抑郁组混合型血栓、中央型血栓、周围型血栓、双侧血栓、右侧血栓、左侧血栓占比分别为30.77%、20.00%、49.23%、16.92%、35.38%、47.69%和32.76%、15.52%、51.72%、12.07%、37.93%、50.00%,与对照组的32.22%、17.78%、50.00%、10.00%、36.67%、53.33%差异均无统计学意义(均P>0.05);单因素分析结果显示,自费、待业或无业、未生育子女、家庭月收入<5000元、社会支持较少、疾病认知度<80分与宫颈癌根治术后继发LEDVT患者抑郁和焦虑状态相关(均P<0.01)。结论宫颈癌根治术后继发LEDVT患者抑郁、焦虑状态与自费、待业或无业、未生育子女、家庭月收入低、社会支持较少、疾病认知度低等因素有关。
Objective To investigate the influencing factors of anxiety and depression in patients with secondary lower extremity deep venous thrombosis(LEDVT)after radical cervical cancer surgery.Methods Retrospective analysis method was used,a total of 92 patients with anxiety and/or depression secondary to LEDVT after radical cervical cancer surgery admitted to the People′s Hospital of Xinjiang Uygur Autonomous Region from June 2019 to June 2022 were included as the observation group,according to the presence of anxiety or depression,they were divided into anxiety group(65 cases)and depression group(58 cases)(some patients had both anxiety and depression).Another 90 patients who did not have anxiety or depression after radical cervical cancer surgery with secondary LEDVT were selected as the control group in the same period.The questionnaires of clinical data and disease cognition were designed to investigate the clinical data and disease cognition of patients,social support rating scale(SSRS)was used to assess the level of social support of patients,and univariate analysis was performed to identify the influencing factors of depression and anxiety in patients with secondary LEDVT after radical cervical cancer surgery.Results The percentage of patients with self-pay,no children,unemployed or jobless,monthly family income<5000 CNY,less social support,and disease awareness<80 scores in the anxiety group and depression group(36.92%,67.69%,69.23%,66.15%,46.15%,70.77%and 34.48%,68.97%,72.41%,65.52%,44.83%,68.97%)were higher than the control group(14.44%,40.00%,33.33%,32.22%,11.11%,23.33%)(all P<0.01).The percentage of mixed thrombus,central thrombus,peripheral thrombus,bilateral thrombus,right thrombus,and left thrombus in the anxiety group and depression group(30.77%,20.00%,49.23%,16.92%,35.38%,47.69%and 32.76%,15.52%,51.72%,12.07%,37.93%,50.00%)were not significantly different from those in the control group(32.22%,17.78%,50.00%,10.00%,36.67%,53.33%)(all P>0.05).Univariate analysis showed that self-pay,unemployed or jobless,no children,monthly family income<5000 CNY,less social support,and disease awareness<80 scores were correlated with depression and anxiety status in patients with secondary LEDVT after radical cervical cancer surgery(all P<0.01).Conclusion Depression and anxiety in patients with secondary LEDVT after radical cervical cancer surgery are related to self-pay,unemployed or jobless,no children,low monthly family income,less social support,and low disease awareness.
作者
克热曼·牙库甫
马立娟
贾沛沛
阿米娜·具拉提
Yakufu Kereman;Ma Lijuan;Jia Peipei;Amina Julati(Department of Gynecology,People′s Hospital of Xinjiang Uygur Autonomous Region(Xinjiang Cervical Cancer Prevention and Treatment Clinical Medical Research Center),Urumqi 830000,China;Department of Gynecology,People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China;Disinfection Supply Center of People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2023年第8期574-578,共5页
Chinese Journal of Health Management
基金
新疆维吾尔自治区自然科学基金(2021D01C194)。
关键词
宫颈肿瘤
静脉血栓形成
宫颈癌根治术
焦虑
抑郁
影响因素
干预策略
Uterine cervical neoplasms
Venous thrombosis
Radical surgery for cervical cancer
Anxiety
Depression
Influencing factors
Intervention strategy
