Influential factors and non-pharmacal intervention strategies for anxious and depressive state of patients with gastro-intestinal tumors in perioperative period
AIM: To investigate the influential factors and non-pharmacal intervention strategies for anxious and depressive state of patients with gastrointestinal tumors in perioperative period and its. METHODS: One hundred and fifty-six patients, who were diagnosed as having malignant gastrointestinal tumors by pathological analysis and were to receive operations, were randomly divided into intervention group (78 patients) and control group (78 patients). On top of conventional therapy, patients in intervention group were additionally treated with sequential psychological intervention, such as group psychotherapy, cognitive behavior therapy and family therapy. SAS and SDS were adopted to examine the anxiety and depression level, and questionnaire survey on factors relative to mental health was conducted, RESULTS: There was no statistical difference in scores of SDS and SAS between the two groups before intervention. However, after sequential intervention, scores of SDS and SAS in intervention group were significantly lower than those in control group on preoperational day 1 and post-operational day 5 ( P < 0. 05 ). Analysis of influential factors indicated that the number of patients afflicted with anxiety and depression was inversely proportional to their age and was not correlated with age and intervention (P = 0.943). Results of our analysis also suggested that anxiety and depression were clearly correlated with eight influential factors, namely, knowledge of their conditions, fear of surgical treatment, results of surgical treatment, financial status, degree of pain, quality of sleep, quality of life after operation and concerns on future employment. CONCLUSION: Anxious and depressive state of patients with gastrointestinal rumors is influenced by many factors. Non-phar-tnacal sequential intervention can significantly reduce the periop-erational anxiety and depression of patients, which plays an important role in improving patients' life quality.
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万方数据
维普
