术前焦虑对肺癌根治术后患者的早期预后及创伤后成长的影响
The influence of preoperative anxiety on early prognosis and immune function in lung cancer patients af-ter radical resection
韩小勇 1高璐 1赵钦 1柳亮 1杨海灵 1耿延栋 1李良1
作者信息
- 1. 保定市第一中心医院胸外科(保定,071000)
- 折叠
摘要
目的 探讨术前焦虑对肺癌根治术后早期预后及创伤后成长的影响.方法 本研究选择2018年10月～2022年6月88例肺癌患者,均采用肺癌根治术治疗.术前当天评估患者焦虑情绪,根据评估结果设为焦虑组以及无焦虑组,分别为46例、42例.比较两组患者术后24 h疼痛视觉模拟评分(visual analogue scale,VAS)、首次下床时间、住院时间,评估术后1 d、术后3 d、5 d创伤后成长评定量表(Posttraumatic Growth Inventory,PTGI).结果 焦虑组术后24 h VAS评分、首次下床时间、住院时间均显著低于无焦虑组(P＜0.05);两组术后1d、3d、5d PTGI评分逐渐升高,且焦虑组均显著低于无焦虑组(P＜0.05).结论 术前焦虑会加重患者肺癌根治术后的疼痛感受,延长卧床及住院时间,并会降低创伤后成长水平.
Abstract
Objective To explore the influence of preoperative anxiety on early prognosis and Post-traumatic growth after radical lung cancer surgery.Methods Eighty-eight lung cancer patients from October 2018 to June 2022,all of whom underwent radical lung cancer surgery.patient's anxiety on the same day before surgery were assessed.They were set as the anxiety group and the no anxiety group based on the evaluation results,and 46 cases and 42 cases re-spectively.The visual analog scale(VAS),first time out of bed,and length of hospital stay between two groups of patients at 24 hours after surgery,and Posttraumatic Growth Inventory(PTGI)was evaluated 1,3 and 5 days after surgery.Results The 24-hour VAS score,first time out of bed,and hospital stay in the anxiety group were signifi-cantly lower than those in the non anxiety group(P＜0.05).PTGI scores of the two groups were gradually increased at 1d,3d and 5d after surgery,and the anxious group was significantly lower than the non-anxious group(P＜0.05).Conclusion Preoperative anxiety can exacerbate postoperative pain,prolong bed rest and hospital stay,and lower levels of post-traumatic growth.
关键词
术前焦虑/肺癌根治术/早期预后/创伤后成长Key words
Preoperative anxiety/Radical resection of lung cancer/Early prognosis/Post traumatic grow引用本文复制引用
基金项目
河北省医学科学研究课题(2023)(20232028)
出版年
2024
NETL
NSTL
万方数据