The status of anxiety and depression in lumbar disc herniation patients before operation and its influencing factors
Objective To investigate the ststus of anxiety and depression in lumbar disc herniation patients be-fore operation and analyze its influencing factors.Methods A retrospective analysis was conducted on the clinical data of 118 patients with lumbar disc herniation admitted to our hospital from August 2021 to August 2023.Based on the pa-tients'Self rating Anxiety Scale(SAS)scores and Self rating Depression Scale(SDS)scores,they were divided into four groups:anxiety group(n=50),non anxiety group(n=68),depression group(n=54),and non depression group(n=64).The anxiety and depression of patients with lumbar disc herniation before operation were analyzed.The influ-encing factors of preoperative anxiety and depression in patients with lumbar disc herniation were analyzed by univariate and multivariate Logistic regression.Results The preoperative SAS scores of 118 patients with lumbar disc herniation were(48.04±12.26),of which 68 cases(57.63％)had no anxiety,20 cases(16.95％)had mild anxiety,24 cases(20.34％)had moderate anxiety and 6 cases(5.08％)had severe anxiety.The preoperative SDS scores were(46.98 ±9.76),64 cases(54.24％)without depression,28 cases(23.73％)with mild depression,21 cases(17.80％)with moderate depression,and 5 cases(4.24％)with severe depression.The proportion of female patients with age＞60 years old,disease course＞1 year and monthly income＜3000 yuan in anxiety group was significantly higher than that in non-anxiety group,and the proportion of female patients with age＞60 years old and disease course＞1 year in depression group was significantly higher than that in non-depression group(P＜0.05).The results of multi-factor analysis showed that female,age＞60 years old,duration＞1 year,monthly income＜3000 yuan were the influential factors of preoperative anxiety in patients with lumbar disc herniation(P＜0.05).Female,age＞60 years old and du-ration＞1 year were the influential factors of preoperative depression in patients with lumbar disc herniation(P＜0.05).Conclusion Patients with lumbar disc herniation had different levels of anxiety and depression before surgery.Anxiety was related to gender,age,course of disease and monthly income,while depression was related to gender,age and course of disease.
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