Correlation between Social Support,Anxiety,Depression and Physical Function after Aortic Dissection Surgery in Xi'an
Objective To investigate social support,anxiety and depression in patients after aortic dissection sur-gery in Xi'an,and to analyze their correlation with physical function.Methods A retrospective survey was per-formed on the clinical data of 948 patients undergoing aortic dissection surgery in the First Affiliated Hospital of Air Force Military Medical University between January 2021 and December 2022.The social support level,anxiety and depression,and physical function were investigated by social support rating scale(SSRS),generalized anxiety disor-der-7(GAD-7),patient health questionnaire-9(PHQ-9)and somatic symptom scale(SSS-8).Results Of the 948 pa-tients after aortic dissection surgery,scores of SSRS,GAD-7,PHQ-9 and SSS-8 was(42.38±8.17)points,(4.82±1.09)points,(4.96±0.82)points and(5.26±2.17)points,respectively.The proportions of high social support level(SSRS score＞44 points),non-anxiety(GAD-7 score ≤4 points)and non-depression(PHQ-9 score ≤4 points)in non-disorder group was 62.20％,50.39％and 45.67％,higher than those in disorder group 45.19％,40.68％,36.42％(P＜0.05).Logistic regression analysis showed that serious complications,SSRS scores ≤44 points,GAD-7 score＞4 points and PHQ-9 score＞4 points were independent risk factors of physical dysfunction(P＜0.05).Cor-relation analysis showed that SSS-8 score was significantly negatively correlated with SSRS score(r=-0.472,P＜0.01),while which was significantly positively correlated with GAD-7 and PHQ-9 scores(r=0.423,0.398,P＜0.01).Conclusion In patients after aortic dissection surgery in Xi'an,overall social support is at a moderate level,anxiety and depression are common,and the incidence of physical dysfunction is very high.The high level of social support and the low incidence of anxiety and depression could induce the strong physical function.
Aortic dissection surgerySocial supportAnxietyDepressionPhysical function
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