Risk factors and effects of anxiety and depression in patients with elective surgery
Objective To explore the related risk factors of anxiety and depression in patients with elective surgery and their influence on patients'stress response.Methods One hundred patients with elective surgery were investigated with Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS).According to SAS and SDS scores,the patients with anxiety or depression before surgery were taken as the observation group,and the patients without anxiety or depression as the control group.The clinical features,the serum superoxide dismutase(SOD)activity and epinephrine levels preoperatively and at 24 hours postoperatively,postoperative complications between the two groups were compared.Results There were statistically significant differences in serum superoxide dismutase(SOD)activity and epinephrine levels preoperatively and at 24 hours postoperatively between the two groups(P＜0.05).The stress response of patients in the observation group was more severe than that in the control group preoperatively and at 24 hours postoperatively.The incidence of complications at 1 month postoperatively in the observation group was higher than that in the control group(P＜0.05).Conclusion The risk factors for anxiety and depression in patients with elective surgery are male gender,high education level,long disease course,and low income.The anxiety and depression will aggravate the stress response of patients undergoing elective surgery and increase the incidence of complications.
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