术前抑郁和焦虑对住院患者手术结果的影响:一项前性队列研究
Roxana Geoffrion1, Nicole A Koenig1, Meimuzi Zheng1
1From the University of British Columbia, Vancouver, BC, Canada.
概括
手术前的抑郁和焦虑会显著恶化女性的手术结果. 这些情绪症状增加了女性患者的并发症风险,延长住院时间和再入院的风险.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 心理影响健康的心理影响
背景情况:
- 术前情绪症状,如抑郁和焦虑,与术后死亡率的增加有关.
- 心理压力会引发慢性炎症,阻碍手术治疗.
研究的目的:
- 研究术前情绪症状与术后不良结果之间的关联.
- 探索这种关联中的潜在的性别特异性差异.
主要方法:
- 一项前性队列研究,涉及1061名来自一所大学医院入院前诊所的患者.
- 使用贝克抑郁和焦虑库存 (BDI-II和BAI) 评估了手术前的抑郁和焦虑.
- 主要结局包括术后并发症,延长停留时间 (ELOS) 和早期再入院的复合组合,并对人口统计,疼痛和并发症进行了调整.
主要成果:
- 与男性相比,女性报告中度至重度抑郁症 (11%vs7%) 和焦虑症 (9%vs6%) 的比率更高.
- 较高的BDI-II和BAI得分与女性的术后并发症,ELOS和再录取的几率增加有显著的相关性,但在男性中没有.
- 情绪症状没有影响手术后的疼痛或阿片类药物的使用在任何性别.
结论:
- 手术前的抑郁和焦虑是女性患者手术负面结果的重要预测因素.
- 这些发现凸显了在接受重大手术的妇女中解决情绪症状的关键需求,以改善术后恢复.
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