慢性鼻炎患者的管理是否改善了他们的抑郁症评分? 前性研究研究
Hesham Saleh Almofada1,2, Nasser Almutairi1,2, Haifa Aldakhil3
1Department of Otorhinolaryngology Head and Neck Surgery and Communications Sciences, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
概括
慢性鼻炎 (CRS) 显著影响患者的生活质量和心理健康. 有效的治疗,包括最大限度的医疗和手术干预,可以改善抑郁症得分和整体幸福感.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 精神病学是一个精神病学.
- 临床研究 临床研究
背景情况:
- 慢性鼻炎 (CRS) 与患者生活质量的重大负担有关.
- 评估CRS患者抑郁症的患病率对于综合护理至关重要.
- 了解治疗对心理健康的影响至关重要.
研究的目的:
- 为了确定诊断为慢性鼻炎的患者抑郁症的风险.
- 评估医疗和手术治疗对CRS患者抑郁症得分的有效性.
- 探索鼻症状严重程度和抑郁水平之间的相关性.
主要方法:
- 进行了一项前性队列研究,涉及38名成人CRS患者 (≥14岁).
- 在治疗前和治疗后使用了经过验证的仪器,即鼻腔结局测试 (SNOT-22) 和患者健康问卷-9 (PHQ-9).
- 统计分析包括斯皮尔曼相关性和简单的线性回归来评估得分变化和关系.
主要成果:
- 15.7%的参与者显示得分表明主要抑郁症 (PHQ-9 ≥10).
- 在治疗后的PHQ-9 (平均变化-2.7分) 和SNOT-22 (平均变化-24.9分) 评分均有显著改善 (P < .001).
- 在SNOT-22和PHQ-9得分之间发现了正相关性 (r=0.522,P < .001),SNOT-22的变化显著预测PHQ-9的变化 (β=0.178,P < .0001).
结论:
- 慢性鼻炎会对患者的心理健康和生活质量产生负面影响.
- 综合,以患者为中心的护理,包括最大限度的医疗和外科治疗,对于减轻CRS的不良影响至关重要.
- 治疗干预显然可以改善CRS患者的鼻腔症状和抑郁症状.
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