在整形手术后早期的术后抑郁和焦虑:一个横截面研究
Dan Zhou1, Li-Kuan Wang1, Hai-Yin Wu1
1Department of Anesthesiology, Peking University Hospital of Stomatology, No.22, Zhongguancun South Street, Haidian District, Beijing, 100081, China.
BMC anesthesiology
|September 28, 2024
概括
手术后的抑郁和焦虑是常见的,在骨架手术后. 手术前的心理状态和疼痛和失眠等不良事件增加了风险,突出了心理评估和管理的需要.
科学领域:
- 口腔和牙面部外科手术
- 心理医学 心理医学
- 患者研究成果研究结果
背景情况:
- 手术后的抑郁和焦虑是经过整形手术后的重大问题.
- 识别风险因素对于改善患者的康复和福祉至关重要.
研究的目的:
- 为了确定抑郁症和焦虑的发病率在早期的术后后期,经过整形外科手术.
- 确定与这些心理状况相关的潜在的外科手术期间风险因素.
主要方法:
- 对371名接受选择性整形手术的成年患者的前性评估.
- 利用患者健康问卷-9和国家特征焦虑清单进行手术前后评估.
- 多变量逻辑回归分析了外科手术期间因素和结果之间的关联.
主要成果:
- 观察到高发病率:32%的抑郁和72.8%的焦虑在手术后五天内.
- 手术前的抑郁症评分和手术后的尿液输出与较高的抑郁症风险有关.
- 术前焦虑,术后疼痛,恶心,吐和失眠与焦虑风险增加有关.
结论:
- 手术后的抑郁和焦虑在整形手术后很普遍.
- 手术前的心理状态和不良事件显著影响术后的心理健康.
- 强调需要进行心理评估和有针对性的管理,以改善患者的康复.
相关概念视频
Stages of General Anesthesia
383
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
383
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
57
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
57
Cardiomyopathy VII: Pre and Post Operative Nursing Management
3
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
3
General Anesthesia: Overview
196
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
196
Tonsillitis II: Management
103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103
Peripheral Artery Disease V: Postoperative Nursing Management
4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4


