在接受全喉切除术的患者中,焦虑,抑郁和与癌症相关的创伤后压力
Mai Yokoi1, Naoki Nishio1, Hiroyuki Kimura2
1Department of Otorhinolaryngology Nagoya University Graduate School of Medicine Nagoya Japan.
Laryngoscope investigative otolaryngology
|March 6, 2025
概括
与癌症相关的创伤后压力 (PTS) 在喉切除术之前很常见,焦虑和抑郁程度较高. 手术后一年,PTS患者出现更严重的抑郁症,这凸显了心理干预的必要性.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 喉腔病理学 喉腔病理学
背景情况:
- 喉腔切除术显著影响患者的心理健康.
- 与癌症相关的创伤后压力 (PTS),焦虑和抑郁是喉切除术后的重大问题.
研究的目的:
- 为了确定癌症相关的PTS发生率在接受喉腔切除术的患者中.
- 为了分析焦虑和抑郁水平在喉切除术前和一年后的变化.
主要方法:
- 一项前性纵向研究包括97名接受喉腔切除术的患者.
- 事件规模修订的影响 (IES-R) 和医院焦虑和抑郁量表 (HADS) 用于评估.
主要成果:
- 32名患者 (33%) 患有与癌症相关的PTS前喉切除术.
- 在手术前,PTS患者报告了更高的焦虑 (56%vs. 8%) 和抑郁 (76%vs. 20%).
- 手术后一年,PTS患者仍然显示出明显更高的抑郁症得分 (p=0.03).
结论:
- 术前识别PTS对于及时进行心理干预至关重要.
- 在随访期间,积极的精神病学支持对喉切除术患者至关重要.
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