患有结肠直肠癌的患者的焦虑和抑郁症 接受结肠直肠切除术的患者
Panagiota Makrygianni1, Maria Polikandrioti1, Ioannis Koutelekos1
1Department of Nursing, University of West Attica, Agiou Spyridonos 28, 12243 Aigaleo, Greece.
Clinics and practice
|January 27, 2026
概括
焦虑和抑郁症显著增加结肠直肠癌患者在伊利奥斯托米手术后,即使在静止口关闭后也持续存在. 这些心理健康挑战需要早期识别和管理,以获得全面的瘤治疗.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 手术护理 医疗护理
背景情况:
- 结肠直肠癌患者接受结肠直肠整形手术时,面临着严重的心理困扰.
- 焦虑和抑郁是常见的,但往往是影响生活质量的不足解决的挑战.
研究的目的:
- 纵向探索结直肠癌患者的焦虑和抑郁水平,在结直肠瘤手术前和之后.
- 为了评估这些精神健康问题的持续性,胃关闭后.
主要方法:
- 一项纵向研究涉及96名新诊断的结直肠癌患者,他们接受了结直肠切除术.
- 医院焦虑和抑郁量表 (HADS) 在三个时间点进行:手术前,手术后12-14天,口腔关闭后大约一年.
- 使用SPSS 26.0进行统计分析,在p < 0.05时设置显著性.
主要成果:
- 中度焦虑水平从手术前的15.6%增加到手术后的27.1%和闭口术后的28.1% (p < 0.001).
- 高焦虑水平从手术前的13.5%上升到手术后的17.7% (p = 0.016).
- 抑郁症在术后显著增加,低抑郁症从84.4%降至56.3% (第二次) 和39.6% (第三次),而中度和高抑郁症水平大幅上升.
结论:
- 焦虑和抑郁症在结直肠癌患者的结直肠切除术后显著升级.
- 这些心理挑战即使在口腔关闭后仍然存在,这凸显了持续心理健康支持的必要性.
- 早期识别和管理焦虑和抑郁是整体癌症护理的关键组成部分.
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