Evaluation of Preoperative Psychologic State of Patients Undergoing Laparoscopic Cholecystecomy or Laparocholecystectomy_West China Medical Journal

Authors：

CHEN Chao

Department of General Surgery, the Third People’s Hospital of Zigong, Zigong, Sichuan 643020, P.R.China;

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Keywords：

抑郁; 焦慮; 膽囊切除術

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【摘要】目的評估腹腔鏡與開腹手術患者術前抑郁、焦慮的心理狀況。方法 2007年10月-2008年9月將收治的60例行膽囊術患者隨機分為腹腔鏡組與開腹組，各30例，術前1 d使用抑郁自評量表和焦慮自評量表對患者的焦慮、抑郁水平進行評估。結果兩組患者抑郁、焦慮水平均高于全國平均水平（常模）；開腹組術前抑郁、焦慮水平高于腹腔鏡組但無統計學意義（P gt;0.05）。開腹組急診手術患者抑郁水平高于擇期手術（P lt;0.05），焦慮水平無明顯差異。開腹組女性抑郁和焦慮水平均高于男性（P lt;0.05）；腹腔鏡組女性抑郁水平高于男性（P lt;0.05），焦慮水平男女之間差異無統計學意義。開腹組40.0%的患者處于抑郁狀態，高于腹腔鏡組的16.7%。結論醫師術前應注意與患者積極溝通，消除患者對手術的顧慮，尤其是女性患者及急診手術患者。
【Abstract】 Objective To evaluate the preoperative depression and anxiety level of the patients undergoing laparoscopic cholecystectomy or laparocholecystectomy. Methods Thirty patients undergoing laparoscopic cholecystectomy and thirty patients undergoing laparocholecystectomy were assessed by the self-rating depression scale and self-rating anxiety scale from October 2007 to September 2008. Results Patients undergoing laparoscopic cholecystectomy or laparocholecystectomy showed the significantly greater depression and anxiety than the norm. The preoperative depression levels were higher in patients undergoing laparocholecystectomy than those undergoing laparoscopic cholecystectomy but without significance (P gt;0.05), and in emergency laparocholecystectomy the patients had the higher depression levels than elective operation (P lt;0.05). The preoperative depression and anxiety score were high in female than in male in laparocholecystectomy, while in laparoscopic cholecystectomy only the depression level of female was higher than that of male (P lt;0.05). The patients undergoing laparocholecystectomy in the depression state constituted nearly 40.0% versus 16.7% in laparoscopic cholecystectomy patients, especially for some females. Conclusion Physicians should pay attention to preoperative active communication with patients, so as to eliminate the concerns of patients about surgery, especially the female during preoperative evaluation.

Citation： CHEN Chao. Evaluation of Preoperative Psychologic State of Patients Undergoing Laparoscopic Cholecystecomy or Laparocholecystectomy. West China Medical Journal, 2010, 25(7): 1279-1281. doi: Copy

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1. 舒良. 自評抑郁量表和抑郁狀態問卷[J]. 中國心理衛生雜志, 1999, 增刊: 194-195.
2. 吳文源. 焦慮自評量表[J]. 中國心理衛生雜志, 1999, 增刊: 235-237.
3. Pérez-Stable EJ, Miranda J, Muoz RF, et al. Depression in Medical Outpatients[J]. Arch Intern Med, 1990, 150(5): 1083-1088.
4. Weatherall M. A randomized controlled trial of the geriatric depression scale in an inpatient ward for older adults[J]. Clin Rehabil, 2000, 14(2): 186-191.
5. Zung WW. The role of rating scales in the identification and management of the depressed patient in the primary care setting[J]. J Clin Psychiatry, 1990, 51(6): 72-76.
6. 姜可偉, 王杉, 李嘉, 等. 普通外科手術患者伴發抑郁障礙的現況調查[J]. 中華外科雜志, 2002, 40(11): 831.
7. David R, Grube MD. 抑郁癥[J]. 中國全科醫學, 2002, 5(12): 943-947.
8. 自孝海, 王世方, 包廣亮, 等. 綜合醫院住院病人焦慮抑郁狀況調查[J]. 健康心理學雜志, 2002, 10(6): 461-462.

West China Medical Journal

Evaluation of Preoperative Psychologic State of Patients Undergoing Laparoscopic Cholecystecomy or Laparocholecystectomy

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