鼻颅底肿瘤患者内镜手术后心理学变化的分析

doi:10.6040/j.issn.1673-3770.0.2020.118

摘要/Abstract

摘要： 目的分析鼻颅底肿瘤患者在内镜手术前后的心理变化。方法对62例鼻颅底肿瘤患者采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、攻击问卷(AQ)以及“空鼻综合征”症状问卷(ENS6Q),评估其在手术前、术后3个月及术后1年的心理状态变化。结果患者术前SAS评分(42.29±9.24)高于国内常模,术后3个月和术后1年SAS得分(38.94±8.08)、(37.74±8.19),与术前比较差异有统计学意义(P<0.05)。术前SDS评分(46.06±8.03)高于国内常模,术后3个月和术后1年SDS得分(43.63±6.72)、(42.94±7.42),与术前比较差异有统计学意义(P<0.05)。良性肿瘤患者术后1年SDS评分(40.59±6.69)低于恶性肿瘤患者(44.74±7.54)(P<0.05)。切除鼻甲患者术后3个月及术后1年的ENS6Q评分均高于术前(P<0.01)。切除鼻甲患者与保留鼻甲患者在术前、术后3个月及术后1年的SAS、SDS、AQ评分,差异无统计学意义(P>0.05)。结论鼻颅底肿瘤患者有较明显的焦虑和抑郁情绪,应加强对患者的心理护理和疏导。

关键词: 颅底肿瘤, 鼻肿瘤, 心理学, 焦虑, 抑郁, 空鼻综合征

Abstract: Objective To analyze the psychological changes in patients with nasal skull base tumor after endoscopic surgery. Methods Applying the Zung-self-rating anxiety scale(SAS), Zung-self-rating depression scale(SDS), aggression questionnaire(AQ), and empty nose syndrome 6-item questionnaire(ENS6Q), we assessed 62 patients with nasal skull base tumor before surgery, at three months, and a year after surgery. Results The preoperative SAS scores(42.29±9.24)were significantly higher than those of the national normal model, and the postoperative scores at 3 months(38.94±8.08)and a year after surgery(37.74±8.19)(P<0.05). The preoperative SDS scores(46.06±8.03)were higher than those of the national normal model and the postoperative scores at 3 months(43.63±6.72)and a year after surgery(42.94±7.42)(P<0.05). At one year after surgery, the SDS scores of patients with benign tumors(40.59±6.69)were lower than those of patients with malignant tumors(44.74±7.54)(P<0.05). The postoperative ENS6Q scores of patients who underwent turbinectomy were significantly higher than those of patients before surgery(P<0.01). The SAS, SDS, and AQ scores of patients who underwent turbinectomy were not significantly different from the scores of patients with turbinate preservation before and after surgery(P>0.05). Conclusion The patients with nasal skull base tumor obviously experienced anxiety and depression. Psychological care and interventions should be provided to them.

Key words: Skull base tumor, Nasal neoplasms, Psychology, Anxiety, Depression, Empty nose syndrome

中图分类号:

R765.9

危维,杨晓彤,刘俊其,严波,王振霖,张秋航. 鼻颅底肿瘤患者内镜手术后心理学变化的分析[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 25-29.

WEI Wei, YANG Xiaotong, LIU Junqi, YAN Bo, WANG Zhenlin, ZHANG Qiuhang. The psychological status of patients with nasal skull base tumor after endoscopic surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 25-29.

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