山东大学耳鼻喉眼学报 ›› 2021, Vol. 35 ›› Issue (1): 25-29.doi: 10.6040/j.issn.1673-3770.0.2020.118
危维,杨晓彤,刘俊其,严波,王振霖,张秋航
WEI Wei, YANG Xiaotong, LIU Junqi, YAN Bo, WANG Zhenlin, ZHANG Qiuhang
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。
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