J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (4): 24-27.doi: 10.6040/j.issn.1673-3770.0.2018.081

Previous Articles     Next Articles

Psychological status of patients with deviated nasal septum or chronic sinusitis with nasal polyps

CHEN Wangxing1, ZHAO Xue2, LIU Yan2, LIU Yue2, JIN Chunshun2   

  1. Department of otolaryngology Head and Neck Surgery, The Second Hospital Affiliated to Jilin University Medical School, Changchun 130041, Jilin, China
  • Received:2018-02-03 Online:2018-07-20 Published:2018-07-20

Abstract: Objective To investigate the psychological status of patients with nasal diseases such as deviated nasal septum(DNS)and chronic rhino-sinusitis with nasal polyps(CRSwNP), and to analyze the changes after surgical intervention. Methods We applied the Zung-self-rating anxiety scale(SAS)and Zung-self-rating depression scale(SDS)as psychological assessment tools. A qualitative study was conducted to analyze the anxiety and depression of 41 patients with DNS, 44 patients with CRSwNP, 31 patients with vocal cord polyp(Control Group)and 39 healthy people. Results The preoperative SAS and SDS scores in different groups were Healthy(36.74±10.39; 38.51±11.30), Control Group(38.52±10.99; 42.26±10.42), CRSwNP(42.00±13.54; 43.84±15.44), DNS(45.02±10.80; 48.32±11.21). The SAS and SDS scores of the DNS group were significantly different from the Control and Healthy groups(P<0.01). The scores could be reduced by surgical treatment(P<0.05). However, almost 1/3rd of patients with nasal diseases reported the same levels of anxiety and depression postoperatively. Conclusion We conclude that the prevalence of anxiety and depression in nasal disease patients is higher than that in the normal population. More attention should be paid to the emotional reactions of inpatients with nasal diseases; psychological interventions against negative emotions should be provided to patients when treating them for somatic diseases.

Key words: Deviation of nasal septum, Rhinosinusitis, chronic, Anxiety, Psychology, Depression, Nasal polyps

CLC Number: 

  • R765.9
[1] Alt JA, Smith TL, Mace JC, et al. Sleep quality and disease severity in patients with chronic rhinosinusitis[J]. Laryngoscope, 2013, 123(10):2364-2370.
[2] Nathan RA. The burden of allergic rhinitis[J]. Allergy Asthma Proc, 2007, 28(1):3-9.
[3] 张明圆. 精神科评定量表手册[M].长沙:湖南科学技术出版社,1998: 35-42.
[4] 于德华,吴绍敏,李春波,等. 综合医院住院患者焦虑与抑郁症状调查[J]. 临床精神医学杂志,2004,14(2):69-70. YU Dehua, WU Shaomin, LI Chunbo, et al. The investigation of prevalence of anxiety and depression of inpatients in general hospital[J]. J Clin Psychol Med, 2004, 14(2):69-70.
[5] 李惠春,郑磊磊,滕建荣. 综合性医院住院患者焦虑和抑郁状况分析[J]. 浙江大学学报(医学版),2003,32(4):342-344. LI Huichun, ZHENG Leilei, TENG Jianrong. Analysis the anxiety and depression of inpatients in general hospital[J]. J Zhejiang Univ(Med Sci), 2003, 32(4):342-344.
[6] Bhattacharyya N, Wasan A. Do anxiety and depression confound symptom reporting and diagnostic accuracy in chronic rhinosinusitis?[J]. Ann Otol Rhinol Laryngol, 2008, 117(1):18-23.
[7] Rozanska-Kudelska M, Szulc A, Matulka M, et al. Quality of life,depression and anxiety symptoms in patients with chronic rhinosinusitis with polyps treated by endoscopic sinus surgery[J]. Pol Merkur Lekarski, 2012, 32(190):228-231.
[8] Brandsted R, Sindwani R. Impact of depression on disease-specific symptoms and quality of life in patients with chronic rhinosinusitis[J]. Am J Rhinol, 2007, 21(1):50-54.
[9] Litvack JR, Mace J, Smith TL. Role of depression in outcomes of endoscopic sinus surgery[J]. Otolaryngol Head Neck Surg, 2011, 144(3): 446-451.
[10] Busaba NY, Sin HJ, Salman SD. Impact of gender on clinical presentation of chronic rhinosinusitis with and without polyposis[J]. J Laryngol Otol, 2008, 122(11):1180-1184.
[11] Baumann I, Blumenstock G, Zalaman IM, et al. Impact of gender, age, and comorbidities on quality of life in patients with chronic rhinosinusitis[J]. Rhinology, 2007, 45(4): 268-272.
[12] Lavie P, Gertner R, Zomer J, et al. Breathing disorders in sleep associated with ‘microarousals’ in patients with allergic rhinitis[J]. Acta Otolaryngol, 1981, 92(5-6):529-533.
[13] Craig TJ, Hanks CD, Fisher LH. How do topical nasal corticosteroids improve sleep and daytime somnolence in allergic rhinitis?[J]. J Allergy Clin Immunol, 2005, 116(6):1264-1266.
[14] Schwentner I, Dejakum K, Schmutzhard J, et al. Does nasal septal surgery improve quality of life?[J]. Acta Otolaryngol, 2006, 126(7):752-757.
[15] Fidan T, Fidan V, Ak M, et al. Neuropsychiatric symptoms, quality of sleep and quality of life in patients diagnosed with nasal septal deviation[J]. Kulak Burun Bogaz Ihtis Derg, 2011, 21(6):312-317.
[16] Mace J, Michael YL, Caelson NE, et al. Effects of depression on quality of life improvement after endoscopic sinus surgery[J]. Laryngoscope, 2008, 118(3):528-534.
[17] 左可军,许庚,王德云,等. 慢性鼻-鼻窦炎鼻息肉内镜鼻窦术前术后症状与生存质量的评估[J]. 中华耳鼻咽喉头颈外科杂志,2007,42(4):245-249. ZUO Kejun, XU Geng, WANG Deyun, et al. Postoperative symptoms and quality of life assessment of chronic rhinosinusitis patents received endoscopic sinus surgery[J]. Chin J Otorhinolaryngol Head Neck Surg, 2007, 42(4):245-249.
[1] SONG Xiaoyu, ZHANG Yu, LI Chenglin, SONG Xicheng. Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 9-12.
[2] ZHU Wenyan, JIN Xin, SHE Wandong, MA Yongchi. Assessment of psychopathological characteristics in 30 patients with sudden sensorineural hearing loss [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 50-52.
[3] HUANG Fang, ZHENG Zhijuan, XIE Lei. Relationship of anxiety and depression with illness stage in patients with sudden hearing loss and its influencing factors [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 1-6.
[4] HUANG Yuan, BA Luo, LI Bo, YU Wenxing, YANG Fangli, DU Jintao. Transcription factor NKX2-1 regulates eosinophilic inflammation in chronic rhinosinusitis with nasal polyps [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 17-23.
[5] Effect of short-term glucocorticoid inhalation on nasal symptoms and adrenocortical function in patients with eosinophilic chronic sinusitis accompanied by nasal polyps. Effect of short-term glucocorticoid inhalation on nasal symptoms and adrenocortical function in patients with eosinophilic chronic sinusitis accompanied by nasal polyps [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 28-31.
[6] LI Huabin, LAI Yuting. Pathogenesis, diagnosis, and treatment of chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 4-9.
[7] YU Qianqian, GUAN Ge, ZHANG Niankai, LI Na, WEN Junfeng, LIU Tingting, LIAN Yuanyuan. Characteristics of respiratory epithelial adenomatoid hamartomas in the nasal olfactory cleft on computed tomography [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 76-81.
[8] LI Hongmei, WANG Lan, GAO Zhaohui, WANG Ying, XUE Jinmei. The expression and significance of p-ERK2/ ERK2 in nasal polyps [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 42-46.
[9] ZHANG Jie, GONG Qi. Clinical significance of eosinophils and neutrophils in blood and allergic reaction in patients with chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 54-57.
[10] GAN Bin, ZHANG Yongju, XU Anting. BRF2 in the pathogenesis of chronic rhinosinusitis with nasal polyps [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 47-53.
[11] WANG Lei, YUAN Ying, YU Xuemin, HAN Yue, WANG Ning, LI Xiao, LI Zejing, LI Long. Efficacy of the continuous suture technique in septoplasty [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 73-75.
[12] ZHI Lili, SONG Daoliang. Expressions of eosinophils and IL5 in antrochoanal polyps and nasal polyps. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 43-46.
[13] LUN Jie, ZHANG Ya′nan. Analysis on the factors related to the recurrence of chronic rhinosinusitis with nasal polyps. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 80-83.
[14] WANG Haipeng, XU Huijuan, ZHANG Xiufang, WANG Huizhong, LI Yanzhong. The application of Sinus Jel in adult patients of nasal polyps with sleep-disordered breathing. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 58-60.
[15] ZHANG Meng, XU Jun, JIN Xianghua, JIN Jun, WANG Lusha, JIN Yongde. Comparison of nasal septum suture and nasal packing in septoplasty. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 92-93.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] WANG Chi, LIU Xing, KONG Lei, HONG Xinghe, NING Bo. Clinical efficacy of endoscopic plasma radiofrequency ablation in the treatment of adenoid hypertrophy and sinusitis in children and its effect on nasal mucociliary clearance[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 78 -81 .
[2] DOU Dou, LI Linglong, ZHANG Jin, CAO Liu, XIE Hui. Analysis of the effect of Professor Xie Hui using warm needling therapy for allergic rhinitis.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(4): 60 -62 .