鼻中隔偏曲及慢性鼻窦炎鼻息肉患者的精神心理状态调查

doi:10.6040/j.issn.1673-3770.0.2018.081

摘要/Abstract

摘要： 目的初步调查鼻中隔偏曲(DNS)、慢性鼻窦炎鼻息肉(CRSwNP)患者的精神心理状况,观察其手术前后的心理变化。方法利用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估44例CRSwNP、41例DNS、31例声带息肉患者(对照组)手术前后焦虑、抑郁症状。另取39例健康者作健康对照。结果术前各组的SAS和SDS评分依次为:健康组(36.74±10.39; 38.51±11.30)、对照组(38.52±10.99; 42.26±10.42)、CRSwNP组(42.00±13.54; 43.84±15.44)、DNS组(45.02±10.80; 48.32±11.21)。健康组、对照组与DNS组之间的SAS和SDS评分差异有统计学意义(P<0.01)。CRSwNP组和DNS组的术前、术后的SAS和SDS评分差异有统计学意义(P<0.05)。约1/3的DNS组和CRSwNP组的患者术后仍出现焦虑或抑郁症状。结论 DNS、CRSwNP患者存在一定的焦虑、抑郁症状,术后其评分较术前改善,但约1/3的患者术后仍有焦虑、抑郁症状,必要时应给予心理干预。

关键词: 慢性, 精神心理, 鼻中隔偏曲, 焦虑, 鼻窦炎, 鼻息肉, 抑郁

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

中图分类号:

R765.9

陈望兴,赵雪,刘岩,刘悦,金春顺. 鼻中隔偏曲及慢性鼻窦炎鼻息肉患者的精神心理状态调查[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 24-27.

CHEN Wangxing, ZHAO Xue, LIU Yan, LIU Yue, JIN Chunshun. Psychological status of patients with deviated nasal septum or chronic sinusitis with nasal polyps[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 24-27.

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