Investigation of depression and anxiety emotion in perioperative patients with thoracic neoplasms_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

TANG Yudong ^1,2 , ZHENG E ¹ , MEI Xiaoli ¹ ,  YANG Mei ¹ , HUANG Chengyi ² , XIAO Yue ²

1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

YANG Mei, Email: yangmei69@126.com

Keywords：

Thoracic neoplasms; enhanced recovery after surgery; Huaxi emotional-distress index; depression; anxiety

DOI：

10.7507/1007-4848.201706020

Video：

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Objective To understand the status quo of depression and anxiety emotion in perioperative patients with thoracic neoplasms under the concept of enhanced recovery aftersurgery. Methods Huaxi emotional-distress index scale (HEI) was adopted to investigate the mental status of 195 patients with thoracic neoplasms in Department of Thoracic Surgery, West China Hospital, and the nursing outpatients between September and November in 2016. There were 118 males and 77 females at age of 17–80 (55.72±12.66) years. Results There was significant difference in mental health level between the preoperative patients and the postoperative patients (3.70±3.41vs. 11.01±9.78,P<0.001). The incidence of depression and anxiety emotion in the postoperative patients was significantly higher than that in the preoperative patients (50.00%vs. 9.60%, P<0.001). Besides, there was significant difference of depression and anxiety degree between the preoperative patients and postoperative patients (P<0.001). Moderate to severe depression and anxiety were mostly found in the postoperative patients while mild to moderate depression and anxiety in the preoperative patients. Conclusion Patients with thoracic neoplasms have much emotional obstacle in perioperative period. The incidence and severity degree of depression and anxiety emotion in postoperative patients are higher than those in preoperative patients.

Citation： TANG Yudong, ZHENG E, MEI Xiaoli, YANG Mei, HUANG Chengyi, XIAO Yue. Investigation of depression and anxiety emotion in perioperative patients with thoracic neoplasms. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(11): 835-838. doi: 10.7507/1007-4848.201706020 Copy

1.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
2.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
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6.	Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): A Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
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11.	Cousson-Gelie F, Bruchon-Schweitzer M, Dilhuydy JM, et al. Do anxiety, body image, social support and coping strategies predict survival in breast cancer? A ten-year follow-up study. Psychosomatics, 2007, 48(3): 211-217.
12.	Suthahar A, Gurpreet K, Ambigga D, et al. Psychological distress, quality of life and coping in cancer patients: a prospective study. Med J Malaysia, 2008, 63(5): 362-368.
13.	孙颖. 98 例恶心肿瘤病人抑郁症及影响因素的调查. 医学理论与实践, 2012, 25(25): 2999-3000, 3011.
14.	彭娟, 周录娇, 周航, 等. 100 例肿瘤患者的抑郁焦虑情绪调查分析. 重庆医学, 2015, 44(14): 1949-1950, 1953.
15.	莫晓娟, 杨巧贞, 叶斐斐. 心理健康教育对肺癌患者生活质量的影响. 中国卫生产业, 2016, 13(25): 102-104.
16.	姚鲲鹏, 张庭辉. 我国社区心理健康服务研究综述. 医学与哲学, 2011, 32(11): 37-39.
17.	吴玲, 毕海玲, 黄嵘, 等. 青岛市社区心理卫生服务能力现状与发展建议. 齐鲁医学杂志, 2016, 31(3): 356-358.
18.	陈明华, 雷丽婵, 杨翠芹, 等.个体化护理干预对非小细胞肺癌患者睡眠质量和负性情绪的影响. 实用临床医药杂, 2014, 18(24): 162-163.

1. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
2. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
3. 杨雪琴, 俞梦孙. 做一名践行" 健康医学模式”的好医生——用系统论解读疾病与健康. 医学研究生学报, 2015, 28(4): 337-340.
4. 周光峰. 医学模式与医疗秩序. 医学与哲学, 2015, 36(6B): 19-20, 41.
5. 高广超, 姬艳博, 孙菲菲, 等. 癌症病人心理弹性水平及其影响因素的分析研究. 护理研究, 2016, 30(12): 4263-4266.
6. Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): A Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
7. Mssie MJ, Holland JC. Depressiond and the cancer patient. J Clin Psychiatry, 1900, 51(suppl): 12.
8. 赵彩萍, 方建群, 李媛. 等. 胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究. 中华护理杂志, 2012, 47(1): 65-67.
9. 王叶风. 术前心理护理对手术患者焦虑情绪的影响. 中国现代医生, 2012, 50(4): 122-123.
10. 杨智辉, 王建平. 癌症患者情绪状况及其影响因素分析. 中国临床心理学杂志, 2011, 19(1): 72-74, 115.
11. Cousson-Gelie F, Bruchon-Schweitzer M, Dilhuydy JM, et al. Do anxiety, body image, social support and coping strategies predict survival in breast cancer? A ten-year follow-up study. Psychosomatics, 2007, 48(3): 211-217.
12. Suthahar A, Gurpreet K, Ambigga D, et al. Psychological distress, quality of life and coping in cancer patients: a prospective study. Med J Malaysia, 2008, 63(5): 362-368.
13. 孙颖. 98 例恶心肿瘤病人抑郁症及影响因素的调查. 医学理论与实践, 2012, 25(25): 2999-3000, 3011.
14. 彭娟, 周录娇, 周航, 等. 100 例肿瘤患者的抑郁焦虑情绪调查分析. 重庆医学, 2015, 44(14): 1949-1950, 1953.
15. 莫晓娟, 杨巧贞, 叶斐斐. 心理健康教育对肺癌患者生活质量的影响. 中国卫生产业, 2016, 13(25): 102-104.
16. 姚鲲鹏, 张庭辉. 我国社区心理健康服务研究综述. 医学与哲学, 2011, 32(11): 37-39.
17. 吴玲, 毕海玲, 黄嵘, 等. 青岛市社区心理卫生服务能力现状与发展建议. 齐鲁医学杂志, 2016, 31(3): 356-358.
18. 陈明华, 雷丽婵, 杨翠芹, 等.个体化护理干预对非小细胞肺癌患者睡眠质量和负性情绪的影响. 实用临床医药杂, 2014, 18(24): 162-163.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Investigation of depression and anxiety emotion in perioperative patients with thoracic neoplasms

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