Anxiety and depressive symptoms and their influential factors among patients with intrauterine adhesions managed by day surgery model_West China Medical Journal

Authors：

HE Jing ^1,2 , YANG Yuqiong ^1,2 ,  LI Mingxuan ^1,2

1. Department of Day Surgery Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LI Mingxuan, Email: mingxuanli@yeah.net

Keywords：

Intrauterine adhesions; anxiety symptoms; depressive symptoms; influential factors

DOI：

10.7507/1002-0179.202411378

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the incidences of anxiety and depressive symptoms among patients with intrauterine adhesions (IUA) managed by day surgery model, and explore their influential factors. Methods Convenience sampling was used to select patients who underwent day surgery at West China Second University Hospital, Sichuan University between January 2021 and December 2022. General information questionnaire and Hospital Anxiety and Depression Scale were used to assess the socio-demographic data and anxiety and depressive symptoms of the participants. Logistic regression was used to analyze the influential factors of anxiety and depressive symptoms. Results A total of 1100 patients were included. The incidence of anxiety and depressive were 16.5% (181/1 100) and 16.9% (186/1 100) among patients undergoing day surgery for IUA respectively. Longer waiting days for admission [odds ratio (OR)=1.012, 95% confidence interval (CI) (1.004, 1.020), P=0.004], married [OR=0.547, 95%CI (0.344, 0.869), P=0.011], more times of adhesion separation [OR=0.826, 95%CI (0.691, 0.986), P=0.034], older age [OR=0.947, 95%CI (0.909, 0.987), P=0.010] were influencing factors for anxiety symptoms in patients with IUA. Unemployment [OR=0.504, 95%CI (0.256, 0.994), P=0.048], university or undergraduate education [OR=0.326, 95%CI (0.208, 0.512), P<0.001], and high school or vocational school education [OR=0.532, 95%CI (0.319, 0.888), P=0.016] were the influencing factors for depressive symptoms in patients with IUA. Conclusions There is a high incidence of anxiety and depressive symptoms among patients with IUA under the management of day surgery mode. The influential factors include socio-demographic factors (age, education level, marital status and occupation) and disease factors (times of adhesion). Medical staff should pay attention to the early screening of mental health status of patients with IUA, and give targeted prevention and treatment measures.

Citation： HE Jing, YANG Yuqiong, LI Mingxuan. Anxiety and depressive symptoms and their influential factors among patients with intrauterine adhesions managed by day surgery model. West China Medical Journal, 2025, 40(2): 211-216. doi: 10.7507/1002-0179.202411378 Copy

1.	段華, 甘露. 宮腔粘連子宮腔整復手術質量控制. 中國實用婦科與產科雜志, 2022, 38(1): 36-40.
2.	Hooker AB, Lemmers M, Thurkow AL, et al. Systematic review and meta-analysis of intrauterine adhesions after miscarriage: prevalence, risk factors and long-term reproductive outcome. Hum Reprod Update, 2014, 20(2): 262-278.
3.	中華醫學會計劃生育學分會, 中國醫藥教育協會生殖內分泌專委會. 人工流產術后促進子宮內膜修復專家共識. 中國實用婦科與產科雜志, 2021, 37(3): 322-326.
4.	魯靜潔, 朱慧, 朱湘虹, 等. 宮腔粘連分離術后復發為重度宮腔粘連的因素分析. 實用婦產科雜志, 2017, 33(10): 751-754.
5.	Yu D, Wong YM, Cheong Y, et al. Asherman syndrome--one century later. Fertil Steril, 2008, 89(4): 759-779.
6.	Yu D, Li TC, Xia E, et al. Factors affecting reproductive outcome of hysteroscopic adhesiolysis for Asherman’s syndrome. Fertil Steril, 2008, 89(3): 715-722.
7.	Roy KK, Baruah J, Sharma JB, et al. Reproductive outcome following hysteroscopic adhesiolysis in patients with infertility due to Asherman’s syndrome. Arch Gynecol Obstet, 2010, 281(2): 355-361.
8.	顏彤, 夏智勇, 劉勝鳳, 等. 宮腔粘連的影響因素及術后患者心理狀況的分析. 生殖醫學雜志, 2024, 33(3): 381-385.
9.	孫博, 劉雷, 王東光. 國內日間手術發展進程、存在問題與對策建議. 中國衛生質量管理, 2018, 25(5): 17-20.
10.	廖文娟, 匡雪春, 劉軍, 等. 三甲醫院日間手術患者焦慮情況調查分析. 實用醫院臨床雜志, 2016, 13(3): 123-124.
11.	汪向東, 王希林, 馬弘. 心理衛生評定量表手冊. 中國心理衛生雜志, 1999(增刊): 223-226.
12.	孫振曉, 劉化學, 焦林瑛, 等. 醫院焦慮抑郁量表的信度及效度研究. 中華臨床醫師雜志(電子版), 2017, 11(2): 198-201.
13.	Wang T, Zhou Y, Fu J, et al. Level of depression, anxiety and stress in patients with intrauterine adhesions in Hunan province, China: a cross-sectional study. PLoS ONE, 2020, 15(3): e0229832.
14.	趙慧麗, 姚莉君, 胡龍軍, 等. 分散式管理下出入院服務中心在加速康復外科中的實踐與效果評價. 中國醫院, 2019, 23(1): 12-14.
15.	王筱紅, 謝雅琴, 龔娟. 不同不孕年限女性的婚姻調適、社會支持和心理狀況的調查分析. 現代泌尿生殖腫瘤雜志, 2019, 11(5): 306-310.
16.	尹亞楠, 陳靜, 龍德蓉. 2121 例婦科手術患者焦慮抑郁癥狀現狀和影響因素調查. 現代預防醫學, 2018, 45(12): 2293-2296.
17.	王文婕, 劉果, 韓繼陽, 等. 工作人群精神衛生影響因素研究進展. 中國神經精神疾病雜志, 2018, 44(10): 637-640.
18.	童然, 余文玉, 施金鳳. 不孕女性心理狀態影響因素的 Logistic 回歸分析及心理狀態與生存質量的關系. 中國性科學, 2023, 32(7): 63-66.

1. 段華, 甘露. 宮腔粘連子宮腔整復手術質量控制. 中國實用婦科與產科雜志, 2022, 38(1): 36-40.
2. Hooker AB, Lemmers M, Thurkow AL, et al. Systematic review and meta-analysis of intrauterine adhesions after miscarriage: prevalence, risk factors and long-term reproductive outcome. Hum Reprod Update, 2014, 20(2): 262-278.
3. 中華醫學會計劃生育學分會, 中國醫藥教育協會生殖內分泌專委會. 人工流產術后促進子宮內膜修復專家共識. 中國實用婦科與產科雜志, 2021, 37(3): 322-326.
4. 魯靜潔, 朱慧, 朱湘虹, 等. 宮腔粘連分離術后復發為重度宮腔粘連的因素分析. 實用婦產科雜志, 2017, 33(10): 751-754.
5. Yu D, Wong YM, Cheong Y, et al. Asherman syndrome--one century later. Fertil Steril, 2008, 89(4): 759-779.
6. Yu D, Li TC, Xia E, et al. Factors affecting reproductive outcome of hysteroscopic adhesiolysis for Asherman’s syndrome. Fertil Steril, 2008, 89(3): 715-722.
7. Roy KK, Baruah J, Sharma JB, et al. Reproductive outcome following hysteroscopic adhesiolysis in patients with infertility due to Asherman’s syndrome. Arch Gynecol Obstet, 2010, 281(2): 355-361.
8. 顏彤, 夏智勇, 劉勝鳳, 等. 宮腔粘連的影響因素及術后患者心理狀況的分析. 生殖醫學雜志, 2024, 33(3): 381-385.
9. 孫博, 劉雷, 王東光. 國內日間手術發展進程、存在問題與對策建議. 中國衛生質量管理, 2018, 25(5): 17-20.
10. 廖文娟, 匡雪春, 劉軍, 等. 三甲醫院日間手術患者焦慮情況調查分析. 實用醫院臨床雜志, 2016, 13(3): 123-124.
11. 汪向東, 王希林, 馬弘. 心理衛生評定量表手冊. 中國心理衛生雜志, 1999(增刊): 223-226.
12. 孫振曉, 劉化學, 焦林瑛, 等. 醫院焦慮抑郁量表的信度及效度研究. 中華臨床醫師雜志(電子版), 2017, 11(2): 198-201.
13. Wang T, Zhou Y, Fu J, et al. Level of depression, anxiety and stress in patients with intrauterine adhesions in Hunan province, China: a cross-sectional study. PLoS ONE, 2020, 15(3): e0229832.
14. 趙慧麗, 姚莉君, 胡龍軍, 等. 分散式管理下出入院服務中心在加速康復外科中的實踐與效果評價. 中國醫院, 2019, 23(1): 12-14.
15. 王筱紅, 謝雅琴, 龔娟. 不同不孕年限女性的婚姻調適、社會支持和心理狀況的調查分析. 現代泌尿生殖腫瘤雜志, 2019, 11(5): 306-310.
16. 尹亞楠, 陳靜, 龍德蓉. 2121 例婦科手術患者焦慮抑郁癥狀現狀和影響因素調查. 現代預防醫學, 2018, 45(12): 2293-2296.
17. 王文婕, 劉果, 韓繼陽, 等. 工作人群精神衛生影響因素研究進展. 中國神經精神疾病雜志, 2018, 44(10): 637-640.
18. 童然, 余文玉, 施金鳳. 不孕女性心理狀態影響因素的 Logistic 回歸分析及心理狀態與生存質量的關系. 中國性科學, 2023, 32(7): 63-66.

West China Medical Journal

Anxiety and depressive symptoms and their influential factors among patients with intrauterine adhesions managed by day surgery model

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content