Study of Depression and Anxiety in Patients with Postoperative Inflammatory Small Bowel Obstruction_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANGXiao-qiang ¹ ,  MAJia-chi ² , LIYi-ping ² , CHENXiao-chang ³ , GUOQing-jin ³

1. Department of General Surgery, The Second Hospital of Lanzhou, Lanzhou 730046, Gansu Province, China;
2. Department of General Surgery, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China;
3. Graduate School, Ningxia Medical University, Yinchuan 750000, The Ningxia Hui Autonomous Region, China;

Corresponding?author：

MAJia-chi, Email: tsmjc2013@163.com

Keywords：

Postoperative inflammatory small bowel obstruction; Depression; Anxiety

DOI：

10.7507/1007-9424.20160277

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the situation of depression and anxiety in the patients with postoperative inflammatory small bowel obstruction (PISBO), and to provide the dependent indications for the treatment. Methods The serf-rating depression scale (SDS scale) and self-rating anxiety scale (SAS scale) were used to test the depression and anxiety of 79 patients with PISBO, who treated in the Department of General Surgery of The Second Hospital of Lanzhou from Jan. 2008 to Oct. 2014. Comparison between the scores of SDS scale/SAS scale and corresponding Chinese norms was performed, and then exploring the influence factor of depression and anxiety of PISBO patients. Results The standard scores of depression and anxiety were 49.23±11.39 and 50.31±6.25 respectively, which were higher than those of corresponding Chinese norms (P < 0.05). The results of multivariate logistic regression analysis indicated that, the independent influential factors of depression and anxiety in patients with PISBO included course of disease, type of tumor, other postoperative complications, and postoperative insomnia (P < 0.05), patients whose course of disease longer than 15 days, who with malignant tumor, and who suffered from other postoperative complications and postoperative insomnia, had higher ratios of depression and anxiety. Conclusion The depression and anxiety is very evident in the patients with PISBO, we should pay attention to this phenomenon and give intervention for it.

Citation： ZHANG Xiao-qiang, MA Jia-chi, LI Yi-ping, CHEN Xiao-chang, GUO Qing-jin. Study of Depression and Anxiety in Patients with Postoperative Inflammatory Small Bowel Obstruction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(9): 1084-1088. doi: 10.7507/1007-9424.20160277 Copy

1.	黎介壽.認識術后早期炎癥性腸梗阻的特性.中國實用外科雜志, 1998, 18(7):387-388.
2.	李幼生, 黎介壽.再論術后早期炎性腸梗阻.中國實用外科雜志, 2006, 26(1):38-39.
3.	朱維銘, 李寧.術后早期炎性腸梗阻的診治.中國實用外科雜志, 2000, 20(8):456-458.
4.	Kim E, Yune S, Ha JM, et al. Predictive factors of response to medical therapy in Crohn's disease patients with intestinal obstruction. Korean J Gastroenterol, 2013, 62(4):213-218.
5.	朱維銘, 李寧, 黎介壽, 等.術后早期炎性腸梗阻的治療.中國實用外科雜志, 2002, 22(4):219-220.
6.	于皆平, 沈志祥, 羅和生, 等.實用消化病學.北京:科學出版社, 1999:807-813.
7.	張明園.精神科評定量表手冊.長沙:湖南科學技術出版社, 1993:34-40.
8.	廖占國.腹部術后發生腸梗阻的獨立危險因素及治療情況研究.檢驗醫學與臨床, 2014, 11(21):3011-3012.
9.	袁浩龍.精神障礙與胃腸疾病關系的研究進展.國外醫學精神病學分冊, 1997, 24(3):137-141.
10.	李紅娟.論胃腸疾病的心理焦慮抑郁因素影響與治療.中國衛生產業, 2012, 9(3):101-107.
11.	王李, 童衛東.術后腸梗阻的發生機制研究進展.中國普外基礎與臨床雜志, 2011, 18(10):1114-1117.
12.	呂云福, 鄒盛圈, 詹文華, 等.腸梗阻診斷治療學.北京:人民衛生出版社, 2007:14-16.
13.	王軼偉.術后腸梗阻探討.醫學綜述, 2009, 15(11):1668-1670.
14.	卿三華, 彭明, 侯寶華, 等.腸梗阻768例病因分析.中華普通外科雜志, 2000, 15(4):242-243.
15.	江來, 孟榮貴, 王顥, 等.腸梗阻的病因及診治探討.中華胃腸外科雜志, 2001, 4(1):34-36.
16.	劉紅權, 鄧小紅, 葉廷明.術后腸梗阻的診斷與治療.贛南醫學院學報, 2006, 26(4):597-598.
17.	杜治政.生物-心理-社會醫學模式的實踐與醫學整合.醫學與哲學, 2009, 30(17):1-5.
18.	張冬梅.現代醫學模式與心理護理.現代醫藥衛生, 2004, 20(9):776.
19.	瞿偉, 谷珊珊.抑郁癥治療研究新進展.第三軍醫大學學報, 2014, 36(11):1113-1117.
20.	Zhu L, Ranchor AV, van der Lee M, et al. Co-morbidity of depres-sion, anxiety and fatigue in cancer patients receiving psychological care. Psychooncology, 2016, 16(4):423-427.
21.	趙亞麗.抗焦慮藥物在胃腸道疾病中的應用.中國實用醫藥, 2013, 8(7):170-171.
22.	陳詩言, 楊巍, 陳萬萌, 等.抗抑郁藥與心理行為治療在功能性胃腸疾病中的作用.大家健康, 2013, 7(3):51.
23.	岳李.功能性胃腸病患者精神心理因素調查及抗抑郁治療效果分析.中國實用神經疾病雜志, 2012, 15(18):43-44.
24.	程族桁, 王奕冉.國內焦慮癥的心理療法研究進展.河南職工醫學院學報, 2008, 20(2):210-213.
25.	申莉萍, 雷春華, 丁開云.電針加穴位注射對術后早期炎性腸梗阻患者血漿促炎因子及胃動素水平的影響.中國針灸, 2011, 31(9):795-798.
26.	葉佳媚, 陳道榮.精神心理因素與功能性胃腸病的關系.胃腸病學和肝病學雜志, 2010, 19(5):475-477.
27.	馮超英.焦慮癥的藥物治療研究進展.醫藥導報, 2006, 25(5):447-450.
28.	張玲, 潘潤德.焦慮癥的治療現狀.神經疾病與精神衛生, 2004, 4(5):401-403.

1. 黎介壽.認識術后早期炎癥性腸梗阻的特性.中國實用外科雜志, 1998, 18(7):387-388.
2. 李幼生, 黎介壽.再論術后早期炎性腸梗阻.中國實用外科雜志, 2006, 26(1):38-39.
3. 朱維銘, 李寧.術后早期炎性腸梗阻的診治.中國實用外科雜志, 2000, 20(8):456-458.
4. Kim E, Yune S, Ha JM, et al. Predictive factors of response to medical therapy in Crohn's disease patients with intestinal obstruction. Korean J Gastroenterol, 2013, 62(4):213-218.
5. 朱維銘, 李寧, 黎介壽, 等.術后早期炎性腸梗阻的治療.中國實用外科雜志, 2002, 22(4):219-220.
6. 于皆平, 沈志祥, 羅和生, 等.實用消化病學.北京:科學出版社, 1999:807-813.
7. 張明園.精神科評定量表手冊.長沙:湖南科學技術出版社, 1993:34-40.
8. 廖占國.腹部術后發生腸梗阻的獨立危險因素及治療情況研究.檢驗醫學與臨床, 2014, 11(21):3011-3012.
9. 袁浩龍.精神障礙與胃腸疾病關系的研究進展.國外醫學精神病學分冊, 1997, 24(3):137-141.
10. 李紅娟.論胃腸疾病的心理焦慮抑郁因素影響與治療.中國衛生產業, 2012, 9(3):101-107.
11. 王李, 童衛東.術后腸梗阻的發生機制研究進展.中國普外基礎與臨床雜志, 2011, 18(10):1114-1117.
12. 呂云福, 鄒盛圈, 詹文華, 等.腸梗阻診斷治療學.北京:人民衛生出版社, 2007:14-16.
13. 王軼偉.術后腸梗阻探討.醫學綜述, 2009, 15(11):1668-1670.
14. 卿三華, 彭明, 侯寶華, 等.腸梗阻768例病因分析.中華普通外科雜志, 2000, 15(4):242-243.
15. 江來, 孟榮貴, 王顥, 等.腸梗阻的病因及診治探討.中華胃腸外科雜志, 2001, 4(1):34-36.
16. 劉紅權, 鄧小紅, 葉廷明.術后腸梗阻的診斷與治療.贛南醫學院學報, 2006, 26(4):597-598.
17. 杜治政.生物-心理-社會醫學模式的實踐與醫學整合.醫學與哲學, 2009, 30(17):1-5.
18. 張冬梅.現代醫學模式與心理護理.現代醫藥衛生, 2004, 20(9):776.
19. 瞿偉, 谷珊珊.抑郁癥治療研究新進展.第三軍醫大學學報, 2014, 36(11):1113-1117.
20. Zhu L, Ranchor AV, van der Lee M, et al. Co-morbidity of depres-sion, anxiety and fatigue in cancer patients receiving psychological care. Psychooncology, 2016, 16(4):423-427.
21. 趙亞麗.抗焦慮藥物在胃腸道疾病中的應用.中國實用醫藥, 2013, 8(7):170-171.
22. 陳詩言, 楊巍, 陳萬萌, 等.抗抑郁藥與心理行為治療在功能性胃腸疾病中的作用.大家健康, 2013, 7(3):51.
23. 岳李.功能性胃腸病患者精神心理因素調查及抗抑郁治療效果分析.中國實用神經疾病雜志, 2012, 15(18):43-44.
24. 程族桁, 王奕冉.國內焦慮癥的心理療法研究進展.河南職工醫學院學報, 2008, 20(2):210-213.
25. 申莉萍, 雷春華, 丁開云.電針加穴位注射對術后早期炎性腸梗阻患者血漿促炎因子及胃動素水平的影響.中國針灸, 2011, 31(9):795-798.
26. 葉佳媚, 陳道榮.精神心理因素與功能性胃腸病的關系.胃腸病學和肝病學雜志, 2010, 19(5):475-477.
27. 馮超英.焦慮癥的藥物治療研究進展.醫藥導報, 2006, 25(5):447-450.
28. 張玲, 潘潤德.焦慮癥的治療現狀.神經疾病與精神衛生, 2004, 4(5):401-403.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Study of Depression and Anxiety in Patients with Postoperative Inflammatory Small Bowel Obstruction

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content