食管胃底静脉曲张内镜治疗住院患者焦虑现状及其影响因素
摘要：目的 探討我院肝病科食管胃底静脉曲张(GEV)内镜治疗住院患者焦虑与其发生的影响因素，以期为临床护理、健康教育、家庭支持提供参考依据。方法 选取 2018年8月～2019年2月深圳市第三人民医院肝病医学中心GEV内镜治疗的76例住院患者。采用焦虑自评量表(SAS)对患者的焦虑状况进行评分，并分析相关影响因素。结果 年龄偏大、文化程度越高、病程越长、收入越低、GEV越重、合并并发症、住院次数多、治疗次数多的患者行GEV治疗时焦虑症状越明显(P<0.05)。婚姻、Child分级、性别等与患者焦虑症状关系比较，差异无统计学意义(P>0.05);影响GEV治疗患者焦虑情况最重要的因素为有收入情况、治疗次数、文化程度、年龄、GEV程度和病程(P<0.05)。结论 焦虑在GEV内镜治疗的住院患者中普遍存在，且受多种因素影响，提示对于GEV内镜治疗住院患者在实施对症治疗及护理之外， 还需要关注其心理状况，并给予干预。
关键词：食管胃底静脉曲张;内镜治疗;焦虑;影响因素
中图分类号：R575 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.01.039
文章编号：1006-1959(2020)01-0127-03
Gastroesophageal Varices Endoscopic Treatment of Anxiety in Hospitalized Patients and
Its Influencing Factors
ZHAO Su-yuan，WANG Fang，LAI Chang-xiang，ZHOU Hai-yan，LUO Xiang-yang，WU Yu-ning，WANG Xin-ying，ZENG Chong
(Department of Hepatology，Subject Two，Shenzhen Third People's Hospital，Shenzhen 518112，Guangdong，China)
Abstract：Objective To investigate the anxiety and its influencing factors ofgastroesophageal varices (GEV) endoscopic treatment in hospitalized patients in our hospital， in order to provide reference for clinical nursing， health education and family support. Methods From August 2018 to February 2019， 76 inpatients that were treated with GEV endoscopy in Shenzhen Third People's Hospital Hepatology Medical Center were selected. Patients' anxiety was scored using the Anxiety Self-Assessment Scale (SAS)， and related factors were analyzed. Results Patients with older age， higher education， longer course of illness， lower income， heavier GEV， more complications， more hospitalizations， and more treatments were more anxious when GEV was performed (P<0.05). There was no significant difference in the relationship between marriage， Child classification， gender， and anxiety symptoms of patients (P> 0.05); the most important factors affecting the anxiety of GEV patients were income， number of treatments， education， age， and GEV and course of disease (P<0.05).Conclusion Anxiety is common in inpatients treated with GEV endoscopy， and it is affected by many factors， suggesting that in addition to symptomatic treatment and care for inpatients treated with GEV endoscopy， it is necessary to pay attention to their psychological conditions and provide intervention., http://www.100md.com(赵苏园 王方 赖长祥 周海燕 罗向阳 吴宇宁 王芯莹 曾翀)
关键词：食管胃底静脉曲张;内镜治疗;焦虑;影响因素
中图分类号：R575 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.01.039
文章编号：1006-1959(2020)01-0127-03
Gastroesophageal Varices Endoscopic Treatment of Anxiety in Hospitalized Patients and
Its Influencing Factors
ZHAO Su-yuan，WANG Fang，LAI Chang-xiang，ZHOU Hai-yan，LUO Xiang-yang，WU Yu-ning，WANG Xin-ying，ZENG Chong
(Department of Hepatology，Subject Two，Shenzhen Third People's Hospital，Shenzhen 518112，Guangdong，China)
Abstract：Objective To investigate the anxiety and its influencing factors ofgastroesophageal varices (GEV) endoscopic treatment in hospitalized patients in our hospital， in order to provide reference for clinical nursing， health education and family support. Methods From August 2018 to February 2019， 76 inpatients that were treated with GEV endoscopy in Shenzhen Third People's Hospital Hepatology Medical Center were selected. Patients' anxiety was scored using the Anxiety Self-Assessment Scale (SAS)， and related factors were analyzed. Results Patients with older age， higher education， longer course of illness， lower income， heavier GEV， more complications， more hospitalizations， and more treatments were more anxious when GEV was performed (P<0.05). There was no significant difference in the relationship between marriage， Child classification， gender， and anxiety symptoms of patients (P> 0.05); the most important factors affecting the anxiety of GEV patients were income， number of treatments， education， age， and GEV and course of disease (P<0.05).Conclusion Anxiety is common in inpatients treated with GEV endoscopy， and it is affected by many factors， suggesting that in addition to symptomatic treatment and care for inpatients treated with GEV endoscopy， it is necessary to pay attention to their psychological conditions and provide intervention., http://www.100md.com(赵苏园 王方 赖长祥 周海燕 罗向阳 吴宇宁 王芯莹 曾翀)