| ObjectiveThe respiratory disease is a large series of diseases which seriously threaten human life and health. Bronchial artery infusion and embolization with its minimally invasive and effective, easy to bear, less complications and repeatability, gradually used in clinical application and showed more advantages. With the development of bio-psycho-social medical model, the overall treatment of taking patients as the center is more and more common instead of disease-centered. Yet on the study for anxiety and depression status in the patients with bronchial artery infusion and embolization and the impact of psychological intervention is less. The thesis is to investigate the status of anxiety and depression before and after the operation in patients and the effect of psychological intervention for these patients, and to provide psychological basis for its clinical application. MethodsWe selected the 114 in-patients with bronchial artery infusion and embolization from January 2015 and October 2015 in the Department of Respiratory Medicine of the First Affiliated Hospital of Chengdu Medical College Hospital according to the criteria. They were randomly assigned to two groups: control group with 58 cases and psychological intervention group with 56 cases. Control group was given conventional treatment, while the psychological intervention group was given conventional treatment and psychological intervention at the same time from the day before operation to one week after it. Then, the research was conducted in two groups respectively, including general situation questionnaire, self-rating Anxiety Scale(SAS) and self-rating Depression Scale(SDS) on the day before operation and postoperative one week. Results(1) The general data between the control group and intervention group patients with gender, age, education, occupation, smoking and drinking history, respiratory symptoms(cough, expectoration, hemoptysis, chest pain, shortness of breath and so on), present illness, ever taken interventional therapy, diagnosed with other lung diseases, or with other chronic disease(hypertension, diabetes, coronary heart disease, etc.), have health insurance is comparable. There was no statistically significant difference(P>0.05).(2) Patients received the bronchial artery infusion and embolization had obvious symptoms of anxiety and depression. Patients with preoperative anxiety and depression respectively accounted for 29.8% and 32.5%. The proportion of patients with both anxiety and depression made up 17.5%. Patients with Postoperative anxiety, with depression and with both accounted for 19.3%, 23.7% and 17.5% respectively.(3) There was no significant difference between preoperative anxiety, depression in intervention group and control group.(43.30±9.88 VS 42.83±9.51, P>0.05; 46.09±9.90 VS 44.64±9.76, P>0.05). One week after the operation,the psychological intervention group anxiety scale score was lower than the control group(39.34 ± 7.50 VS 42.50 ± 9.38,P<0.05).The depression scale score was not statistically significant difference between the two groups(43.21 ±8.73 VS 44.45±9.60, P>0.05).(4) The anxiety scale score had significant positive association with depression scale score in the patients with the bronchial arter y infusion and embolization(r=0.598, P<0.01).(5) Multivariate linear regression analysis indicated that the factors that had a influence on anxiety are age, dyspnea, hemoptysis, disease duration,combined with other lung diseases( such as chronic bronchitis, chronic obstructive pulmonary disease, asthma and so on)(P<0.05); the influence factors of depression are age, cough, expectoration, hemoptysis, health care, disease duration and complicated with chronic disease(hypertension, diabetes or coronary heart disease, ect.)(P<0.05). Conclusion(1) A significant anxiety and depression was observed in patients with bronchial artery interventional therapy before operation.(2) Psychological intervention can reduce patients’ s anxiety, but it had little effect on depression from the day before operation to one week after operation.(3) There was a positive correlation between anxiety and depression scale scores in patients with bronchial artery infusion and embolization.(4) The influence factors of anxiety are age, dyspnea, hemoptysis, disease duration,combined with other lung diseases,(including chronic bronchitis, chronic obstructive pulmonary disease, bronchial asthma, etc.); The influence factors of depression are age, cough, expectoration, hemoptysis, disease duration,health care and complicated with chronic diseases(hypertension, diabetes or coronary heart disease.ect.)... |
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