颈椎病患者术前焦虑及抑郁状态危险因素分析

为探究颈椎病手术患者术前焦虑和抑郁的患病率及其危险因素,进而确定术前需要加强心理干预的患者,选择从2019年9月至2020年9月在宁波市第六医院脊柱外科收治的因颈椎病需要手术治疗的患者作为研究对象,采用医院焦虑抑郁量表对患者进行抑郁和焦虑评定,统计患者的人口学特征、颈椎退变及计划手术治疗等相关情况,采用Logistic...

Risk factors of preoperative anxiety and depression in patients with cervical spondylosis

The present study was designed to investigate the prevalence and risk factors of anxiety and depression in surgical patients with cervical spondylosis. Patients who underwent surgical treatment with cervical spondylosis were recruited from the Department of Spinal Surgery in Ningbo No.6 Hospital from September, 2019 to September, 2020. All participants were surveyed, using the Hospital Anxiety Depression Scale (HADS). In addition, demographic characteristics, cervical vertebra degeneration and surgical treatment plan were recorded by a same nurse. Logistic regression analysis was used to determine the risk factors of anxiety and depression prior to operation. The results showed that among all 204 participants, 56.9% and 51.0% of the patients were in depression and anxiety, respectively. Logistic regression analysis showed that age, BMI, duration of neurological symptoms, preoperative VAS score, with other ongoing chronic diseases were independent risk factors of preoperative anxiety. In contrast, marital status was a protective factor. In conclusion, anxiety and depression were common in patients with cervical spondylosis prior to surgery. Medical service providers should offer more care to the patients, particularly those elderly, with higher BMI, longer duration of neurological symptoms, higher preoperative VAS score and other ongoing chronic diseases.