Rózańska-Kudelska Małgorzata, Szulc Agata, Matulka Marlena, Simonienko Katarzyna, Rogowski Marek
Uniwersytet Medyczny w Białymstoku, Klinika Otolaryngologii.
Pol Merkur Lekarski. 2012 Apr;32(190):228-31.
Chronic somatic diseases, including chronic rhinusitis, often correlate with symptoms of depression, anxiety and with quality of life deterioration. The aim of the study was to evaluate depression and anxiety symptoms, as well as quality of life of patient with chronic rhinosinusitis before and after surgery.
The group of 20 patients was included into the study. Patients were examined twice: before and 6 months after surgery. Depression and anxiety were assessed by the means of Beck Depression Inventory (BDI) and Hospital Anxiety and Depression Scale (HADS). Quality of life was assessed by the means of WHOQOL-100 questionnaire. Intensity of somatic symptoms was measured with VAS scale.
Before surgery patients demonstrated frequent symptoms of depression and anxiety. Depression and anxiety intensity correlated significantly with somatic symptoms measured with VAS scale. After surgery depression and anxiety rates decreased, BDI and HADS scores significantly decreased as well. Quality of life in WHOQOL-100 scale significantly improved.
Chronic rhinosinusitis coexists with symptoms of anxiety and mild depression. Proper surgical treatment and somatic state amelioration are related with mental state and quality of life improvement.
慢性躯体疾病，包括慢性鼻窦炎，通常与抑郁、焦虑症状以及生活质量下降相关。本研究的目的是评估慢性鼻窦炎患者手术前后的抑郁和焦虑症状以及生活质量。
20名患者纳入本研究。患者接受两次检查：手术前和手术后6个月。通过贝克抑郁量表（BDI）和医院焦虑抑郁量表（HADS）评估抑郁和焦虑。通过世界卫生组织生活质量量表（WHOQOL-100）评估生活质量。用视觉模拟评分量表（VAS）测量躯体症状的强度。
手术前患者表现出频繁的抑郁和焦虑症状。抑郁和焦虑强度与用VAS量表测量的躯体症状显著相关。手术后抑郁和焦虑发生率降低，BDI和HADS评分也显著降低。WHOQOL-100量表中的生活质量显著改善。
慢性鼻窦炎与焦虑和轻度抑郁症状共存。适当的手术治疗和躯体状态改善与精神状态和生活质量改善相关。
