采用混合方法探讨等待鼻窦手术期间的心理疾病情况。
Exploring the psychological morbidity of waiting for sinus surgery using a mixed methods approach.
作者信息
Tsang Gordon Fung-Zak, McKnight Carmen L, Kim Laura Minhui, Lee John M
机构信息
Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
Department of Otolaryngology-Head & Neck Surgery, St. Michael's Hospital, Toronto, ON, Canada.
出版信息
J Otolaryngol Head Neck Surg. 2016 Jun 7;45(1):36. doi: 10.1186/s40463-016-0149-z.
BACKGROUND
Patients with chronic rhinosinusitis (CRS) often have to endure significant wait times for endoscopic sinus surgery (ESS). The pyschiatric impact of placement on a waitlist for ESS has not been explored.
METHODS
Questionnaires measuring CRS symptom severity and health-related anxiety and stress (SNOT-22, HADS, WPAI-GH) were sent to patients diagnosed with CRS and currently on a waitlist for ESS. Fifteen representative waitlisted patients participated in one-on-one semi-structured interviews discussing their experience with their wait for ESS. A deductive thematic analysis was used to interpret the interview data using a quantitative driven mixed methods analysis.
RESULTS
Participants waiting for ESS reported worsening clinical symptomatology during their waiting period. Participants reported waitlist and CRS impact on both work and social aspects of their lives. The HADS scale showed no overall significant level of depression or anxiety in the HADS screening questionnaire. The qualitative data describe the effects of the symptom burden of CRS.
CONCLUSIONS
Patients waitlisted for ESS did not demonstrate any significant level of psychiatric distress, however variability exists. The qualitative arm of this study elucidates how patients cope with their wait.
背景
慢性鼻-鼻窦炎（CRS）患者通常要长时间等待鼻内镜鼻窦手术（ESS）。ESS等待名单对患者心理的影响尚未得到探讨。
方法
向诊断为CRS且目前在ESS等待名单上的患者发送了测量CRS症状严重程度以及与健康相关的焦虑和压力的问卷（SNOT-22、HADS、WPAI-GH）。15名具有代表性的等待名单上的患者参与了一对一的半结构化访谈，讨论他们等待ESS的经历。采用演绎主题分析法，通过定量驱动的混合方法分析来解读访谈数据。
结果
等待ESS的参与者报告称，在等待期间临床症状有所恶化。参与者报告了等待名单和CRS对其生活工作和社交方面的影响。HADS量表显示，HADS筛查问卷中没有总体显著的抑郁或焦虑水平。定性数据描述了CRS症状负担的影响。
结论
列入ESS等待名单的患者未表现出任何显著程度的精神痛苦，但存在个体差异。本研究的定性部分阐明了患者如何应对等待。
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