Mu Wenzhi, Shang Yong, Zhang Chenchen, Tang Shujie
Wenzhi Mu Department of Functional Inspection, Yidu Central Hospital of Weifang, Qingzhou, Shandong province, 262500, China.
Yong Shang Department of Orthopaedics, Qingzhou Hospital of Chinese Medicine, Qingzhou, Shandong province, 262500, China.
Pak J Med Sci. 2019;35(3):658-662. doi: 10.12669/pjms.35.3.299.
To evaluate the depression and anxiety status and related risk factors in patients with lumbar disc herniation, and help spine surgeons better identify those patients who need psychological care.
A cross-sectional study was performed on patients with lumbar disc herniation treated in our hospital between October 2015 and August 2018. Visual analog scale and Oswestry disability index were used to assess pain intensity and lumbar function, and Zung self-rating depression and anxiety scale were employed to evaluate the depression and anxiety status of the patients, and the demographic and clinical data including age, gender, marital status, occupation type, employment status, education level, surgery history, herniation type, disease duration, and insurance status were collected for analysis.
In the current study, 165 patients were enrolled based on the inclusion and exclusion criteria. In multivariate logistic regression analysis, gender (p=0.03), pain intensity (p=0.01), self-rating anxiety scale (SAS) (p=0.00), and disease duration (p=0.001) were identified as independent risk factors for depression status, and pain intensity (p=0.02), disease duration (p=0.002) and SDS (Zung self-rating depression scale) (p=0.003) were independent risk factors for anxiety status in patients with lumbar disc herniation. There was a significant correlation between Zung self-rating depression and anxiety scale in patients with lumbar disc herniation (p<0.05).
Psychological intervention is critical for patients with lumbar disc herniation, especially for those female patients with severe pain and longer disease duration.
评估腰椎间盘突出症患者的抑郁和焦虑状况及相关危险因素，帮助脊柱外科医生更好地识别那些需要心理护理的患者。
对2015年10月至2018年8月在我院接受治疗的腰椎间盘突出症患者进行横断面研究。采用视觉模拟量表和Oswestry功能障碍指数评估疼痛强度和腰椎功能，采用zung自评抑郁和焦虑量表评估患者的抑郁和焦虑状况，并收集年龄、性别、婚姻状况、职业类型、就业状况、教育水平、手术史、突出类型、病程和保险状况等人口统计学和临床数据进行分析。
在本研究中，根据纳入和排除标准纳入了165例患者。在多因素逻辑回归分析中，性别（p=0.03）、疼痛强度（p=0.01）、自评焦虑量表（SAS）（p=0.00）和病程（p=0.001）被确定为抑郁状态的独立危险因素，疼痛强度（p=0.02）、病程（p=0.002）和SDS（zung自评抑郁量表）（p=0.003）是腰椎间盘突出症患者焦虑状态的独立危险因素。腰椎间盘突出症患者zung自评抑郁和焦虑量表之间存在显著相关性（p<0.05）。
心理干预对腰椎间盘突出症患者至关重要，尤其是对于那些疼痛严重且病程较长的女性患者。
