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老年患者甲状腺术后焦虑的影响因素分析

赵婉 亓晓宇 凌森 万光伦 孙家强 孙敬武 李万举

中国临床保健杂志2024,Vol.27Issue(3):402-405,4.
中国临床保健杂志2024,Vol.27Issue(3):402-405,4.DOI:10.3969/J.issn.1672-6790.2024.03.027

老年患者甲状腺术后焦虑的影响因素分析

Analysis of factors influencing post-thyroid surgery anxiety in elderly patients

赵婉 1亓晓宇 1凌森 1万光伦 1孙家强 1孙敬武 1李万举1

作者信息

  • 1. 中国科学技术大学附属第一医院(安徽省立医院)耳鼻咽喉-头颈外科,合肥 230001
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摘要

Abstract

Objective To investigate the factors that contribute to anxiety in elderly patients following thyroid surgery,with the aim of providing a scientific foundation for clinical intervention.Methods The general conditions(gender,age,place of residence,history of smoking,history of alcohol consumption,whether they were left elderly or not,and sleep)and information on the characteristics of thyroid disease(duration,pathological nature,longest diameter of the lesion,side of onset,metastasis,and preoperative thyroid function)of 65 elderly patients who underwent thyroid sur-gery in the First Affiliated Hospital of University of Science and Technology of China from January 2021 to April 2024 were collected.The Self-assessment Scale for Anxiety was adopted to assess anxiety.The multifactorial logistic regression analysis were employed to ascertain the factors influencing postoperative anxiety in elderly patients following thyroid sur-gery.Results Among elderly patients who underwent thyroid surgery,those who exhibited anxiety symptoms were more likely to exhibit the following characteristics:empty nest elderly,sleeping for less than six hours,having metastatic le-sions,and having preoperative thyroid-stimulating hormone abnormalities.These differences were statistically significant(P<0.05).The results of the multicategorical logistic regression analysis indicated that empty nest elderly(OR=7.267,95%CI:1.340-39.413,P=0.021)and elderly who slept for less than six hours(OR=5.015,95%CI:1.339-18.776,P=0.017)were at an increased risk of developing postoperative anxiety in elderly patients who had undergone thyroid surgery.Conclusions Empty nest elderly and elderly who slept for less than six hours are at a grea-ter risk of developing anxiety after thyroid surgery.Early intervention on the factors that influence anxiety can help pre-vent post-thyroid surgery anxiety in elderly patients.

关键词

甲状腺切除术/焦虑/危险因素/老年人

Key words

Thyroidectomy/Anxiety/Risk factors/Aged

引用本文复制引用

赵婉,亓晓宇,凌森,万光伦,孙家强,孙敬武,李万举..老年患者甲状腺术后焦虑的影响因素分析[J].中国临床保健杂志,2024,27(3):402-405,4.

基金项目

国家自然科学基金项目(82271180,81600793) (82271180,81600793)

安徽省自然科学基金项目(1608085QH224) (1608085QH224)

中国临床保健杂志

OACSTPCD

1672-6790

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