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[1]陈 冀 邓才霞 张厚丽 祝冰晶 刘 攀 何 建 唐春兰 周向东 罗 虎.高危肺结节患者认知及焦虑状况调查分析[J].中华肺部疾病杂志,2023,(02):164-168.[doi:10.3877/cma.j.issn.1674-6902.2023.02.003 ]
　Chen Ji,Deng Caixia,Zhang Houli,et al.Study on the cognitive and anxiety status of patients with high-risk pulmonary nodules[J].,2023,(02):164-168.[doi:10.3877/cma.j.issn.1674-6902.2023.02.003 ]
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高危肺结节患者认知及焦虑状况调查分析(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年02期
页码:
164-168
栏目:
论著
出版日期:
2023-04-20

文章信息/Info

Title:
Study on the cognitive and anxiety status of patients with high-risk pulmonary nodules
作者:
陈 冀1; 3 邓才霞2; 3 张厚丽2; 3 祝冰晶2; 3 刘 攀2; 3 何 建2; 3 唐春兰2; 3 周向东2; 3 罗 虎2; 3
400038 重庆,陆军(第三)军医大学第一附属医院门诊部1 呼吸与危重症医学科2、肺结节MDT团队3
Author(s):
Chen Ji1; 3;  Deng Caixia2; 3;  Zhang Houli2; 3;  Zhu Bingjing2; 3;  Liu Pan2; 3;  He Jian2; 3;  Tang Chunlan2; 3;  Zhou Xiangdong2; 3;  Luo Hu2; 3.
1Outpatient Department; 2Department of Respiratory and Critical Care Medicine; 3Multidisciplinary Treatment Team for Pulmonary Nodules, First Affiliated Hospital of Army Medical University, Chongqing 400038, China
关键词:
高危肺结节;  认知;  焦虑状况;  调查分析
Keywords:
High-risk pulmonary nodules;  Cognition;  Anxiety status;  Survey analysis
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2023.02.003
摘要:
目的 分析高危肺结节患者的认知、焦虑状况及影响因素。 方法 利用肺结节多学科会诊平台,通过自制的认知调查问卷表和广泛性焦虑障碍量表(GAD-7)对高危肺结节进行调查分析。结果 712例符合条件的高危肺结节患者纳入调查。认知调查分析发现,565例(79.35%)患者认同胸部CT为肺结节的主要筛查手段、分别有585例(82.16%)和584例(82.02%)的患者认同长期吸烟与肺癌发生和肺结节良恶性有关; 645例(90.59%)的患者选择手术作为高危肺结节的主要治疗手段; 585例(82.16%)患者将互联网作为获取肺结节相关知识的主要来源。GAD-7焦虑评分发现:高危肺结节患者普遍存在焦虑状况684例(96.07%),其中轻度焦虑为292例(41.01%),中度焦虑240例(33.71%),重度焦虑152例(21.35%)。对患者的焦虑进行影响因素分析,结果发现,年龄段为41～50岁和51～60岁、女性、结节直径在2～3 cm、磨玻璃结节、有癌症家族史、近1年胸部CT次数≥3次、因肺结节就诊医院≥3家的患者,其GAD-7焦虑评分显著高于其他组患者(P<0.05); 结节数量、吸烟情况与GAD-7评分无明显关联。女性、年龄段在51～60岁、结节大小≥2 cm、近1年胸部CT次数≥3次、肺结节就诊次数≥3次是高危肺结节患者出现重度焦虑的危险因素。 结论 高危肺结节患者对肺结节的认知仍存在不足,建议借助于网络平台进行针对性的科普教育; 中年、女性、结节直径越大、反复多次就诊的患者更容易出现焦虑,临床上需重点关注,及时引导。
Abstract:
Objective To understand the cognitive and anxiety status and influencing factors of patients with high-risk pulmonary nodules. Methods Using a multidisciplinary consultation platform for pulmonary nodules, a self-administered cognitive questionnaire form and the Generalized Anxiety Disorder Scale(GAD-7)were used to investigate and analyze high-risk pulmonary nodules. Results A total of 712 eligible patients with high-risk pulmonary nodules were included in this survey study. The cognitive survey analysis revealed that 565 cases(79.35%)of patients agreed that chest CT was the main screening tool for lung nodules, 585 cases(82.16%)and 584 cases(82.02%)of patients agreed that long-term smoking was associated with lung cancer development and benign and malignant lung nodules, respectively, 645 cases(90.59%)of patients chose surgery as the main treatment for high-risk lung nodules, and 585 cases(82.16%)of patients used the Internet as the However, the majority of patients still considered pulmonary nodules to be the main treatment. The GAD-7 anxiety score revealed that patients with high-risk pulmonary nodules were generally anxious 684 cases(96.07%), with mild anxiety 292 cases(41.01%), moderate anxiety 240 cases(33.71%), and severe anxiety 152 cases(21.35%), respectively. Patients'anxiety was analyzed for influencing factors, and it was found that patients in the age groups of 41-50 and 51-60 years, female, nodule diameter of 2-3 cm, ground glass nodules, family history of cancer, ≥3 chest CTs in the last 1 year, and ≥3 hospital visits for pulmonary nodules had significantly higher GAD-7 anxiety scores than patients in other groups(P<0.05); while the number of nodules, smoking status were not significantly associated with GAD-7 scores. The number of nodules and smoking status were not significantly associated with GAD-7 scores, while women, age between 51-60, nodule size ≥2 cm, number of chest CTs≥3 times in the last 1 year, and number of visits for pulmonary nodules ≥3 times were risk factors for severe anxiety in patients with high-risk pulmonary nodules. Conclusion Patients with high-risk pulmonary nodules still have more deficiencies in their knowledge of pulmonary nodules, and it is recommended that targeted science education be conducted with the help of online platforms; middle-aged, female, larger nodule diameters, and patients with repeated multiple visits are more likely to have anxiety, which requires focused clinical attention and timely guidance.

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备注/Memo

备注/Memo:
基金项目: 重庆市科卫联合项目(2020FYYX012)
重庆市卫生适宜技术推广项目(2020jstg016)
通信作者: 罗 虎, Email: luohucy@163.com
更新日期/Last Update: 2023-04-20