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Influence of Anxiety and Depression on Vascular Crisis of Reconstructed Finger

CHEN Shuqin, ZHAO Chongmei, ZHU Xiumei, et al(Hand Surgery Centre of CPLA, the 401th Hospital of CPLA, Qingdao 266071,China)  
Objective To explore the influence of anxiety and depression on vascular crisis that occurred in finger reconstruction and effective interventive measures. Methods One hundred and eight cases of finger reconstruction were examined by using hospital anxiety and depression (HAD) scale and then divided into positive group and negative group. The patients in the positive group were randomly subdivided into group A, B and C. In negative group and group A, patients were treated with routine nursing care. The patients in group B were given intravenous compound hibernation mixture for 5 days. With the patients in group C, psychological releasing measures were used plus routine nursing care. The incidence of postoperative vascular crisis of all 4 groups were recorded. The patients of groups A, B and C were observed against HAD once more before being discharged from hospital. Results Significant difference in the incidence of vascular crisis was found between the negative group and group A (P0.05). Significant differences existed among groups A and B, A and C (P0.05 for all) and no significant differences were found between group B and group C (P0.05) and between negative group and group B or group C (P0.05 for all). No significant difference existed in the positive results of of HAD before discharge between group A and group B ( P0.05). Very significant differences were found between group A and group C, and between group B and group C (P0.01 for all). Conclusion Anxiety and depression could obviously increase occurrence rate of postoperative vascular crisis in patients undergoing finger reconstruction. Though drug could lower the occurrence rate, but it couldn’t completely solve the problems of anxiety and depression. Psychological approach is an effective interventive measure to minimize anxiety and depression and reduce vascular crisis.
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