Abstract
Aim: Psychiatric disorders are common in patients with advanced respiratory diseases. The prevalence of primary spontaneous pneumothorax ranges from 1.2-37 per 100,000 population per year, and the risk of recurrence causes anxiety and depression for the patients.
Material and Method: The Hospital Anxiety and Depression (HAD) scale was applied to 50 patients with a primary spontaneous pneumothorax that underwent treatment in our clinic and a control group of 50 individuals. The study and control group had similar participants (50 patients, 9 women and 41 men). The control group comprised otherways healthy participans aged between 18-40 who had admitted to the smoking cessation clinic.
Results: While the study group's mean age was 25.2, it was 29 in the control group (covariance analysis used for the correction). On anxiety scale, the study group's mean score was calculated as 8.6, while it was 5.7 in the control group. The difference was found to be significantly higher in the patient group. The depression scale score of the study group was 5.8, and the control group's score was 5.7. There was no statistically significant difference between the groups.
Conclusion: Since pneumothorax is a sudden, recurring, and severe illness that can cause respiratory distress, it may lead to anxiety or depression in patients. Without treatment, life-threatening consequences such as dyspnea and cardiac collapse may occur. Furthermore, the painful procedure of tube thoracostomy increases the patients' anxiety. Our objective is to identify potential anxiety-depression in pneumothorax patients, leading to improved mental health outcomes, increased satisfaction, lower readmission rates, and reduced care costs.
References
- Noppen M. Spontaneous pneumothorax: epidemiology, pathophysiology and cause. Eur Respir J 2010; 19: 217-9.
- Walker SP, Bibby AC, Halford P, Stadon L, White P, Maskell NA. Recurrence rates in primary spontaneous pneumothorax: a systematic review and meta-analysis. Eur Respir J 2018; 52: 3.
- Lim HK, Yoon SH, Oh CH, Choo SH, Kim TH. The impact of primary spontaneous pneumothorax on multiphasic personal inventory test results in young South Korean males. Yonsei Med J 2012; 53: 901-5.
- Huan NC, Sidhu C, Thomas R. Pneumothorax: classification and etiology. Clin Chest Med 2021; 42: 711-27.
- Jalli R, Sefidbakht S, Jafari SH. Value of ultrasound in diagnosis of pneumothorax: a prospective study. Emerg Radiol 2013; 20: 131-4.
- Mendogni P, Vannucci J, Ghisalberti M, et al. Epidemiology and management of primary spontaneous pneumothorax: a systematic review. Interact Cardiovasc Thorac Surg 2020; 30: 337-45.
- Plojoux J, Froudarakis M, Janssens JP, Soccal PM, Tschopp, JM. New insights and improved strategies for the management of primary spontaneous pneumothorax. Eur Clin Respir J 2019; 13: 195-201.
- Dagnegård HH, Rosén A, Sartipy U, Bergman P. Recurrence rate after thoracoscopic surgery for primary spontaneous pneumothorax. Scand Cardiovasc J 2017; 51: 228-32.
- Min X, Huang Y, Yang Y, et al. Mechanical pleurodesis does not reduce recurrence of spontaneous pneumothorax: a randomized trial. Ann Thorac Surg 2014; 98: 1790-6.
- Rena O, Massera F, Papalia E, Della Pona C, Robustellini M, Casadio C. Surgical pleurodesis for Vanderschueren's stage III primary spontaneous pneumothorax. Eur Respir J 2008; 31: 837-41.
- Sawada S, Watanabe Y, Moriyama S. Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: evaluation of indications and long-term outcome compared with conservative treatment and open thoracotomy. Chest 2005; 127: 2226-30.
- Kim D, Shin HJ, Kim SW, et al. Psychological problems of pneumothorax according to resilience, stress, and post-traumatic stress. Psychiatry Investig 2017; 14: 795.
- Uptodate, https://www.medilib.ir/uptodate/show/6706, Lee YCG. "Pneumothorax in adults: Epidemiology and etiology. 2020.
- Uptodate, https://www.medilib.ir/uptodate/show/14623, Ameringen MV. Comorbid anxiety and depression in adults: Epidemiology, clinical manifestations, and diagnosis. 2016.
- Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-70.
- Mantar, Atıl. Anksiyete Duyarlılığı İndeksi-3'ün Türkçe formunun geçerlik ve güvenilirlik çalışması. phD Thesis, Dokuz Eylül university Faculty of Medicine, Department of Psychiatrics; 2008.
- Yohannes AM, Newman M, Kunik ME. Psychiatric collaborative care for patients with respiratory disease. Chest 2019; 155: 1288-95.
- Eryigit H, Ozkorumak E, Unaldi M, Ozdemir A, Cardak ME, Ozer KB. Are there any psychological factors in male patients with primary spontaneous pneumothorax? Int J Clin Exp Med 2014; 7: 1105.
- Lee SH, Choi H, Kim S, et al. Association between anger and first-onset primary spontaneous pneumothorax. Gen Hosp Psychiatry 2008; 30: 331-6.
- Van Manen JG, Bindels PJE, Dekker FW, IJzermans CJ, Van der Zee JS, Schade E. Risk of depression in patients with chronic obstructive pulmonary disease and its determinants. Thorax 2002; 57: 412-6.
Abstract
Giriş
İleri derecede solunum yolu hastalığı olan hastalarda psikiyatrik bozukluklar sık görülür. Primer spontan pnömotoraks yılda 1,2-37/100.000 kişide görülmektedir ve nüks riski, hastalarda anksiyete ve depresyona neden olmaktadır.
Materyal Metod
Kliniğimizde tedavi edilmiş primer spontan pnömotorakslı 50 hasta ve 50 kontrol grubuna Hastane Anksiyete ve Depresyon (HAD) ölçeği uygulandı. Çalışma ve control grubu benzer özellikte katılımcılara sahipti (50 hasta, 9 kadın ve 41 erkek). Kontrol grubu sigara bırakma polikliniğe başvuran 18-40 yaş arası, hastalık öyküsü olmayan bireylerden oluşturuldu.
Bulgular
Çalışma grubunun yaş ortalaması 25,2 iken, control grubunda 29’du (düzeltme için konveryans analizi kullanıldı). Çalışma grubunda kaygı ölçeğine göre aldıkları puan ortalama 8,6 olarak hesaplandı, control grubunda ise 5.7 idi, çalışma grubundan anlamlı derecede yüksek bulundu. Çalışma grubunun depresyon ölçeği ortalama puanı 5,8 ve control grubunun ise 5,7 idi. Gruplar arasında anlamlı bir fark görülmedi.
Sonuç
Pnömotoraks; ani başlangıçlı, tekrarlayan ve solunum sıkıntısına yol açabilen ciddi bir hastalık olması nedeniyle hastalarda anksiyete ve depresyon gelişebilir. Tedavi edilmediği takdirde dispne ve kardiyak kollaps gibi hayatı tehdit eden sonuçlar ortaya çıkabilir. Ayrıca tüp torakostominin ağrılı bir işlem olması hastaların kaygısını artırmaktadır. Hastanın olası psikiyatrik problemlerini düzeltmeye çalışmak; hasta memnuniyetini artıracak ve gereksiz hastane yatışlarını, bakım maliyetlerini azaltacaktır.
Keywords
References
- Noppen M. Spontaneous pneumothorax: epidemiology, pathophysiology and cause. Eur Respir J 2010; 19: 217-9.
- Walker SP, Bibby AC, Halford P, Stadon L, White P, Maskell NA. Recurrence rates in primary spontaneous pneumothorax: a systematic review and meta-analysis. Eur Respir J 2018; 52: 3.
- Lim HK, Yoon SH, Oh CH, Choo SH, Kim TH. The impact of primary spontaneous pneumothorax on multiphasic personal inventory test results in young South Korean males. Yonsei Med J 2012; 53: 901-5.
- Huan NC, Sidhu C, Thomas R. Pneumothorax: classification and etiology. Clin Chest Med 2021; 42: 711-27.
- Jalli R, Sefidbakht S, Jafari SH. Value of ultrasound in diagnosis of pneumothorax: a prospective study. Emerg Radiol 2013; 20: 131-4.
- Mendogni P, Vannucci J, Ghisalberti M, et al. Epidemiology and management of primary spontaneous pneumothorax: a systematic review. Interact Cardiovasc Thorac Surg 2020; 30: 337-45.
- Plojoux J, Froudarakis M, Janssens JP, Soccal PM, Tschopp, JM. New insights and improved strategies for the management of primary spontaneous pneumothorax. Eur Clin Respir J 2019; 13: 195-201.
- Dagnegård HH, Rosén A, Sartipy U, Bergman P. Recurrence rate after thoracoscopic surgery for primary spontaneous pneumothorax. Scand Cardiovasc J 2017; 51: 228-32.
- Min X, Huang Y, Yang Y, et al. Mechanical pleurodesis does not reduce recurrence of spontaneous pneumothorax: a randomized trial. Ann Thorac Surg 2014; 98: 1790-6.
- Rena O, Massera F, Papalia E, Della Pona C, Robustellini M, Casadio C. Surgical pleurodesis for Vanderschueren's stage III primary spontaneous pneumothorax. Eur Respir J 2008; 31: 837-41.
- Sawada S, Watanabe Y, Moriyama S. Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: evaluation of indications and long-term outcome compared with conservative treatment and open thoracotomy. Chest 2005; 127: 2226-30.
- Kim D, Shin HJ, Kim SW, et al. Psychological problems of pneumothorax according to resilience, stress, and post-traumatic stress. Psychiatry Investig 2017; 14: 795.
- Uptodate, https://www.medilib.ir/uptodate/show/6706, Lee YCG. "Pneumothorax in adults: Epidemiology and etiology. 2020.
- Uptodate, https://www.medilib.ir/uptodate/show/14623, Ameringen MV. Comorbid anxiety and depression in adults: Epidemiology, clinical manifestations, and diagnosis. 2016.
- Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-70.
- Mantar, Atıl. Anksiyete Duyarlılığı İndeksi-3'ün Türkçe formunun geçerlik ve güvenilirlik çalışması. phD Thesis, Dokuz Eylül university Faculty of Medicine, Department of Psychiatrics; 2008.
- Yohannes AM, Newman M, Kunik ME. Psychiatric collaborative care for patients with respiratory disease. Chest 2019; 155: 1288-95.
- Eryigit H, Ozkorumak E, Unaldi M, Ozdemir A, Cardak ME, Ozer KB. Are there any psychological factors in male patients with primary spontaneous pneumothorax? Int J Clin Exp Med 2014; 7: 1105.
- Lee SH, Choi H, Kim S, et al. Association between anger and first-onset primary spontaneous pneumothorax. Gen Hosp Psychiatry 2008; 30: 331-6.
- Van Manen JG, Bindels PJE, Dekker FW, IJzermans CJ, Van der Zee JS, Schade E. Risk of depression in patients with chronic obstructive pulmonary disease and its determinants. Thorax 2002; 57: 412-6.
Details
| Primary Language | English |
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| Subjects | Health Care Administration |
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| Publication Date | May 31, 2023 |
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