| Autor: |
Shi MQ; Department of Nursing, Eye & ENT Hospital, Fudan University, Shanghai 200031, China., Zhang WX; ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University/Shanghai Auditory Medical Center/NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai 200031, China., Ni TY; Department of Nursing, Eye & ENT Hospital, Fudan University, Shanghai 200031, China., Lin CJ; Department of Nursing, Eye & ENT Hospital, Fudan University, Shanghai 200031, China., Cong N; ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University/Shanghai Auditory Medical Center/NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai 200031, China., Zheng Y; ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University/Shanghai Auditory Medical Center/NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai 200031, China., Chen BJ; ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University/Shanghai Auditory Medical Center/NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai 200031, China., Min SY; ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University/Shanghai Auditory Medical Center/NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai 200031, China., Ma R; ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University/Shanghai Auditory Medical Center/NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai 200031, China., Chi FL; ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University/Shanghai Auditory Medical Center/NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai 200031, China. |
| Abstrakt: |
Objective: To explore the related factors of anxiety and anxiety tendency in patients with tinnitus. Methods: A cross-sectional study was carried out. Basic information, tinnitus characteristics, and psychological status of patients who complained of tinnitus in the Outpatient Department of Eye & ENT Hospital, Fudan University between January 2020 and December 2023 were collected. All patients filled out the self-rating anxiety scale (SAS) and underwent pure tone audiometry testing. According to the SAS scores, patients were divided into three groups: non-anxiety group (SAS<40), anxiety tendency group (40≤SAS<50), and anxiety group (SAS≥50). The related factors of anxiety and anxiety tendency were analyzed using multivariate ordered logistic regression analysis. Results: A total of 176 patients (57 males and 119 females) aged (49.4±10.7) years (range: 13-76 years)were included, with the onset time of 3 days-37 years. There were 78 cases (44.3%), 65 cases (36.9%) and 33 cases (18.8%) in the non-anxiety group, the anxiety tendency group and the anxiety group, respectively. The duration of disease in the anxiety group [(43.4±15.1) months] was significantly longer than that in the anxiety tendency group [(27.2±5.3) months] and the non-anxiety group [(19.6±3.5) months], with statistically significant differences (both P <0.05). The proportion of female patients in the anxiety group [81.8% (27/33)] and anxiety tendency group [75.4% (47/65)] was significantly higher than that in the non-anxiety group [57.7% (45/78)], and the differences were statistically significant (both P <0.05). The proportion of patients with emotional disorders [12.1% (4/33) vs 2.6% (2/78)], stress [15.1% (5/33) vs 3.9% (3/78)], and sleep disorders [48.5% (16/33) vs 23.1% (18/78)] in the anxiety group was significantly higher than that in the non-anxiety group (all P <0.05). The proportion of patients only had sleep disorders in the anxiety tendency group [38.5% (25/65) vs 23.1% (18/78)] was higher than that in the non-anxiety group, with a statistically significant difference ( P <0.05). The results of multivariate ordered logistic regression analysis showed that sleep disorders werethe most significant factor affecting anxiety and anxiety tendency in tinnitus patients ( OR =2.667, 95% CI : 1.451-4.909, P =0.002). Conclusion: A significant proportion of tinnitus patients exhibit anxiety and anxiety tendency, and sleep disorders play a major role in the development of anxiety and anxiety tendencies in tinnitus patients. |
