Anxiety and Depression in Older Adult Patients Undergoing Elective Liver Surgery in Allopatry Medical Treatment

BackgroundAllopatry medical treatment is common in China. However, allopatry medical therapy can result in many problems, including a negative psychological impact on patients. Patients undergoing liver surgery often experience anxiety and depression. To understand the psychological status of older adult patients undergoing surgery better, this study was designed to investigate the incidence of anxiety and depression in older adult patients undergoing elective liver surgery and to analyze factors associated with it in allopatry medical therapy.MethodsA total of 173 older adult patients undergoing elective liver surgery were included in the study. Patients were evaluated using the hospital anxiety and depression scale (HADS). The contributing factors affecting the psychological state of older adult patients undergoing elective surgery were analyzed using a linear regression method.ResultsThe HADS-A (hospital anxiety and depression scale-anxiety). The correlation (scale) score of the older adult patients undergoing elective liver surgery was (8.69 ± 2.38), including 53 asymptomatic patients, 86 suspicious patients, and 34 symptomatic patients. The HADS-D (hospital anxiety and depression scale-depression) score was (8.31 ± 2.90), including 83 asymptomatic patients, 56 suspicious patients, and 34 symptomatic patients. Multivariate analysis showed that residence and complication grade (Clavien–Dindo Classification of Surgical Complications or Accordion Severity Grading System) significantly correlated with the anxiety level of patients undergoing elective surgery. Residence, a requirement of blood transfusion, total transfusion volume, and Accordion complication grade showed a significant correlation with depression in patients undergoing elective surgery.ConclusionsAnxiety and depression in older adult patients undergoing elective liver surgery were common. Regional differences (local patients vs non local patients) and the severity of complications were the risk factors for anxiety and depression in older adult patients undergoing elective liver surgery. Reducing both regional differences and the severity of complications would be beneficial to alleviate the risk of anxiety and depression in older adult patients undergoing elective liver surgery and thus promote their physical and mental health.