Evaluation of Preoperative Psychologic State of Patients Undergoing Laparoscopic Cholecystecomy or Laparocholecystectomy

Objective To evaluate the preoperative depression and anxiety level of the patients undergoing laparoscopic cholecystectomy or laparocholecystectomy.Methods Thirty patients undergoing laparoscopic cholecystectomy and thirty patients undergoing laparocholecystectomy were assessed by the self-rating depression scale and self-rating anxiety scale from October 2007 to September 2008.Results Patients undergoing laparoscopic cholecystectomy or laparocholecystectomy showed the significantly greater depression and anxiety than the norm.The preoperative depression levels were higher in patients undergoing laparocholecystectomy than those undergoing laparoscopic cholecystectomy but without significance (P0.05),and in emergency laparocholecystectomy the patients had the higher depression levels than elective operation (P0.05 ).The preoperative depression and anxiety score were high in female than in male in laparocholecystectomy,while in laparoscopic cholecystectomy only the depression level of female was higher than that of male (P0.05).The patients undergoing laparocholecystectomy in the depression state constituted nearly 40.0% versus 16.7% in laparoscopic cholecystectomy patients,especially for some females.Conclusion Physicians should pay attention to preoperative active communication with patients,so as to eliminate the concerns of patients about surgery,especially the female during preoperative evaluation.