Effects of analgesia on depression in patients after hysterectomy

Objective To investigate the effects of analgesia on depression in patients after hysterectomy. Methods One hundred and forty ASA Ⅰ～Ⅱ patients undergoing hysterectomy between 30～60 years old were asked to complete the Hamilton Depression Scale(HAMD), Generic Quality of Life Inventory-74 (GQOLI-74)before the day of surgery. Numerical Rating Scale (NRS), HAMD, GQOLI -74 were observed one day, one week and one month after hysterectomy. Results There were 20 patients with depression in the analgesia group, and 46 patients in the non-analgesic group in one week. One month later, there were 30 patients with depression in the analgesia group, 48 patients in the non-analgesic group. HAMD in one week later was related to preoperative HAMD and postoperative NRS (P 0.05). HAMD in one month later was related to preoperative HAMD, postoperative NRS and GQOLI-74 (P 0.05). GQOLI-74 in one month later was related to preoperative and postoperative HAMD, postoperative NRS and preoperative GQOLI-74 (P 0.05). Conclusion Postoperative pain level can affect the patient's depression status and quality of life. Good analgesia can improve the level of depression in patients.