The Influence Of Family Support On Complications And Adverse Emotions During Gastric Endoscopic Submucosal Dissection(ESD)

Objective: Anxiety and depression are the inducements of ulcer.Ulcer-like wounds can be formed after gastric endoscopic submucosal dissection(ESD).Whether bad emotions such as anxiety and depression will adversely affect the wound recovery after gastric ESD,resulting in postoperative complications.Therefore,it is of great clinical significance to study whether family support can reduce patients’ anxiety,depression and postoperative complications.Methods: This study used a single-center,prospective non-random cohort study.Patients who underwent gastric ESD in the Digestive Endoscope Center of Shenzhen people’s Hospital from January 2021 to May 2021 were divided into relatives group and non-relative group according to whether they were accompanied by relatives or not during the perioperative period.Anxiety score(HADS-A),depression score(HADS-D)and postoperative complications such as abdominal pain,bleeding and perforation after ESD were used as the main observation indexes.Results: A total of 191 subjects were enrolled in this clinical trial,92 and 89 were enrolled in relatives group and non-relative group,respectively.Baseline characteristics were comparable in two groups(P>0.05).The mean values of post-ESD HADS-A(4.61±2.89 vs.5.56±3.07,P=0.042)and HADS-D(4.14±3.03 vs.4.97±2.61,P=0.048)scores were significantly lower in patients with accompanying relatives compared with those in the non-relative group.Besides,through the pre-ESD and post-ESD self-contrast,the scores of anxiety and depression in the relative-group were 0.57 and 0.56,respectively(P<0.001),while those in the non-relative group were increased by 1.43 and 1.49,respectively(P<0.001).Multivariable logistic regression analysis revealed that HADS-A,HADS-D scores,and age were significantly correlated with post-ESD abdominal pain(P < 0.05).Conclusion: The occurrence and degree of adverse emotions such as psychological anxiety and depression in patients who received gastric ESD with accompanying relatives during hospitalization were reduced,and the incidence of gastric post-ESD abdominal pain was also decreased...