晚期原发性肺癌患者的精神心理特征分析  

Analysis of the metal characteristics in patients with primary lung cancer at late stage

作　　者：张丽辉[1] 高晰[2] 刘旭涛[1] 

机构地区：[1]解放军沈阳军区总医院干二科,辽宁省沈阳市110016 [2]解放军沈阳军区总医院胸外科,辽宁省沈阳市110016

出　　处：《中国临床康复》2004年第24期4948-4949,共2页Chinese Journal of Clinical Rehabilitation

基　　金：沈阳军区总医院院长基金资助课题(03Y-CO-1)~~

摘　　要：目的研究晚期原发性肺癌患者的精神心理特征,寻求进行干预的可能性。方法163例经临床、影像学和病理确诊的原发性肺癌患者,采用1986年肺癌TNM分期标准分为早期肺癌组(91例)和晚期肺癌组(72例),两组对象均接受临床精神卫生症状自评量表(SCL-90)调查,后者还接受肖永源编制的社会支持评定量表评估。结果两组的SCL-90评分比较中,晚期肺癌组的躯体化(1.68±0.50)、强迫(1.96±0.49)、人际关系(1.95±0.51)、抑郁(2.26±0.53)、焦虑(1.98±0.54)、恐怖(1.87±0.53)、偏执(1.71±0.58)和精神病性(1.88±0.49)等症状因子评分明显高于早期肺癌患者(1.41±0.49,1.70±0.53,1.73±0.55,1.74±0.61,1.69±0.53,1.52±0.44,1.64±0.55,1.49±0.51)(t=2.298～2.965;P均<0.05～0.01)。72例晚期肺癌患者的社会支持评分为39.08-56.39,平均为48.65±11.43。低社会支持得分(<48.65)组(32例)的躯体化、强迫、人际关系、抑郁、焦虑、恐怖、偏执等症状因子评分明显高于高社会支持得分(≥48.65)组(40例)(t=2.271～3.208,P<0.05～0.01)。结论晚期肺癌患者经常遭遇各类精神心理问题困扰,增加社会支持干预可能有效。AIM:To investigate the characteristics of personality in patients with primary lung cancer at the late stage,so as to discuss the possibility of psychological intervention.METHODS:Totally 163 patients with primary lung cancer,diagnosed by clinical,imaging and pathological examine,were divided into early lung cancer group(n=91) and late lung cancer group(n=72) according to the standard of tumor,node and metastasis(TNM).Subjects in both groups were inquired with the symptom checklist 90(SCL 90),and patients in the late lung cancer group were also evaluated with the social support checklist,which was compiled by Xiao YY.RESULTS:In comparison of the SCL 90 scores,the scores of somatization(1.68±0.50),compulsion(1.96±0.49),interpersonal relation(1.95±0.51),depression(2.26±0.53),anxiety(1.98±0.54),consternation(1.87±0.53),paranoia(1.71±0.58) and psychiatric state(1.88±0.49) in the late lung cancer group were obviously higher than those in the early lung cancer group(1.41±0.49,1.70±0.53,1.73±0.55,1.74±0.61,1.69±0.53,1.52±0.44,1.64±0.55,1.49±0.51)(t=2.298-2.965;all P< 0.05-0.01).The score of social support and the mean value were 39.08-56.39 (average 48.65±11.43)in the 72 patients in the late lung cancer group.The scores of somatization,compulsion,interpersonal relation,depression,anxiety,consternation and paranoia in the patients with lower scores of social support(< 48.65,n=32) were obviously higher than those with higher scores( ≥48.65,n=40)(t=2.271-3.208,all P< 0.05-0.01).CONCLUSION:The patients with lung cancer at the late stage often encounter much harassment in personality,and the reinforcement of social support may be effective.

关 键 词：晚期原发性肺癌 精神特征 心理特征 临床精神卫生症状自评量表 调查 

分 类 号：R734.2[医药卫生—肿瘤]