恶性肿瘤放射治疗患者心理状况调查分析  

Survey and analysis of the psychological status of patients with malignant tumor treated with radiotherapy

作　　者：王福芳[1] 蔡茜[1] 高伟[1] 张燕[1] 

机构地区：[1]山东大学齐鲁医院,山东济南250012

出　　处：《齐鲁护理杂志》2009年第4期1-3,共3页Journal of Qilu Nursing

摘　　要：目的:探讨恶性肿瘤放射治疗(放疗)患者的心理状况,为其心理护理提供理论依据。方法:采用症状自评量表(SCL-9O)、抑郁自评量表(SDS)、焦虑自评量表(SAS)和特质应对方式问卷(TCSQ)对77例肿瘤放疗患者(恶性肿瘤组)和42例健康对照组进行测试,并分析其相关性。结果:恶性肿瘤组SCL-90总分及各因子分均显著高于健康对照组(P<0.05或P<0.01),主要表现在躯体化、抑郁、焦虑和精神病性。恶性肿瘤组SAS、SDS得分及情绪异常率均明显高于健康对照组(P<0.05或P<0.01),显示他们有较多的抑郁、焦虑情绪反应。恶性肿瘤组SAS、SDS得分与SCL-90总分、总均分、阳性项目数、阳性症状均分及各因子分呈正相关(P<0.05或P<0.01)。恶性肿瘤组积极应对得分与健康对照组无显著差异(P>0.05),而消极应对得分明显高于健康对照组(P<0.05)。恶性肿瘤组积极应对得分与SCL-90总分、总均分、阳性项目数、阳性症状均分及各因子分、SAS、SDS呈负相关(P<0.05或P<0.01);恶性肿瘤组消极应对得分与SCL-90总分、总均分、阳性项目数、阳性症状均分及各因子分、SAS、SDS呈正相关(P<0.05或P<0.01)。结论:肿瘤放疗患者存在诸多方面的心理问题,有的放矢地进行护理干预可以缓解其身心压力,对提高其治疗护理依从性和战胜疾病的信心是必要的。Objective： To study the psychological status of patients with malignant tumor treated with radiotherapy so as to provide theoretic basis for psychological nursing care. Methods ： Symptom Checklist - 90 （ SCL - 90 ） , self - rating depression scale （SDS） , self-rating anxiety scale （SAS） and Trait Coping Style Questionnaire （TCSQ） were used to make a test on 77 patients with radiotherapy （ malignant group ） and 42 healthy people （ control group } and its relevance was analyzed. Results ： The total scores of SCL - 90 and factors in malignant tumor group were significantly higher than that in control group （ P 〈 0.05 or P 〈 0.01 ） , mainly expressed in somatization, depression, anxiety and psychosis. The scores of SAS and SDS and emotional abnormality rate in malignant tumor group were obviously higher than that in control group （ P 〈 0. 05 or P 〈 0. 01 ） , indicating that the patients had more depression and anxiety reaction. In malignant group, positive correlation was found between the scores of SAS and SDS and the total scores of SCL - 90, total average scores, positive items, positive symptoms and the factor scores （P〈0.05 or P 〈 0.01 ）. There was no significant difference in the comparison of positive coping scores between malignant group and control group （ P 〉 0.05 ）, and negative coping scores were significantly higher in malignant group than that in control group （ P 〈 0.05 ）. There was negative correlation between positive coping scores and the total scores of SCL - 90, total average scores, positive items, positive symptoms, factor scores and the scores of SAS and SDS （ P 〈 0. 05 or P 〈 0. 01 ）, and positive correlation was found between negative coping scores and the total scores of SCL -90, total average scores, positive items, positive symptoms, factor scores and the scores of SAS and SDS in malignant group （P 〈 0. 05 or P 〈 0. 01）. Conclusion： The patients with radiotherapy have kinds of psychological problems and the t

关 键 词：肿瘤 放射治疗 特质 应对方式问卷 心理健康 调查 

分 类 号：R473.73[医药卫生—护理学]