癌症患者亲属的焦虑、抑郁状况及相关因素研究  

Study on anxiety, depression and their related factors in family caregivers of cancer patients

作　　者：任宁[1] 吴中亮[2] 李永奇[1] 刘学东[2] 

机构地区：[1]第四军医大学西京医院综合诊疗科,西安710032 [2]第四军医大学西京医院神经内科,西安710032

出　　处：《中华现代护理杂志》2009年第18期1711-1713,共3页Chinese Journal of Modern Nursing

基　　金：基金项目：西京医院科研课题（XJGX0747H09）

摘　　要：目的了解癌症患者主要照顾亲属的焦虑、抑郁状况及相关影响因素。方法采用CESD量表、SAS量表及一般情况调查表对106例住院癌症患者的主要照顾亲属进行问卷调查。结果106例癌症患者亲属的抑郁自评分为（18．75±9．06）分，高于国内常模，差异有统计学意义（P〈0．01）；55．7％的亲属存在抑郁症状；焦虑自评分为（33．94±7．09）分，高于国内常模，差异有统计学意义（P〈0．01）；22．6％的亲属存在焦虑症状；患者的配偶和患者躯体症状较多的亲属更易发生焦虑。结论癌症患者的主要照顾亲属存在较严重的焦虑、抑郁情绪，其心理健康状况受多种因素影响，医务人员应积极采取针对性的干预措施，提高患者亲属的心理健康水平。Objective The purpose of the study was to examine anxiety and depression in primary family caregivers of patients with cancer and to examine related factors that are associated with anxiety and depression of family caregivers. Methods The anxiety was rated with the Self-Rating Anxiety Scale （SAS） and the depression rated with the Center for Epidemiological Survey, Depression Scale （CES-D）. The general conditions of the caregivers were collected with questionnaires designed by authors among the 106 primary family caregivers for inpatients having cancer. Results The mean depression scores of caregivers rated by the 106 caregivers themselve for the cancer patients on the CES-D was （18.75 ± 9.06）, which was significantly higher than that of the normal samples in our country and exhibited a statistical difference （ P 〈 0. 01 ）. 55.7% of caregivers reported depression symptoms. In 106 caregivers, the score from self-rating anxiety scale is （33.94 ± 7.09）, which was higher than that of the normal samples in our country, having a statistical difference （P 〈 0. 01 ）. 22.6% of the caregivers reported their SAS scores exceeded thresholds for clinical anxiety. The high anxiety index was significantly associated with the caregivers reported more patients symptoms, and the spouses of the patients were also at the high risk of anxiety. Conclusions A high level of severe anxiety and depression existed in primary family caregivers of cancer patients. The psychological status of caregivers was influenced by many kinds of factors. Health care personnel should actively provide corresponding interventions to improve the level of mental health in family caregivers of patients.

关 键 词：癌症 照顾者 焦虑 抑郁 

分 类 号：R473.73[医药卫生—护理学] R749.4[医药卫生—临床医学]