老年癌症患者家属心理状况及相关因素调查  

Investigation in psychological state and it＇s correlation factors of family members of elderly cancer patients

作　　者：张丽君[1] 

机构地区：[1]广东省惠州市中心人民医院老年病科,516001

出　　处：《中国实用护理杂志（下旬版）》2009年第8期63-64,共2页Chinese Journal of Practical Nursing

摘　　要：目的了解老年癌症患者家属的心理状况及相关影响因素。方法采用Zung焦虑自评量表（SAS）和抑郁自评量表（SDS）对76名老年癌症患者家属进行问卷调查，分析其心理状况及影响因素。将患者家属的SAS和SDS评分与国内常模进行比较，进行t检验。结果老年癌症患者家属焦虑发生率为52．63％，抑郁发生率为46．05％，老年癌症患者家属SAS和SDS标准分均值均显著高于国内常模。家属性别、医疗费支付方式、疼痛程度、病情的不同，其SAS和SDS标准分均值均有显著不同。结论老年癌症患者家属存在不同程度的心理障碍，并与多种因素有关，医护人员不仅要重视癌症患者的心理状况，还要重视癌症患者家属的心理状况，同时采取相应的对策，减轻或消除家属的心理障碍，有利于减少患者家属焦虑与抑郁状态的发生。Objective To investigate the psychological state and its correlation factors of family members of elderly cancer patients. Methods A total of 76 family members of elderly cancer patients were investigated with questionnaires with Zung＇s self-rating anxiety scale （SAS） and self-rating depres- sion scale （SDS）. Their psychological state and its correlation factors were analyzed. Results Incidence rate of anxiety of elderly cancer patients＇ family members was 52.63%, and incidence rate of depression was 46.05%. The mean standard score of SAS and SDS of elderly cancer patients＇ family members were both significantly higher than domestic norm. Difference of family member＇s gender, ways to pay health care fee, pain degree and disease condition led to different SAS and SDS score. Conclusions Family members of elderly cancer patients possessed different degree of psychological obstacle which related with multiple factors. Medical staff should not only think highly of patients＇ psychological state, but also their family members. And meanwhile they should take corresponding strategy to reduce the incidence rate of anxiety and depression state in those family members.

关 键 词：老年 癌症 家属 心理状况 

分 类 号：R473.73[医药卫生—护理学] R395.6[医药卫生—临床医学]