影响胃肠道恶性肿瘤患者焦虑抑郁状态发生因素分析  

Analysis of the influence factors of depression and anxiety in the patients with gastrointestinal tract cancer

作　　者：贾德俊 刘春霞[2] 潘晓[2] 夏丽萍[2] 

机构地区：[1]山东省胶南市泊里中心卫生院,266409 [2]潍坊医学院附属医院

出　　处：《中国医学创新》2010年第26期147-149,共3页Medical Innovation of China

摘　　要：目的了解胃肠道恶性肿瘤患者中抑郁焦虑的发病情况,探讨其相关因素。方法对笔者所在医院普外科2008年12月～2009年11月86名胃肠道恶性肿瘤患者进行调查研究,采用问卷调查的方式应用焦虑自评量表(SAS)和抑郁自评量表(SDS)评定患者的焦虑及抑郁状态。SDS标准分>53为有抑郁症状;SAS标准分>50为有焦虑症状。结果本组患者抑郁焦虑总发生率为44.2%,与其发生密切相关的因素有患者疼痛情况、既往身体状况、睡眠状况、对病情了解程度、对疾病的恐惧感以及担心术后效果共6项。结论患者既往身体状况差、睡眠状况差、伴疼痛、对病情不了解、对疾病有恐惧感以及担心术后效果的患者更容易伴发焦虑及抑郁表现。Objective To investigate the incidence of depression and anxiety in the patients with gastrointestinal tract cancer, and explore the influence factors that closely related to its occurrence. Methods 100 patients with gastrointestinal cancer were selected from general surgery department in our hospital from Dec 2008 to Nov 2009. The anxiety and depression statas of patients were assessed by the self- rating anxiety scale （SAS） and depression self- rating scale （SDS） in the man- ner of questionnaire. SDS standard score more than 53 was considered depression;SDS standard score more than 50 was con- sidered anxiety. Results The total incidence of depression and anxiety in this group was 44.2% ,that had close relationship with pain, health condition, sleep, knowing the disease, fear and the fear of effects after surgery. Conclusion The poor health condition, poor sleep, pain, unknowing the disease, the fear of disease and concerns about operation results is more likely to suffer from anxiety and depression.

关 键 词：胃肠道 肿瘤 抑郁症 焦虑症 心理学 

分 类 号：R473.73[医药卫生—护理学]