消化系统肿瘤术后化疗患者抑郁情绪、人格特征及生活质量的调查分析  

Investigation in depression emotion, personality and quality of life of patients with digestive system tumor undergoing chemotherapy

作　　者：张淼[1] 王维利[1] 宋江艳[2] 

机构地区：[1]安徽医科大学护理学院,合肥230601 [2]合肥市第一人民医院

出　　处：《中国实用护理杂志》2011年第25期1-5,共5页Chinese Journal of Practical Nursing

基　　金：安徽省2010年高校省级自然科学研究项目（KJ2010A195）

摘　　要：目的研究消化系统肿瘤术后化疗患者的抑郁、人格特征和生活质量状况以及此类患者抑郁情绪与人格特征、生活质量的相关性。方法采用横断面调查方法，对261例消化系统肿瘤术后化疗患者应用抑郁自评量表、艾森克人格问卷简式量表以及欧洲癌症研究与治疗组织的生活质量问卷进行调查，并分析患者抑郁与其人格特征以及生活质量之间的关系。结果消化系统肿瘤术后化疗患者抑郁得分显著高于国内常模，抑郁发生率为19．5％；非抑郁与抑郁患者在人格特征的P维度和N维度以及生活质量中躯体功能、角色功能、情绪功能、认知功能维度、总体健康状况、症状维度以及单一条目中的疼痛、失眠、便秘、腹泻、经济困难方面的评分比较差异显著。抑郁情绪与人格特征中N维度、L维度以及生活质量均存在不同程度的相关。结论消化系统肿瘤术后化疗患者的抑郁情绪与人格特征和生活质量有显著相关性。护理人员要关注消化系统肿瘤术后化疗患者的生活质量，同时全面评估患者的人格特征，从而制定针对性的护理干预措施，改善患者的抑郁情绪，提高患者的生活质量。Objective To study the state of depression emotion,personality and quality of life of patients with digestive system tumor undergoing chemotherapy, and the correlation of depression emotion with personality and quality of life. Methods Using cross-sectional survey methodology, 261 digestive system tumor patients were investigated by schedule table SDS, EPQ-RSC and EORTC QLQ-C30. These cases were also used to study the correlation of depression emotion with personality and quality of life. Results The digestive system tumor patients undergoing chemotherapy investigated had a high score in depression than domestic norm, and the incidence of depression of these cases was 19.5%.The cases were divided into two groups（the depression group and the non-depressi0n group）. There were significant differences in N and P dimensionalities of personality and in physical function, role function, cognitive function, emotional function, and overall well-being, fatigue, economic difficulties, nausea and vomiting, pain, insomnia, loss of appetite, constipation and diarrhea. There were various degrees of difference in depression, personality and quality of life. Conclusions Depression, personality and quality of life are closely related in digestive system tumor patients undergoing chemotherapy. The medical staff should pay more attention to the patients＇ quality of life and personality to make a better nursing intervention and improve their quality of life.

关 键 词：肿瘤 化疗 抑郁 人格特征 生活质量 

分 类 号：R473.73[医药卫生—护理学]