胃癌患者焦虑抑郁情绪障碍调查与心理干预效果观察  

Observation of the effect of investigation and psychological intervention on gastric cancer patients with anxiety and depressed mood disorders

作　　者：马丽梅[1] 李玉霞[1] 

机构地区：[1]宝鸡市第二人民医院,陕西宝鸡721000

出　　处：《西部医学》2013年第6期867-868,870,共3页Medical Journal of West China

摘　　要：目的评估胃癌患者的焦虑、抑郁状态,分析影响焦虑、抑郁心理的相关因素,提出心理干预对策。方法调查采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和影响因素调查问卷表,并对结果进行统计分析。结果 81.12%的胃癌患者出现了不同程度焦虑、抑郁状态。引起胃癌患者焦虑抑郁的主要原因是害怕自己是胃癌、对手术效果怀疑、担心经济承受力等。经心理干预后,患者的焦虑、抑郁症状明显改善,与心理干预前比较,差异有统计学意义(P<0.01)。结论医护人员不仅要重视对患者躯体疾病的治疗更应关注并及时疏导患者所出现的心理问题,最大限度恢复患者的身心健康。Objective To assess relative factors about anxiety and depression in gastric cancer patients, and to pro- pose psychological intervention countermeasures. Methods Anxiety Rating Scale （SAS）, Self-Rating Depression Scale （SDS） questionnaire table and influencing factors questionnaire were applied, and the results were statistically analyzed. Results 81.12% of gastric cancer patients experienced varying degrees of anxiety and depression. The main reason of anxiety and depression was afraid of gastric cancer, suspecting the surgery effect, and the economic affordability. After psychological intervention, the patient＇s anxiety and depressive symptoms improved significantly, compared to those with- out psychological intervention, the difference was statistically significant （P〈0. 01）. Conclusion The medical staff should not only to pay attention to the treatment of patients with physical diseases but also be more concerned about their psychological problems.

关 键 词：胃癌 焦虑 抑郁 心理干预 

分 类 号：R735.2[医药卫生—肿瘤] R749.73[医药卫生—临床医学]