知情状况对肺癌患者心理状态的影响及相关因素分析  

Psychological impact of informed consent status in lung cancer patients and related factors

作　　者：谭晓骏[1] 宁翠霞[1] 王萍[1] 

机构地区：[1]中国人民解放军海军总医院,北京100048

出　　处：《上海护理》2013年第5期25-28,共4页Shanghai Nursing

摘　　要：目的探讨知情状况对肺癌患者心理状态的影响,分析知情后影响患者心理状态的主要因素。方法选取2009年1月—2011年12月收治于中国人民解放军海军总医院的肺癌患者60例,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对其知情前后的心理状态进行评估,记录知情前后患者的心率、收缩压、舒张压和睡眠时间,应用Logistic回归分析和卡方检验对影响知情后患者心理状态的因素进行分析。结果知情后患者SAS和SDS评分较知情前显著升高,同时收缩压显著升高,睡眠时间减少,差异有统计学意义(P<0.01或P<0.05);患者中女性焦虑发生率高于男性,疼痛患者抑郁的发生率高于无疼痛患者。结论知情会使肺癌患者产生焦虑、抑郁和生理体征方面的不良状态,提示医护人员在告知诊断前应先做好相关心理疏导,尤其针对女性和有疼痛的患者,以减少对患者的不良刺激。Objective To study the psychological impact of informed consent status in lung cancer patients, and to analyze the main related factors. Methods A total of 60 lung cancer patients in our hospital were cho- sen from January 2009 to December 2011. They were investigated by Self Anxiety Scale （SAS） and Self Depres-sion Scale （SDS）. The heart rate, systolic pressure, diastolic pressure and sleep time were recorded. The data were analyzed by logistic regression and variance analysis. Results After being informed, the scores of SAS and SDS and systolic pressure in patients increased significantly （ P 〈 0.01 ） , but the sleep time decreased （ P 〈 0.05）. The logistic regression and variance analysis showed that the occurrence rate of anxiety in female was higher than that in male, while the occurrence rate of depression was more common in patients with pain. Conclusion After being informed, the levels of anxiety and depression increase in lung cancer patients. The main related factors are gender and pain.

关 键 词：肺癌患者 知情状况 心理状态 

分 类 号：R473.73[医药卫生—护理学]