病情告知对肿瘤晚期患者抑郁焦虑情绪影响的分析  

The influence of breaking bad news on depression and anxiety to advanced cancer patients

作　　者：赵欣欣[1] 刘祖望[1] 郭静波[1] 牛楠[2] 王玉梅[1] 

机构地区：[1]中国医科大学附属盛京医院宁养病房,辽宁沈阳110022 [2]中国医科大学附属盛京医院肿瘤内科,辽宁沈阳110022

出　　处：《现代肿瘤医学》2013年第12期2815-2817,共3页Journal of Modern Oncology

摘　　要：目的:探讨病情告知对肿瘤晚期患者抑郁焦虑情况的影响。方法:对2011年9月至2012年6月于我院住院的128例肿瘤晚期患者进行调查,分为告知病情组和不知病情组,抑郁焦虑情绪采用焦虑抑郁自评量表(SDS)和自评量表(SAS)评分,统计方法采用t检验及χ2检验。结果:不知病情组患者抑郁焦虑水平高于告知病情组(不知病情组SAS:50.54±7.57 SDS:52.81±8.20,告知病情组:SAS:47.67±7.77,SDS:49.33±9.07),两组焦虑抑郁水平比较P值均<0.05,差异具有统计学意义。两组患者抑郁焦虑程度均以轻度为主(不知病情组:57.35%,告知病情组:56.67%)。结论:不知病情组与告知病情组相比,焦虑抑郁情绪更严重,对于预期生存较长的晚期肿瘤患者,应尽量劝说其家属向患者交代病情,注意告知方式方法,提高姑息治疗效果,提高生活质量。Objective：To investigate the influence of breaking bad news depression and anxiety on to advanced cancer patients. Methods：All 128 cases of advanced cancer patients in our hospital from September 2011 to June 2012 were divided into informed and unknown the condition group,Depression and anxiety were investigated by using the SDS and SAS score. Results ： The level of depression and anxiety of unknown group of patients was higher than the informed group （ the unknown group SAS ： 50.54± 7.57 SDS ： 52.81 ± 8.20, the informed group ： SAS ：47.67 ± 7.77, SDS：49.33± 9.07 ）, （P 〈 0.05 ）. Degree of depression and anxiety were mild mainly（ the unknown group ：57.35%, the informed group ：56.67% ）. Conclusion：The unknown group compared with the informed group, anxiety and de- pression are more severer. The advanced cancer patients expected to survive longer, could try to persuade their families to tell the truth, and pay attention to the ways of informing to improve the effect of palliative care.

关 键 词：晚期肿瘤 病情告知 抑郁焦虑 

分 类 号：R730[医药卫生—肿瘤]