晚期肿瘤病人及其照顾者焦虑抑郁情绪的调查研究  

Investigation of the mood of anxiety and depression of advanced tumor patients and their caregivers

作　　者：张宗城[1] 叶桦[1] 岑建宁[1] 张艳玲[1] 刘丽[1] 

机构地区：[1]广州医学院荔湾医院肿瘤科,510170

出　　处：《国际医药卫生导报》2015年第4期471-474,共4页International Medicine and Health Guidance News

基　　金：广州市荔湾区科技计划项目（20141216056）

摘　　要：目的调查晚期肿瘤患者及其照顾者焦虑抑郁情绪的发生情况，为实施临床心理干预措施提供理论依据。方法选取我院收治的晚期肿瘤患者及其主要照顾者各462例为调查对象。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对晚期肿瘤患者及其主要照顾者进行评估。分析晚期肿瘤患者及其主要照顾者的SAS量表和SDS量表阳性率，观察不同亲缘关系照顾者的SAS量表和SDS量表阳性率，对比晚期肿瘤患者SAS量表和SDS量表评估结果和国内常模标准分，并分析不同因素对晚期肿瘤患者SAS量表和SDS量表阳性率的影响。结果晚期肿瘤患者及其主要照顾者的SDS量表阳性率分别为58．01％和61．90％，SAS量表阳性率分别为48．05％和53．03％；患者配偶的SDS、SAS量表阳性率最高，分别为83．94％和70．80％，患者兄弟姐妹的SDS、SAS量表阳性率最低，分别为35．71％和25．89％；本研究晚期肿瘤患者SDS量表评估结果为（53．06±10．42）分，SAS量表评估结果为（44．13±9．17）分，均显著高于国内常模标准分（均P〈0．05）；接受手术治疗、不了解病情的患者SDS、SAS量表阳性率显著高于接受非手术治疗、了解病情的患者（均P〈0．05）。结论晚期肿瘤病人及其照顾者多存在不同程度的焦虑、抑郁情绪，临床上应采取针对性的干预措施以改善晚期肿瘤病人及其照顾者的焦虑、抑郁情绪。Objective To investigate the incidence of the mood of anxiety and depression of advanced tumor patients and their caregivers, and to provide a theoretical basis for clinical psychological intervention measures. Methods 462 patients with advanced tumor and their primary caregivers in our hospital were selected. Self rating anxiety scale （SAS） and self rating depression scale （SDS） were applied to assessing anxiety and depression of advanced tumor patients and their caregivers. The positive rates of SAS and SDS in advanced tumor patients and their primary caregivers were analyzed, the positive rates of SAS and SDS in different kinship care of advanced tumor patients were observed, the results were compared with national norm standard. Results The positive rates of SDS in advanced tumor patients and their earegivers were 58.01% and 61.90%, 48.05% and 53.03% for positive rates of SAS; the positive rates of SDS and SAS of spouses of patients were the highest, with the value of 83.94% and 70.80%, the positive rates of SDS and SAS of brothers and sisters of patients were the lowest, with the value of 35.71% and 25.89%; SDS score in advanced tumor patients was （53.06 ＋ 10.42）, SAS score was （44.13 ＋ 9.17）, which were significantly higher than national norm standard （P〈0.05）. Conclusions Anxiety and depression could be observed in advanced tumor patients and their caregivers. Clinical targeted interventions should be taken to improve the situation of anxiety and depression in advanced tumor patients and their caregivers.

关 键 词：肿瘤 心理学 照顾者 焦虑 抑郁 

分 类 号：R473.73[医药卫生—护理学]