Ⅱ期、Ⅲ期食管癌辅助化疗病人生活质量与焦虑、抑郁、应对方式的相关性研究  

Study on correlation between quality of life and anxiety,depression,coping style of phase Ⅱ and Ⅲ esophageal carcinoma patients receiving adjuvant chemotherapy

作　　者：吴晓丹[1] 郑美春[1] 辛明珠[1] 冯桂荣[1] 张美芬[2] 张俊娥[2] 覃惠英[1] 

机构地区：[1]中山大学肿瘤防治中心 [2]中山大学护理学院

出　　处：《护理研究（上旬版）》2015年第3期813-816,共4页Chinese Nursing Researsh

摘　　要：[目的]分析Ⅱ期、Ⅲ期食管癌辅助化疗病人的生活质量特点,并探讨生活质量与焦虑、抑郁、应对方式的相关关系。[方法]采用癌症治疗功能评价系统(FACT-G)、综合性医院焦虑抑郁量表、医学应对方式问卷及一般资料调查表对84例Ⅱ期、Ⅲ期食管癌辅助化疗病人进行问卷调查,分析Ⅱ期、Ⅲ期食管癌辅助化疗病人的生活质量与焦虑、抑郁、应对方式的相关性。[结果]Ⅱ期、Ⅲ期食管癌辅助化疗病人生活质量总分为65.95分±13.76分;生活质量水平与焦虑、抑郁呈负相关,与其应对方式部分相关。[结论]Ⅱ期、Ⅲ期食管癌辅助化疗病人生活质量受焦虑、抑郁、应对方式影响,正确评估、及时识别病人存在的焦虑、抑郁情绪,引导其采取面对、回避等有效的应对方式,可有效地提高病人的生活质量。Objective：To analyze the life guality characteristics of patients with phase Ⅱ and Ⅲ esophageal carci-noma receiving adjuvant chemotherapy and to probe into the relationships between quality of life,anxiety,de-pression and coping styles.Methods：A total of 84 patients with phase Ⅱ and Ⅲ esophageal carcinoma undergo-ing adjuvant chemotherapy received questionnaire by using Functional Assessment of Cancer Therapy General （FACT G）,the Hospital Anxiety and Depression scale,Medical Coping Modes Questionnaire and general in-formation questionnaire.Then to analyze the relationship between quality of life,anxiety,depression and coping style of patients with phaseⅡ and Ⅲesophageal carcinoma undergoing adjuvant chemotherapy.Results：The to-tal score of quality of life of patients with phase Ⅱ and Ⅲ esophageal carcinoma undergoing adjuvant chemo-therapy was 65.95±13.76.There was a negative correlation between the quality of life and anxiety,depression. The quality of life was influenced by the coping style.Conclusion：The quality of life of patients with phaseⅡ andⅢ esophageal carcinoma undergoing adjuvant chemotherapy is influenced by anxiety,depression and the coping style.It can improve the patients’quality of life if we evaluate correctly and identify timely patients’anxiety and depression,and then guide them to take effective coping style such as coping and avoidance and so on.

关 键 词：食管癌 辅助化疗 生活质量 焦虑 抑郁 应对方式 

分 类 号：R473.73[医药卫生—护理学]