原发性肝细胞癌患者术前焦虑抑郁状况及相关因素研究  

Study on anxiety and depression in preoperative patients with hepatocellular carcinoma

作　　者：张静[1] 安松林[2] 王黎明[2] 荣维淇[2] 吴凡[2] 冯莉[2] 吴健雄[2] 

机构地区：[1]北京回龙观医院心身医学科,北京100096 [2]北京协和医学院/中国医学科学院肿瘤医院肝胆外科,北京100021

出　　处：《肝胆胰外科杂志》2016年第1期28-31,36,共5页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的研究原发性肝细胞癌患者术前焦虑抑郁状况及相关因素。方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对2014年1月至2014年12月142例原发性肝细胞癌患者术前的焦虑、抑郁状况进行调查,并分析影响焦虑和抑郁发生的相关因素。结果 142例肝细胞癌患者术前SAS平均标准分为(55.41±10.13)分,69.01%(98/142)的患者伴有焦虑情绪,术前SDS平均标准分为(54.59±12.22)分,59.86%(85/142)的患者伴有抑郁情绪。教育程度、婚姻状况、医疗费用来源、经济状况等因素影响焦虑、抑郁情绪的发生。结论肝细胞癌患者术前焦虑抑郁情绪发生率较高,应充分认识此现象并给予合理干预。Objective To investigate preoperative anxiety and depression status in hepatocellular carcinoma patients and to study the associating factors. Methods The Self-Rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） were used to study the psychological status in 142 hepatocellular carcinoma patients admitted from January 2014 to December 2014. Results The average score of SAS was 55.41±10.13, and 69.01% （98/142） of these patients were combined with anxiety. The average score of SDS was 54.59±12.22, and 59.86% （85/142） of these patients were combined with depression. Multivariate logistic regression analysis showed that education level, marital status, types of medical payment, and economic conditions influenced the occurrence of anxiety and depression. Conclusion A high incidence of preoperative anxiety and depression is found in hepatocellular carcinoma patients, and medical staff should fully understand this phenomenon and give reasonable intervention.

关 键 词：肝细胞癌 焦虑 抑郁 

分 类 号：R735.7[医药卫生—肿瘤] R749.72[医药卫生—临床医学]