肺癌化疗患者心理负担及影响因素现状调查  

Investigation of Psychological Burden and Influencing Factors of Chemotherapy Patients with Lung Cancer

作　　者：冯桂荣[1] 王淑清[1] 李练[1] 黄荣杏[1] Feng Guirong Wang Shuqing Li Lian et al(Cancer Prevention and Treatment Center of Zhongshan University, Guangzhou Guangdong 510060, China)

机构地区：[1]中山大学肿瘤防治中心,广东广州510060

出　　处：《齐鲁护理杂志》2017年第19期4-6,共3页Journal of Qilu Nursing

摘　　要：目的:探讨肺癌化疗患者心理负担情况并研究其影响因素。方法:对120例肺癌化疗患者,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持量表及一般资料调查问卷进行调查,统计患者发生焦虑和抑郁情况,并分析其影响因素。结果:肺癌化疗患者发生焦虑55例、抑郁51例、焦虑合并抑郁40例;单因素分析显示,与焦虑相关因素有性别、年龄、学历、家庭收入、社会支持和化疗疗程次数;与抑郁相关因素有性别、年龄、婚姻状况、学历、家庭收入、社会支持和化疗疗程次数。通过Logistic回归发现:发生焦虑和抑郁的4个独立影响因素均为学历、年龄、社会支持和化疗疗程次数。结论:肺癌化疗患者焦虑、抑郁发生率较高,其中学历、年龄、社会支持和化疗疗程次数是焦虑与抑郁的独立影响因素,因此,护理人员应对肺癌化疗患者提供良好的健康知识教育和社会支持,以降低其心理负担,从而促进康复。Objective：To investigate the psychological burden of chemotherapy patients with lung cancer and to explore its influencing factors. Methods：In 120 cases of lung cancer patients, the anxiety and depression of the patients were counted, and the influencing factors were analyzed by using Self-rating Anxiety Scale（SAS） , Self-rating Depression Scale（SDS） and social support scale and general informa- tion questionnaires. Results：There are 55 cases of anxiety,51 cases of depression and 40 cases of anxiety combined with depression in chemotherapy patients with lung cancer; single factor analysis showed that anxiety related factors were gender, age, education level, family income, social support and the number of courses of chemotherapy. The factors associated with depression were gender, age, marital status, education, family income, social support and the number of courses of chemotherapy. The logistic regression result showed that the 4 inde- pendent factors affecting anxiety and depression were educational level, age, social support and the number of courses of chemotherapy. Conclusion：The incidence of anxiety and depression in patients with lung cancer chemotherapy is relatively higher. Among them, education- al level, age, social support and the number of courses of chemotherapy are independent factors influencing anxiety and depression. There- fore, the nursing staff should provide good health education and social support to the lung cancer patients with chemotherapy so as to reduce their psychological burden and promote rehabilitation.

关 键 词：肺癌 化疗 焦虑 抑郁 心理负担 

分 类 号：R473.73[医药卫生—护理学]