应用顺铂联合化疗肺癌病人心理状况变化的现状调查  

Survey of status quo of psychological changes of patients with lung cancer receiving cisplatin combination chemotherapy

作　　者：冯月 刘珊珊[2] 李俊英[2] Feng Yue;Liu Shanshan;Li Junying(West China Hospital,Sichuan University,Sichuan 610041 China)

机构地区：[1]四川大学华西医院/华西临床医学院 [2]四川大学华西医院/四川大学华西临床医学院

出　　处：《护理研究》2018年第18期2863-2867,共5页Chinese Nursing Research

基　　金：四川省卫生和计划生育委员会科技支撑普适项目,编号16PJ347.

摘　　要：[目的]调查应用顺铂联合化疗方案治疗的肺癌病人心理状况。[方法]采用方便抽样法,于2016年4月—2017年3月选取在某医院胸部肿瘤科住院接受顺铂联合化疗方案的100例肺癌病人,调查工具采用自行设计的一般资料调查表、综合医院焦虑抑郁量表(HADS)、心理痛苦管理筛查工具(DMSM),于化疗前1d及化疗第2天、第6天、第21天进行调查评估。[结果]最终85例病人完成问卷调查。研究结果显示:化疗前1d及化疗第2天、第6天、第21天焦虑阳性症状病人分别占15.3%、12.9%、20.0%和5.9%,抑郁阳性症状病人分别占15.3%、16.5%、25.9%和11.8%;心理痛苦温度计高于4分的分别占15.3%、14.1%、25.9%和12.9%;心理痛苦问题列表相关问题根据描述的频率,化疗第6天病人主要为恶心/呕吐,疾病治疗、担忧、进食、疼痛、便秘、疲乏、睡眠、压抑、肿胀的感觉;Spearman相关分析显示,化疗前1d及第2天、第6天、第21天心理痛苦得分与焦虑评分、抑郁评分及焦虑抑郁总分均呈正相关(P<0.01)。[结论]在肺癌病人使用顺铂联合化疗方案中,焦虑、抑郁情绪发生率高,焦虑抑郁情绪越严重,心理痛苦程度越高。压抑和担忧成为病人主要的情绪问题。Objective：To investigate the psychological status of lung cancer patients treated with cisplatin combination chemotherapy.Methods：From April 2016 to March 2017,a total of 100 patients with lung cancer who hospitalized chest oncology department in the basic hospital and received the 3-day cisplatin combination chemotherapy were included in this study.They were investigated by the questionnaires including the general information of the patients,the Hospital Anxiety and Depression Scale（HADS）and the Distress Management Screening Measure（DMSM）on the day before chemotherapy,the 2 nd,6 th and 21 st day during the treatment.Results：A total of 85 patients completed the questionnaire survey in the final.The results showed that the patients with positive anxiety symptoms on the day before chemotherapy and on the 2 nd,6 th and 21 st day of chemotherapy accounted for 15.3%,12.9%,20.0% and 5.9%respectively;patients with positive depressive symptoms accounted for 15.3%,16.5%,25.9% and 11.8% respectively;psychological pain thermometers higher than 4 points accounted for 15.3%,14.1%,25.9% and 12.9% respectively.According to the frequency of the description,the main psychological pain problems were：nausea/vomiting,disease treatment,worry,eating,pain,constipation,fatigue,sleeping,depression,and swelling on the 6 th day of the chemotherapy.Spearman correlation analysis showed that there was a positive correlation between the score of psychological pain and anxiety,and the depression and the total score of anxiety and depression on the day before chemotherapy,2 nd day,6 th day,21 st day of the chemotherapy（P〈0.01）.Conclusions：In the treatment of lung cancer patients with cisplatin combined chemotherapy,the incidence of anxiety and depression was high.The more serious of anxiety and depression was the higher of psychological pain was.Repression and worry have became the main emotional problems of patients.

关 键 词：顺铂 肺癌 焦虑 抑郁 心理问题 调查研究 心理状况 心理痛苦 化疗 

分 类 号：R473.73[医药卫生—护理学]