肿瘤化疗患者焦虑和抑郁情绪与应对方式的关系研究  

Analysis of cancer-related anxiety and depression induced by chemotherapy

作　　者：柳璐[1] 王双[2] 许莉[3] Lu Liu;Shuang Wang;Li Xu(School of Nursing,Zhengzhou Railway Vocational and Technical College,Zhengzhou,Henan 451460,China;Department of Oncology,Henan Province People’s Hospital,Zhengzhou,Henan 450003,China;Department of Oncology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,China)

机构地区：[1]郑州铁路职业技术学院护理学院,河南郑州451460 [2]河南省人民医院肿瘤科,河南郑州450003 [3]郑州大学第一附属医院肿瘤科,河南郑州450052

出　　处：《中国现代医学杂志》2018年第12期79-85,共7页China Journal of Modern Medicine

基　　金：河南省高等学校重点科研项目(No:17A320070)

摘　　要：目的探讨肿瘤化疗患者的焦虑、抑郁情绪及不同应对方式对焦虑、抑郁的影响。方法选取2016年12月-2017年2月4所省、市级医院的339位肿瘤化疗患者为研究对象,分析研究肿瘤化疗患者的焦虑、抑郁状况与其应对方式的关系。结果 42.2%的化疗患者存在焦虑情绪,43.1%的化疗患者存在抑郁情绪,30.7%的患者两种情绪皆有。肿瘤化疗患者焦虑、抑郁得分均高于常模(P<0.05);面对得分低于国内常模(P<0.05),而回避和屈服得分均高于国内常模(P<0.05)。焦虑与屈服呈正相关(P<0.05);抑郁与面对呈负相关(P<0.05),与回避、屈服呈正相关(P<0.05)。多元逐步回归分析显示,医疗保障、职业及屈服是焦虑的影响因素(P<0.05);职业、屈服、面对及回避是焦虑的影响因素(P<0.05)。结论肿瘤化疗患者存在较为普遍的焦虑、抑郁情绪,这与其应对方式有一定的关系,尤其是屈服的应对方式对焦虑、抑郁情绪的产生具有重要影响。Objective To explore the incidence of anxiety and depression induced by chemotherapy and their correlation with different coping modes.Methods A total of 339 cancer patients during the chemotherapy were interviewed from 4 hospitals.T-test,single factor analysis of variance,partial correlation and regression analysis were carried out to study the relationship of anxiety and depression with coping modes.Results Exactly 42.2%of patients had anxiety,43.1%of patients had depression and 30.7%of patients had both issues.Anxiety score and depression score in chemotherapy patients were significantly higher than standard norm(P<0.05).Face score was lower while the yield and avoidance score were higher significantly than national norm(P<0.05).Anxiety was positively related with yield(P<0.05).Depression was negatively related with facing while positively relatedwith yield and avoidance(P<0.05).Multivariate stepwise regression analysis showed that health care,occupation and yield were independent risk factors for anxiety(P<0.05).Occupation,yield,faceand avoidance were independent risk factors for anxiety(P<0.05).Conclusions Anxiety and depression in cancer patients during chemotherapy is prevailing.Coping mode of surrender closely affects incidence of chemotherapy-inducedanxiety and depression.

关 键 词：肿瘤患者 化疗 焦虑 抑郁 应对方式 

分 类 号：R473.73[医药卫生—护理学]