宫颈癌患者焦虑、抑郁及癌因性疲乏现状及其影响因素  

Research on the status of anxiety,depression and fatigue in patients with cervical cancer and its influential factors

作　　者：黄慧玲[1] 罗艳华 张扬[3] 曾迎春[3] 韩媛 Hung Huiling;Luo Yanhua;Zhang Yang;Zeng Yingchun;Han Yuan(Emergency Department,North Guangdong People's Hospital in Shaoguan,Shaoguan 512026,China;Nursing College,Guangzhou Medical University,Guangzhou 510180,China;Department of Obstetrics and Gynecology,the Third Hospital Affiliated to Guangzhou Medical University,Guangzhou 510150,China)

机构地区：[1]韶关粤北人民医院急诊科,韶关512026 [2]广州医科大学护理学院,广州510180 [3]广州医科大学附属第三医院妇产科,广州510150

出　　处：《国际护理学杂志》2020年第2期219-224,共6页international journal of nursing

基　　金：广东省医学科研基金项目(A2015141)。

摘　　要：目的探讨宫颈癌患者焦虑、抑郁及癌因性疲乏等多个心理症状的现状及其影响因素。方法采用问卷调查的方式调查广州市某三级甲等肿瘤医院接受治疗的宫颈癌患者143例。结果宫颈癌患者焦虑发生率44.10%,抑郁发生率39.16%,癌因性疲乏发生率为83.22%。单因素分析显示,不同婚姻状况、有无子女情况、不同癌症分期、不同治疗方式的宫颈癌焦虑发生率差异有统计学意义(P<0.05)。不同癌症分期、不同治疗方式的宫颈癌抑郁发生率差异有统计学意义(P<0.05)。不同婚姻状况、不同治疗方式的宫颈癌疲乏发生率差异有统计学意义(P<0.05)。采用逐步多重线性回归分析显示,癌症中晚期、未婚或其他是焦虑的危险因素;癌症中晚期、无业或退休、未婚或其他是抑郁的危险因素;化疗、未婚或其他是癌因性疲乏的危险因素。结论宫颈癌患者焦虑、抑郁均处于轻中度水平;疲乏程度处于中度水平。影响宫颈癌患者焦虑、抑郁、疲乏主要的因素:癌症分期、婚姻状况、就业状态及治疗方式。提示医护人员应重视宫颈癌患者心理变化,在治疗期间有针对性对患者进行个体化健康宣教,减少焦虑、抑郁、疲乏等负性情绪的发生。Objective To investigate the status quo and influencing factors of anxiety,depression and cancer-related fatigue in patients with cervical cancer.Methods A questionnaire survey was conducted to investigate 143 cases of cervical cancer patients treated in Third-Grade A cancer hospital in guangzhou.Results The incidence of anxiety was 44.10%,depression was 39.16%,and cancer-related fatigue was 83.22%.Analysis of univariate results showed that there were statistically significant differences in the incidence of cervical cancer anxiety among different marital status,childless status,different cancer stages and different treatment methods(P<0.05).There were statistically significant differences in the incidence of cervical cancer depression in different cancer stages and different treatment methods(P<0.05).There were statistically significant differences in cervical cancer fatigue between different marital status and different treatment methods(P<0.05).The results of stepwise multiple linear regression analysis showed that middle and late cancer,unmarried or other risk factors for anxiety,advanced cancer,unemployment or retirement,unmarried or other risk factors for depression,chemotherapy,unmarried or other risk factors for cancer-related fatigue.Conclusions The anxiety and depression of the patients with cervical cancer were at the mild to moderate level.The fatigue level is moderate.The main factors influencing anxiety,depression and fatigue in patients with cervical cancer include cancer stage,marital status,employment status and treatment.It is suggested that medical staff should pay attention to the psychological changes of patients with cervical cancer,carry out individualized health education for patients during treatment,and reduce the occurrence of negative emotions such as anxiety,depression and fatigue.

关 键 词：宫颈癌 焦虑 抑郁 疲乏 

分 类 号：R737[医药卫生—肿瘤]