癌症患者与家属情绪障碍传导的分析及阻断干预方案研究  

Analysis of emotional disorder conduction in cancer patients and their families and effects of blocking intervention programs

作　　者：胡玲[1] 张贤峰[2] 宋子正[1] 王坤杰[1] 贾友超[1] 宋瑾[1] 苏雷[3] HU Ling;ZHANG Xian-feng;SONG Zi-zheng(Department of Medical Oncology,Affiliated Hospital of Hebei University,Hebei Key Laboratory of Cancer Radiotherapy and Chemotherapy,Baoding 071000,China.;不详)

机构地区：[1]河北大学附属医院肿瘤内科,河北省肿瘤放化疗机制与规程研究重点实验室,河北保定071000 [2]河北省第六人民医院护理部,河北保定071000 [3]河北大学附属医院放疗科,河北保定071000

出　　处：《医师在线》2023年第5期9-13,共5页Journal of Doctors Online

基　　金：河北省社会科学基金项目(HB21SH011)。

摘　　要：目的探讨癌症患者与家属情绪障碍传导的影响因素及阻断干预方案效果。方法采用回顾性研究方法,选取234例癌症患者家属,分析情绪障碍发生的危险因素。采用前瞻性研究方法,选取52例情绪障碍癌症患者家属,根据随机数表法分为观察组和对照组,对照组给予常规心理干预措施,观察组在常规心理干预措施基础上实施阻断干预方案,比较两组的干预效果。结果234例癌症患者家属中,根据SDS与SAS评分,情绪障碍56例,情绪正常178例。多因素Logistic回归分析结果显示,女性、文化程度低、家属为配偶、自费支付及家庭月收入低为癌症患者家属情绪障碍的独立危险因素。干预后观察组SDS与SAS评分均显著低于对照组,且情绪障碍发生率也明显低于对照组,差异有统计学意义(P<0.05)。干预后观察组癌症患者FACT-G评分总分显著高于对照组,两组比较差异有统计学意义(P<0.05)。结论女性、文化程度低、家属为配偶、自费支付及家庭月收入低为癌症患者家属情绪障碍的独立危险因素,可对情绪障碍家属额外实施阻断干预方案,降低其情绪障碍的发生率,进而改善癌症患者的生活质量。Objective To explore the influencing factors of emotional disorders in cancer patients and their families and the effects of blocking intervention programs.Methods Using retrospective research methods,234 family members of cancer patients were selected to analyze the risk factors of mood disorders.Using prospective research methods,52 family members of cancer patients with mood disorders were selected and divided into observation group and control group according to the random number table method.The control group was given routine psychological intervention,and the observation group implemented a blocking intervention program on the basis of routine psychological intervention.Compare the intervention effect of the two groups.Results Among the 234 family members of cancer patients,56 cases were mood disorders and 178 cases were normal mood according to SDS and SAS scores.The results of multivariate Logistic regression analysis showed that women,low education level,family members as spouses,self-pay and low family monthly income were independent risk factors for emotional disorders in family members of cancer patients.After the intervention,the SDS and SAS scores of the observation group were significantly lower than those of the control group,and the incidence of mood disorders was also significantly lower than that of the control group.The difference was statistically significant(P<0.05).After the intervention,the total FACT-G score of cancer patients in the observation group was significantly higher than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Female,low education level,family members as spouses,self-pay and low monthly family income are independent risk factors for emotional disorders in family members of cancer patients.Additional blocking intervention programs can be implemented for family members of emotional disorders to reduce the incidence of emotional disorders,and furthermore improve the quality of life of cancer patients.

关 键 词：癌症 情绪障碍 危险因素 阻断干预 

分 类 号：R47[医药卫生—护理学]