肿瘤与普通内科病人抑郁、焦虑心理及其影响因素对比研究  

Comparative Study of Depression and Anxiety and Their Correlated Factors in Tumor Medical Patients and General Medical Patients

作　　者：黄华兰[1] 王妙君[1] 陈惜遂[2] 洪文郁[2] 陈琼芝[1] 李洁璇[1] 

机构地区：[1]汕头大学医学院附属肿瘤医院护理部,广东汕头515031 [2]汕头大学医学院附属第一医院内科,广东汕头515041

出　　处：《护理学杂志（综合版）》2004年第11期5-7,共3页Journal of Nursing Science

基　　金：广东省医学科研立项基金课题 (A2 0 0 14 5 4 )

摘　　要：目的了解肿瘤与普通内科住院病人抑郁和焦虑程度及其影响因素的差异性 ,为临床护理提供参考依据。方法采用抑郁自评量表 (SDS)、焦虑自评量表 (SAS)及自制影响因素调查表 ,同时对肿瘤病人 (180例 )和普通病人(134例 )进行调查。结果肿瘤病人SDS和SAS均分值及阳性率均明显高于普通内科病人 (均P <0 .0 1) ;影响因素前五位为治疗费用、治疗效果、治疗毒副反应、家庭因素及自理能力下降。结论肿瘤病人普遍存在较多的生理、心理和社会问题 ,导致较严重的抑郁和焦虑反应 ,针对性的情感支持及整体护理干预应作为肿瘤综合治疗的重要组成部分。Objective To explore the degree of depression and anxiety in tumor medical patients and general medical patients, and to study the differences among their correlated factors. Methods 180 tumor patients and 134 general patients were tested simultaneously by the Self-Rating Depression Scale (SDS), the Self-Rating Anxiety Scale (SAS), and the Correlated Factor Questionnaire. Results The average scores and incidences of SDS and SAS of tumor patients were both significantly higher than those of general patients (all P<0.01). The 5 major correlated factors were cost of treatment, efficacy of treatment, side-effects of treatment, family, and decline of self-care. Conclusion Tumor patients tend to have more physiological, psychological and social problems, which may lead to serious depression and anxiety. Pertinent sentimental support and overall nursing intervention should play an important part in the synthetical treatment of tumor.

关 键 词：恶性肿瘤 抑郁 焦虑 影响因素 数据收集 

分 类 号：R395.6[哲学宗教—心理学] R473.5[医药卫生—医学心理学]