摘要
[目的 ]了解鼻咽癌病人情感状态及相关影响因素。 [方法 ]应用抑郁、焦虑测评量表 (SDS、SAS、HAMD、HAMA)和影响因素调查表对 65例鼻咽癌病人进行评定 ,并与 63例普通内科病人进行比较。 [结果 ]鼻咽癌病人SDS、SAS、HAMD、HAMA均值分别为 47.60分± 12 .98分、40 .3 1分±8.42分、18.92分± 9.90分、11.42分± 7.81分 ;阳性率为 49.2 %、15 .4%、3 6.9%、2 9.2 % ;自评与他评结果均显示鼻咽癌组高于普通内科组(P <0 .0 5 )。影响因素前五位 :治疗费用、治疗效果、家庭因素、治疗副反应、工作 (事业 )受影响。 [结论 ]鼻咽癌病人存在较多的心理社会问题 ,可能是促发负性情感反应的主要因素。建议在常规抗肿瘤治疗的同时 ,给予针对性的情感和社会支持 ,以促进鼻咽癌病人身体和心理的同期康复。
Objective: to know the affection state and correlated factors of patients with nasopharyngeal carcinoma. Method: a total of 65 cases with nasopharyngeal carcinoma were investigated and evaluated by filling out self-rating depression scale (SDS), self-rating anxiety scale (SAS),Hamilton depression scale(HAMD), HAMA and influencing factors questionnaire. And compared with those of 63 inpatients of internal medicine ward. Result: the average score of SDS, SAS,Hamilton anxiety scale(HAMD) and HAMA in patients with nasopharyngeal carcinoma were 47.60±12.98,40.31±8.42,18.92±9.90,11.42±7.81 respectively, and the positive rate were 49.2%, 15.4%, 36.9%, 29.2% respectively. Both the rating and the self-rating results showed that patients with nasopharyngeal carcinoma scored higher than that in control group (P<0.05). Major five influencing factors were treatment expense, treatment efficiency, family factor, adverse effect of treatment, and negative effect on their career. Conclusion: patients with nasopharyngeal carcinoma tend to have more psychological and social problems, which may be the main causes of negative affection.It is suggested that besides routine anti-carcinoma treatment, emotional and social support should be offered to them so as to accelerate both physical and mental recovery of patients with nasopharyngeal carcinoma.
出处
《护理研究》
2004年第6期949-951,共3页
Chinese Nursing Research
基金
广东省医学科研立项基金课题 (A2 0 0 3530 )
关键词
鼻咽癌
情感状态
影响因素
nasopharyngeal carcinoma, mood state, influencing factors
