肺癌患者焦虑抑郁与自我效能感的相关性研究

摘要

目的：描述肺癌患者自我效能感及焦虑抑郁状况，探讨自我效能感与焦虑、抑郁之间的关系。方法：应用医院焦虑抑郁量表（HADS）、自我效能感量表（C - SUPPH）对149例肺癌患者进行调查。结果：肺癌患者焦虑得分为（7.15±4.55）分，抑郁得分为（6.74±5.01）分；焦虑（HADS - A≥9分）53人（35.6%），抑郁（HADS - D≥9分）47人（31.5%），焦虑合并抑郁37人（24.8%）。自我效能感得分为（84.84±27.29）分。自我效能感与焦虑（r =-0.585，P <0.01）、抑郁（r =-0.674，P <0.01）均呈负相关。结论：肺癌患者自我效能感与心理状况密切相关，医务工作者应注重提高患者的自我效能感，以改善患者的心理健康水平。%Objective:To explore the relationship between self - efficacy and anxiety,depression in lung cancer patients. Methods:All 149 lung cancer patients were investigated with the Strategies Used by People to Promote Health - Chinese Version(C - SUPPH)and Hospital Anxiety and Depression Scale(HADS). Results:The average score of HADS - A was 7. 15 ± 4. 55 and HADS - D was 6. 74 ± 5. 01. The prevalence for depressive disorders,anxie-ty disorders,and comorbidity was 35. 6% ,31. 5% and 24. 8% ,respectively. The score of self - efficacy was 84. 84 ± 27. 29. Self - efficacy was negatively correlated with anxiety(r = - 0. 674,P < 0. 01)and depression(r = - 0. 585, P < 0. 01). Conclusion:Self - efficacy significantly varies with psychological status. The healthcare worker should pay attention to elevating lung cancer patientsˊ self - efficacy,in order to improve their psychological status.