肺癌围手术期患者家属焦虑、抑郁状况对患者一般心理状况的影响

摘要

背景与目的 面对癌症和手术的双重压力,许多患者会出现紧张、恐惧、悲观和焦虑等一系列不良心理,本研究旨在探讨肺癌围手术期患者家属的焦虑、抑郁状况对患者一般心理状况的影响.方法 以中南大学湘雅二医院普胸外科处于肺癌围手术期的97例患者和97例家属作为研究对象,采用自制的一般资料问卷、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)以及症状自评量表(symptomcheck-list 90,SCL-90)对他们的一般资料、肺癌患者家属的焦虑、抑郁状况以及肺癌患者的一般心理状况进行调查.结果 肺癌围手术期患者SCL-90中总分(153.28±41.98)、躯体化(1.78±0.42)、强迫症状(1.96±0.52)、抑郁(1.77±0.67)、焦虑(1.82±0.56)、敌对(1.68±0.87)、恐怖(1.44±0.75)、精神病性(1.56±0.51)因子分均高于中国常模(P＜0.05).肺癌围手术期患者家属焦虑标准分与患者的SCL-90的强迫症状、焦虑、偏执因子分均呈正相关(P＜0.05)；肺癌围手术期患者家属抑郁严重度与患者的SCL-90的强迫症状、精神病性因子分均呈负相关(P＜0.05).结论 肺癌围手术期患者家属存在不同程度的焦虑、抑郁状况,且对肺癌患者的一般心理状况有一定的影响.%Background and objective Facing the double pressures caused by cancer and surgery, many patients will appear series psychological problems like nervous, fear, pessimism, anxiety and so on. The aim of this study is to explone the anxiety, depression status of family members, the general psychological status of perioperative patients with lung cancer and the influence of the former on the latter. Methods Total 97 patients and 97 patient family members from the thoracic department of the Second Xiangya Hospital of Central South University were enrolled as the study subjects. The general information, the anxiety and depression status of the family members, and the general psychological status of perioperative patients with lung cancer were investigated using self-made general information questionnaire, self-rating anxiety scale (SAS), self-rating depression scale (SDS) and symptom check-list 90 (SCL-90). Results The scores of seven factors, including total scores (153.28 ±41.98), somatization (l.78±0.42), compulsion (l.96±0.52), depression (l.77±0.67), anxiety (l.82±0.S6), hostility (l.68± 0.87), panic (l.44±0.75) and psychosis (l.56±0.Sl) in SCL-90 were remarkerbly higher than those in domestic norm (P<0.05). The standard score in SAS of the family members was positively correlated with the compulsion, anxiety and bigoted factors of SCL-90 in the patients (P<0.05). The depression severity of the family members was negatively correlated with the compulsion and psychosis factors of SCL-90 in the patients (P<0.05). Conclusion Family members have different degrees of anxiety and depression, which have certain effects on the general psychological status of perioperative patients with lung cancer.