胃肠道恶性肿瘤病人焦虑抑郁状况及其影响因素

目的 了解胃肠道恶性肿瘤病人抑郁焦虑发病情况,并探讨其影响因素.方法 2008年12月-2009年11月,对我院普外科收治的86例胃肠道恶性肿瘤病人采用问卷调查方式进行焦虑自评量表和抑郁自评量表的评定.结果 本组病人抑郁焦虑总发生率为44.2%,与其发生密切相关的因素有病人疼痛情况、既往身体状况、睡眠状况、对病情了解程度、对疾病的恐惧感以及担心术后效果等.结论 既往身体状况差、睡眠状况差、伴疼痛、对病情不了解、对疾病有恐惧感以及担心术后效果的胃肠道恶性肿瘤病人更容易并发焦虑及抑郁症状.

THE STATE OF ANXIETY AND DEPRESSION IN PATIENTS WITH MALIGNANT TUMOR IN GASTROINTESTINAL TRACT

Objective To investigate the incidence of depression and anxiety in patients with malignant tumor of gastroin- testinal tract （MTGIT） and explore its influencing factors. Methods The anxiety and depression status of 86 patients with MTGIT treated at the department of general surgery of our hospital in December 2008-November 2009 were assessed according to self-rating anxiety scale and self-rating depression scale using a questionnaire. Results The total incidence of depression and an xiety in this group was 44.2%, its related factors were pain, previous physical status, sleep, awareness of the disease, fear, and concern about postoperative result, and so on. Conclusion Previous poor health, dyssomnia, pain, unaware and fear of disease, as well as worry about postoperative outcome in patients with MTGIT are more likely to suffer from anxiety disorders.