肿瘤术后精神障碍相关因素的调查分析

目的了解肿瘤术后患者的精神障碍状况,并对其相关因素进行分析。方法应用抑郁自评量表(SDS)、焦虑自评量表(SAS)和自行设计心理健康影响因素调查表,对305例肿瘤术后患者进行精神障碍及其相关因素调查,并应用SPSS 11.0进行统计学分析。结果肿瘤术后精神障碍发生率为77.0%。肿瘤术后患者多因素分析显示:是否知道疾病真相、担心经济、社会支持是独立的危险因素。结论肿瘤术后患者普遍具有精神障碍,应及早给予心理干预,以提高治疗效果及患者生存质量。在本研究人群中,是否知道疾病真相,担心经济、社会支持可能是肿瘤术后精神障碍的主要危险因素。

Investigation and analysis of postoperative psychonosema and its relevant factors of patients

Objective To investigate the postoperative psychonosema of patients and analyze its relevant factors.Methods 305 cases of patients following tumour surgery in our hospital were analyzed through SDS,SAS and self-design mental heath influence factor investigation chart.SPSS 11.0 software was used for statistical analysis.Results The results showed that there was 77.0% of the cases for postoperative psychonosema.Awareness of the nature of the illness(OR=6.751,P=0.041),fear of cost(OR=25.361,P=0.035)and social support(OR=38.956,P=0.012)were significant multiple-regression of risk factors in patients following tumour surgery.Good social support is the protective factor of patients following tumour surgery.Conclusion Psychological intervention is necessary for patients following tumour surgery.Awareness of the nature of the illness,fear of cost and social support were very important risk factors of postoperative psychonosema of patients following tumour surgery.