广州市萝岗区癌症患者焦虑 抑郁情绪的随访调查研究

目的：分析2013年广州市萝岗区社区随访癌症患者焦虑、抑郁情况，为更好地开展社区随访干预提供科学依据。方法对全区社区卫生服务机构的癌症随访工作人员开展培训，使之掌握焦虑量表（SAS）、抑郁量表（SDS）正确的使用方法，对全区168名癌症患者开展焦虑、抑郁量表调查，其中回收有效的焦虑自评量表150份，有效的抑郁自评量表168份，对焦虑、抑郁量表数据进行统计分析。结果伴有焦虑情绪的占49.33%，伴有抑郁情绪的占49.40%，焦虑以及抑郁情绪的发生率较高。女性焦虑、抑郁评分分别为（51.5±9.2）分和（50.9±10.6）分，均明显高于男性患者（44.9±8.6）分和（44.1±9.3）分，差异具有统计学意义（P〈0.05）。肠癌患者的SAS评分显著高于其他类型癌症患者；乳腺癌患者的SDS评分显著高于其他类型癌症患者。结论在社区随访的癌症患者普遍存在轻度以上的焦虑和抑郁情绪，需要社区卫生服务中心的工作人员提供更多的心理支持，或是通过药物治疗减轻患者的焦虑和抑郁症状，提高患者的生存质量。

Follow-up research of Luogang district,Guangzhou cancer patient anxiety and depression

Objective To analyze the area in 2013,Guangzhou Luogang community follow-up of cancer patients anxiety, depression, and to provide a scientific basis for better development of community follow-up intervention. Methods Cancer follow-up training of staff of the region＇s community health services, training, proper used of each unit staff Anxiety Scale, Depression Scale, the survey region 168 cancer patients carried anxiety, depression scale, which effectively self-rating anxiety scale 150, effective self-rating depression scale 168 copies, statistical analyzed of anxiety and depression scale data. Results The anxiety associated with accounting for 49.33%;accompanied by depression accounted for 49.40%, a higher incidence of anxiety and depression. Women＇s anxiety and depression scores were 51.5 ±177; 9.2 and 50.9 ±177; 10.6, higher than those of male patients 44.9±177; 8.6 and 44.1 ±177; 9.3, the difference was significant statistically （P〈0.05）. Patients with colorectal cancer in SAS score was significantly higher than those in patients with other types of cancer; Breast cancer patients SDS score significantly was higher than those in patients with other types of cancer. Conclusion The prevalence of cancer patient community follow-up of more than mild anxiety and depression, you need to staff community health centers to provide more psychological support, or to reduce anxiety and depression symptoms through medication, and to improve patient survival quality.