晚期癌症患者焦虑抑郁及相关因素的研究

目的 :探讨晚期癌症患者的焦虑抑郁及相关因素 ,以指导心理干预 ,提高生存质量。方法 :选用焦虑自评量表 (SAS)和抑郁自评量表 (SDS)评价病人的情绪障碍。采用卡氏功能量表 (KPS)、疼痛问卷 (VRS)、医学应对问卷(MCMQ)、社会支持量表及照顾者S -AI总分、照顾者SDS评分等作为相关因素 ,对 10 2例晚期癌症病人进行评定。结果 :晚期癌症病人SAS、SDS评分明显高于常模 ;多元回归分析显示 :SAS评分与年龄、回避、支持利用负相关 ,与疼痛程度、照顾者S -AI总分正相关 ;SDS评分与KPS评分、回避、支持利用、主观支持负相关 ,与屈服、疼痛程度及照顾者S -AI总分正相关。结论 :晚期癌症患者存在明显的焦虑抑郁 ,并受多种因素影响 ,应有针对性地给予心理帮助和指导

The Study of Anxiety, Depression and Related Factors in Terminal Cancer Patients

Objective: To explored anxiety, depression and related factors in terminal cancer patient, for purpose of guiding psychological intervention and improving quality of life. Methods: Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Karnofsky Performance Status (KPS), Verbal Rating Scale, Medical Coping Modes Questionnaire, Social Support Inventory were administered to 102 later cancer patients. Results: The scores of SAS and SDS of late cancer patients were significantly higher than the norm; multiple stepwise regression analysis showed that SAS scores were negatively correlated with age, avoidance, and utilization on support, and positively correlated with degree of pain, S-AI total scores of caregivers; SDS scores were negatively related to KPS scores, avoidance, utilization on support, subjective support, and positively related to resignation, degree of pain, S-AI total scores of caregivers. Conclusion: The late cancer patients have significant problems with anxiety and depression, that are adversely affected by a wide range of psychological factors. Palliative care and Hospice are important in therapy of terminal cancer patients.