癌症患者病故对家属情绪状态的影响

Effect of Cancer Patients' Death on Emotional Reaction of Family Members.

目的 探讨癌症患者病故对家属情绪状态的影响。方法 对癌症患者病故的家属共 79人进行问卷随机调查 ,采用焦虑自评量表 ((SAS)、抑郁自评量表 (SDS)和 UCLA孤独量表测量其家属的情绪状态。结果 1当癌症患者病故其配偶的焦虑、抑郁和孤独情绪明显高于其子女 (P<0 .0 5 ) ;2配偶与子女相比在不同程度的抑郁构成百分比有显著差异 (P<0 .0 5 ) ,在配偶中重度抑郁 2 7人 (62 .8% ) ;3不同性别配偶其情绪状态相比无显著性差异 (P>0 .0 5 ) ;4高龄组配偶的抑郁和孤独情绪明显高于低龄组配偶 (P<0 .0 5 ) ;5在不同性别子女中 ,女性的焦虑和抑郁情绪明显高于男性 (P<0 .0 5 ) ;6子女中高龄组的焦虑情绪明显高于低龄组 (P<0 .0 5 )。结论 癌症患者去世后 ,其家属存在的负性情绪明显 ,应引起社会的关注 ,对于配偶、特别是老年配偶和女性子女等应给予有效地心理、社会支持 ,有利于提高他们的生存质量。

Objective To study the effectof cancer patients' death on emotional reaction of family members.Methods A total of 79 relatives were investigated by questionnaire using Self-rating Anxiety Scale (SAS),Self-rating Depression Scale (SDS) and UCLAL oneliness Scale after the cancer patients died.Results After the patients died,their spouse's emotional reaction including anxiety,depression and loneliness were more obvious than their sons and daughters(P<0.05);②The differences of incidence rates in different degree depression between the spouse and their children were obvious,27 persons of spouse (62.8%) had severe depression;③No obvious difference of emotional reaction both sexes spouse was observed(P>0.05);④The depression and loneliness of old spouse were stronger significantly than that in young spouse(P<0.05);⑤The patients'daughters had stronger anxiety and depression in comparison with the sons (P<0.05);⑥Anxiety mood in the older sons and daughters was stronger obviously than that of the younger(P<0.05).Conclusion The family members have various negative emotional reactions after the cancer patients died .It should be attracted the attention from society,have especially old spouse and female relatives should give effective psychological and social support and help in order to improve their quality of life.