癌症患者围手术期情绪障碍的评估及干预

Evaluation and management of perioperative mood disorder in cancer patients

目的探讨和研究恶性肿瘤患者围手术期的情绪状态、变化规律及应对措施。方法采用抑郁自评量表(SDS)和焦虑自评量表(SAS)对55例符合条件的恶性肿瘤患者进行自评测查。结果55例恶性肿瘤患者的抑郁严重程度指数超过0.5者为50人,占被调查者的91%。术前1周,手术前夜和术后1周抑郁分别为91%、94.5%和85.4%,以轻、中度抑郁为主,焦虑情绪评分在手术前夜达到高峰。结论高度重视恶性肿瘤患者围手术期的情绪变化,避免中、重度抑郁和焦虑的出现有利于患者术后顺利康复及减少患者轻生想法导致的严重后果。

Objective To investigate the state and variation of mood in cancer patients during perioperative period and corresponding managements. Method 55 malignant tumor patients in compliance with the enrollment requirements participated in self-assessment according to Self-rating Depression scale （SDS） and Self-rating Anxiety scale （SAS）. Resuits 50 patients （91%） among all the 55 subjects presented Depression degree indices higher than 0.5. The incidence of depression at the three points of time （ one week before operaion, the night before operation, and one week after operation） was 91%, 94.5% and 85.4% individually. The majority suffered minor to moderate depression. Moreover, the severity of depression usually attained peak at the night just before the operation. Conclusion We should pay attention to the fluctuation of mood among the malignant tumor patients during the perioperative period. Early diagnosis and treatment in addition to active prophylaxis might reduce or even avoid depression, which is beneficial to the postoperative recuperation in despair. the occurence of moderate and severe anxiety as well as and able to inhibit the patients from commiting suicide in despair.