恶性肿瘤患者抑郁焦虑分析与护理干预

Nursing Intervention and Analysis of Depression and Anxiety of Malignant Tumor Patients

目的分析恶性肿瘤患者的抑郁焦虑程度,找出影响肿瘤患者抑郁焦虑心理的主要因素,以针对性地进行护理干预,消除不利于患者的心理反应。方法采用zung评定抑郁量表(SDS)及评定焦虑量表(SAS)对159例恶性肿瘤患者的抑郁、焦虑状态进行测定,并对不同年龄、性别、手术类型、临床分期、住院次数、文化程度、职业类型及经济状况的抑郁焦虑状态进行总结分析。针对肿瘤患者各阶段的抑郁焦虑程度,给予相应的护理干预措施和对策。结果恶性肿瘤患者SDS阳性率为60.38%,SAS阳性率为28.93%;SDS和SAS阳性同时并存者占13.84%,抑郁焦虑程度与手术类型、临床分期、对疾病不同了解程度及经济状况有关(p<0.05),而与年龄、性别、肿瘤类型、住院次数、职业、文化程度无关(p>0.05)。结论恶性肿瘤患者抑郁焦虑阳性率较高,通过针对性护理心理干预,可以减轻患者的抑郁焦虑程度,提高肿瘤患者的生活质量。

Objective： To analyze the depression and anxiety degree of malignant tumor patients, and find out the influencing factors Of depression and anxiety of malignant tumor patients. Methods： Adopt SDS and SAS to evaluate the depression and anxiety condition of 159 malignant tumor patients. Compare the depression and anxiety condition of different age, sex, operation type, clinical stage, hospitalization times, education background, occupation and economic state. Results： The SDS positive rate is 60.38%, SAS positive rate is 28.93%, SDS and SAS positive rate is 13.84%, the depression and anxiety degree are relative to operation type, clinical stage, economic state and the knowing degree to disease （p〈0.05）, and have nothing to do with age, sex, hospitalization times, tumor type, education background, occupation （p〉0.05）. Conclusion： The depression and anxiety positive rate of malignant tumor patients is high, through mursing intervention could relieve the degree of depression and anxiety, and improve the quality life of patients.