肺癌患者疾病不确定感与焦虑抑郁的相关性分析

The Correlations between the Uncertainty about Diseases and Anxiety, Depression in Lung Cancer Patients

目的探讨肺癌患者疾病不确定感、焦虑、抑郁状况以及疾病不确定感与焦虑、抑郁的关系。方法随机抽取长沙市4所综合性三级甲等医院和1所肿瘤专科性三级甲等医院的住院肺癌患者280名,应用中文版Mishel的疾病不确定感量表、住院患者焦虑抑郁量表测量。结果(1)疾病不确定感的总得分为(105.15±12.66)分;(2)焦虑得分(7.51±4.00)分,抑郁得分(6.63±4.09)分;焦虑142人(50.7%),抑郁情绪110人(39.3%),合并焦虑和抑郁情绪94人(33.6%)。(3)肺癌患者疾病不确定感的不明确、不连贯2个维度得分与焦虑得分呈正相关,不确定感的复杂性、不可预测2个维度得分与焦虑得分分别呈负、正相关;不确定感总分与抑郁呈正相关,不确定感的不明确、不连贯2个维度得分与抑郁得分呈正相关,复杂性、不可预测维度得分与抑郁得分呈负相关。结论肺癌患者存在较高程度的疾病不确定感,不确定感各维度与焦虑、抑郁有相关性,采取有效措施干预患者疾病不确定感可改善患者的焦虑、抑郁不良情绪状态,提高生活质量。

Objective To study the correlations between the uncertainty about diseases and anxiety, depression in lung cancer patients. Methods The Disease Uncertainty Scale and the Anxiety and Depression Scale were used to make the survey among 280 lung cancer inpatients randomly selected from 3 Class Ⅲ Grade Ⅰ hospitals and 1 cancer hospital. Results （1） The total score on disease uncertainty was （105.15±12.66）. （2） The scores on anxiety and depression were （7.51±4.00） and （6.63±4.09）, respectively. 142 patients （50.7%） deve-loped with anxiety, 110 patients （39.3%） developed with depression, 94 （33.6%） with anxiety and depression. （3） The three factors of unpredictable, unspecific and discontinuous in the disease uncertainty were positively correlated with anxiety and the factor of complex negatively was. The uncertainty was positively correlated with depression at total score. The two factors of unspecific and discontinuous in the disease uncertainty were positively correlated with anxiety and the two factors of complex and unpredictable negatively were. Genclusion The uncertainty of lung cancer patients is at a higher level. The factors of uncertainty are correlated with anxiety and depression. If we should take measures to intervene the uncertainty on diseases, the poor moods of anxiety and depression can be contained and their quality of life can be improved.