首次化疗肺癌患者心理反应及相关因素的研究

Study on the psychological reactions and related factors during the first time of chemotherapy in patients with lung cancer

目的研究影响首次化疗肺癌患者心理反应的因素,为临床实施针对性健康教育提供依据。方法采用焦虑自评量表、抑郁自评量表、社会支持自评量表,对首次接受化疗的80例肺癌患者进行问卷调查。结果首次化疗肺癌患者心理健康水平有所下降。其中,48.75%的患者出现焦虑情绪,41.25%的患者出现抑郁情绪,38.75%的患者焦虑和抑郁并存。性别、年龄、文化程度、社会支持及对支持的利用度与焦虑、抑郁的发生及程度有关。结论对首次化疗肺癌患者进行健康教育,指导其采取有效的应对方式,以降低患者的焦虑、抑郁情绪,增强其对化疗不良反应的承受能力,以促进康复。

Objective To investigate the influence factors of psychological reactions during the first time of chemotherapy in patients with lung cancer, and to provide reference for health education. Method Eighty lung cancer patients in the first time of chemotherapy were recruited and investigated with Self - Rating Anxiety Scale （SAS） ,Self- Rating Depression Scale （SDS） and Social Support Scale. Results 48.75% and 41.25% of the patients showed anxiety and depression respectively. 38.75% of them showed anxiety and depression at the same time. The patients＇ anxiety and depression were related to the patients＇ gender, age, educational background, social support and the utilization degree of social support. Conclusions It is suggested to provide health education and guidance of effective coping strategies,so as to reduce the patients＇ anxiety and depression, enhance their endurance to the side - effects of chemotherapy to promote recovery.