肝癌患者经导管肝动脉化疗栓塞术后抑郁与应对方式的调查及相关性分析

Investigation and correlation analysis of depression and coping style in primary liver cancer after TACE

目的探讨肝癌患者经导管肝动脉化疗栓塞（TACE）术后的抑郁、应对方式状况以及两变量之间的关系，为临床护理工作提供重要参考依据。方法应用抑郁自评量表（SDS）和医学应对方式问卷（MCMQ）对110例肝癌患者TACE术后的抑郁和应对方式进行测评。结果肝癌患者TACE术后53．6％存在抑郁，其SDS总粗分明显高于国内健康人群常模（t=9．827，P〈0．01）；其面对应对方式得分低于各类患者常模（t=-5．284，P〈0．01），回避应对方式高于各类患者常模（t=4．743，P〈0．01）。肝癌患者TACE术后的抑郁与屈服应对方式呈正相关（r=0．523，P〈0．01）。结论肝癌患者TACE术后的抑郁发生率较高，其抑郁与屈服的应对方式密切相关。

Objective To investigate the level of depression and coping style in primary liver cancer after transeatheter artery chemoemboiization, （TACE）. Methods 110 liver cancer patients after TACE were investigated by the self-rating depression scale and medical coping modes questionnaire （MCMQ）. Results 53.6% of liver cancer patients after TACE were suffered from depression, the scores of them were higher than that of domestic norm （t = 9. 827,P 〈0. 01）. The scores of confrontation coping were lower than that of norm（t = -5. 284,P 〈0. 01 ） ; and avoidance dimension was higher than norm（ t = 4. 743, P 〈 0. 01 ） ; A significant positive relationship was found between depression and resignation of coping style （ r = 0. 523, P 〈 0. 01 ）. Conclusions Liver cancer patients after TACE were prone to show deoression and its level was correlated with coping style.