胃癌术后化疗患者抑郁、自动思维以及人格特征的调查与分析

Survey and analysis on depression, automatic thoughts and personality traits of gastric cancer patients treated with chemotherapy after operation

目的了解胃癌术后化疗患者抑郁情绪、自动思维状况及人格特征特点。方法采用自制一般情况调查表、抑郁自评量表（SDS）、自动思维问卷（ATQ）、艾森克人格问卷简式量表中国版（EPQ—RSC）对144例胃癌术后住院化疗患者进行测评，并分析患者抑郁情绪与负性思维、人格特征之间的关系。结果本组胃癌术后化疗患者抑郁得分（43．04±8．94）分，高于国内常模（33．46±8．55）分，差异有统计学意义（t=12．86，P〈0．01）；抑郁组自动思维得分（57．33±11．48）分高于非抑郁组（50．13±12．27）分，神经质维度得分（42．59±9．57）分低于非抑郁组（51．95±9．20）分，差异均具有统计学意义（t=-2．897，4．919；P〈0．01）。不同性格特征胃癌术后化疗患者抑郁情绪的比较差异有统计学意义（F=11．234，P〈0．01）。结论对胃癌术后化疗患者，护理人员应做好自动思维以及人格特征的评估，为制定针对性的护理干预措施提供指导，从而改善患者的抑郁情绪。

Objective To explore the status of depression, automatic thoughts and their personality of gastric cancer patients with post-operative chemotherapy. Methods A total of 144 postoperative chemotherapy gastric cancer patients were tested by self-rating depression scale （ SDS）, the Eysenck Personality Questionnaire Short Scale for Chinese version （EPQ-RSC）, automatic thoughts questionnaire （ATQ）. Results The overall depression scores of postoperative chemotherapy gastric cancer patients were （43.04 ± 8.94 ）, higher than the national norm（t = 12. 86,P 〈0. 01）; Compared with non-depression group, the depression group had higher scores in ATQ and lower scores in EPQ-N （t = -2. 897,4. 919 ,P 〈0. 01 ） ; the depression scores of emotional stability group higher than emotional instability group （ F = 11. 234, P 〈 0. 01 ）. Conclusions Assessment of personality and ATQ of gastric cancer patients treated with chemotherapy after operation could improve their depressive mood and provide instructions for targeted nursing interventions.