癌症患者家庭关怀度与创伤后应激障碍水平的相关性研究

The effect of family care index on incidence of post-traumatic stress disorder after the first chemotherapy of cancer patients

探讨癌症患者家庭关怀度与创伤后应激障碍的相关性.方法 对明确诊断的67例癌症患者,依家庭关怀度指数问卷（APGAR）评分分为家庭功能障碍组、家庭功能良好组,尔后分别进行创伤后应激障碍自评量表（PTSD-SS）的测评及分析.结果 67例患者APGAR评分为0～6分者28例；7～10分39例.家庭功能良好组评分为（4.52±1.27）分,家庭功能障碍组评分为（3.86±1.23）分,两者差异显著（ t=2.13,P＜0.05）.家庭功能良好者PTSD-SS总分及各因子评分均低于家庭功能障碍组,差异有显著性（P＜0.01或＜0.05）.癌症患者APGAR与PTSD-SS评分呈显著负相关（P＜0.01或＜0.05）.结论 家庭关怀度与癌症患者的心理应激状况密切相关,家庭功能良好者,其心理应激水平较低.

Objective To investigate the effect of family care on incidence of post-traumatic stress disorder after the first chemotherapy of cancer patients.Methods According to the assessment score of Family APGAR Index,67 cases of diagnosed cancer patients with chemotherapy for the first time were divided into bad family function group and good family function group.Then all the patients were assessed by Post-Traumatic Stress Disorder questionnaire（PTSD-SS） and the results were statistically analyzed.Results Among the 67 patients,the APGAR score between 0 to 6 points were 28 cases,account for 41.79% ; 7 to 10 points were 39 cases,account for 58.21%.The score of good family function group was （4.52 ± 1.27） points,the score of bad family function group was （3.86 ± 1.23 ） paints,the difference was significant （ t =2.13,P 〈 0.05 ）.As to the PTSD-SS total score and various factors＇ scores,the good family function group were higher than that of bad family function group,the difference was significant （P〈 0.01 or 〈 0.05）.Cancer patients＇ APGAR score appeared to be negatively correlated with PTSD-SS score（P〈 0.01 or 〈 0.05）.Conclusion The family care index of cancer patients is closely related to their psychological stress,good family function is better psychological stress level is lower.