病情知情与否对胃癌患者焦虑抑郁情绪及希望水平的影响

Influence of knowing about disease on hope level, anxiety and depression of patients with gastriccancer

目的调查分析病情知情与否对胃癌患者焦虑抑静隋绪及希望水平的影响，并探讨影响胃癌患者希望水平的主要因素。方法对120例住院胃癌患者应用Herth希望量表、汉密尔顿焦虑量表（HAMA）及汉密尔顿抑郁量表（HAMD）进行问卷调查，并对调查结果进行分析。结果胃癌患者对病情不知情比例占67．5％；对病情知情、部分知情与不知情胃癌患者焦虑、抑郁情绪、希望水平之间比较差异无统计学意义；影响胃癌患者希望水平的主要因素是焦虑总分及家庭月收入。结论病情知情与否不是胃癌患者焦虑抑郁情绪的影响因素；胃癌患者希望水平的主要影响因素是焦虑总分及家庭月收入。因此，选择合适的方式告知患者疾病诊断对患者是有益的。

Objective To explore the influence of knowing about disease on hope level, anxiety and depression of patients with gastric cancer. Methods 120 gastric cancer patients were examined by Herth Hope Index,Hamilton Anxiety Scale（HAMA） and Hamilton Depression Scale（HAMD）. Results Gastric cancer patients who did not know about their diseases accounted for 67.5%. Scores of hope level,anxiety and depression of patients were not obviously different between knowing and not knowing about disease groups. The relevant factors that affected the level of hope in gastric cancer patients were anxiety and family income. Conclusions The knowing or not knowing about disease are not the influencing factors that af- fected the hope level in gastric cancer patients as well as anxiety and depression. The relevant factors that affected the level of hope in gastric cancer patients are anxiety and family income. Patients can benefit from more factual information about the diagnosis.