青年胃癌患者病情知晓对其生存质量及心理状态影响的研究

The Influence of knowing diagnosis on quality of life and mental state for young patient with gastric cancer s

目的探讨知情与否对青年胃癌患者生存质量的影响及心理状态的影响,为临床工作中开展癌症患者的诊断告知提供理论依据。方法根据患者知情与否将187例青年胃癌住院患者分为知情组和不知情组,采用一般资料调查表、欧洲癌症研究与治疗组织生存质量问卷(EORTC QLQ-C30)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对两组进行评价和比较。结果两组生存质量的比较中,情绪功能的评分差异有显著意义(P<0.05),不知情组患者得分较知情组高。在症状评分里,除了疲乏(P<0.05)外,其余各项两组差异均无显著意义。在单一条目评分中,只有经济困难一项两组比较差异有显著意义(P<0.05)。两组患者的焦虑评分和抑郁评分比较差异均无显著意义(P>0.05)。结论对青年胃癌患者隐瞒病情并不能提高患者的生存质量,对患者的焦虑抑郁状态也没有改善。

Objective To study the influence of knowing the diagnosis on the quality of life and the mental state for young patients with gastric cancer, and to provide a theoretical basis for the clinical practice of informing young cancer patients of the diagnosis. Method 187 young patients with gastric cancer was divided into two groups accord- ing whether or not the patient informed the diagnosis. The general information questionnaire, the European cancer research and treatment of tissue survival quality questionnaire （EORTC QLQ-C30）, Self-rating Anxiety Scale （SAS） and self-rating depression scale （SDS） to fill in and then we analyzed the results of the questionnaires. Result There were significant difference in emotional function and fatigue between the two groups（P〈0.05）. There were no significant difference inthe quality of life, SAS and SDS between the two groups. Conclusion Not knowing the diagnosis could not improve the quality of life, the anxiety and depression for young patients with gastric cancer.