乳腺癌住院病人创伤后应激障碍及影响因素调查

Survey of post-traumatic stress disorder of breast cancer inpatients and its influencing factors

[目的]调查乳腺癌住院病人创伤后应激障碍的发生率及影响因素。[方法]采用事件冲击量表(IES-R)、领悟社会支持量表及自我效能感量表对101例三级甲等医院乳腺癌病人进行问卷调查。[结果]乳腺癌病人创伤后应激障碍总分为(27.29±15.41)分,临床症状阳性检出率达26.7%,轻度症状占57.4%,中度症状占25.7%,重度症状占2.0%;年龄、文化程度、有无生育计划、肿瘤临床分期和化疗反应程度是乳腺癌病人创伤后应激障碍症状评分的影响因素;乳腺癌病人创伤后应激障碍症状与领悟社会支持、一般自我效能感呈负相关。[结论]乳腺癌病人创伤后应激障碍症状处在轻度和中度之间,有生育计划、癌症晚期及化疗反应重的病人创伤后应激障碍发生率较高,社会支持不足、自我效能感低的病人创伤后应激障碍症状较重。

Objective：To investigate the incidence of PTSD in inpatients with breast cancer and its influening factors.Methods：A total of 101 breast cancer patients in three grade-A hospitals were investigated by using the impact of event scale revised（IES-R）,perceived social support scale and self-efficacy scale.Results：The total score of PTSD in breast cancer patients was（27.29±15.41）,the positive detection rate of clinical symptoms was 26.7%,mild symptoms accounted for 57.4%,moderate symptoms accounted for 25.7%,severe symptoms accounted for 2.0%;age,education level,having family planning or not,clinical stage of tumor and the degree of response to chemotherapy were the influencing factors of PTSD symptom score of breast cancer patients;PTSD symptoms of breast cancer patients were negatively correlated with perceived social support and general self-efficacy.Conclusion：PTSD symptoms of breast cancer patients are between mild and moderate level;the incidence of PTSD is higher in these patients having family planning,with advanced cancer and severe chemotherapy reaction.PTSD symptoms are severe in these patients lacking of social support and having low self-efficacy.