宫颈癌围手术期患者家属应激水平影响因素分析

INFLUENCING FACTORS AFFECTING STRESS LEVEL OF FAMILY MEMBERS OF CERVICAL CANCER PATIENTS DURING PERIOPERATIVE PERIOD

目的:探讨宫颈癌围手术期患者家属应激水平的影响因素,为制定相关心理干预措施提供理论依据。方法:应用家属应激量表(RSS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)调查90例宫颈癌围手术期患者家属的应激水平和焦虑、抑郁状况,并采用Pearson直线相关分析和Stepwise多元线性回归分析分析影响患者家属应激水平的因素。结果:宫颈癌围手术期患者家属应激反应水平较高,焦虑情况较轻,存在中至重度抑郁。直线相关分析显示,RSS及其三个因子评分与焦虑、抑郁均呈正相关关系(P<0.05)。多元线性回归分析表明,家属的民族、宗教信仰、家庭类型、焦虑、抑郁水平是影响其应激水平的因素(P<0.05)。结论:宫颈癌患者家属在围手术期同样存在严重的心理问题,医护人员应给予切实有效的心理指导,降低患者家属的心理应激水平。

Objective：To investigate the inlfuencing factors affecting stress level of family members of cervical cancer patients during perioperative period and provide theoretical basis for formulating psychological intervention measures. Methods：RSS scale, SAS scale and SDS scale were used to evaluate the stress level, anxiety and depression status of family members of cervical cancer patients during perioperative period; Pearson linear correlation analysis and Stepwise multiple linear regression analysis were applied to analyze the inlfuencing factors affecting stress level of family members of cervical cancer patients.Results：The stress level of family members of cervical cancer patients was higher; the anxiety status was lighter but the depression status was moderate to severe. Linear correlation analysis showed RSS and its’ 3 factors positively correlated with anxiety and depression status. Multiple linear regression analysis showed nation, religion, family type, anxiety level and depression level were influencing factors affecting stress level of family members of cervical cancer patients. Conclusions： Family members of cervical cancer patients during perioperative period have serious psychological problems. Health workers should give family members of cervical cancer patients effective psychological guidance to lower their stress level.