恶性肿瘤患者门诊化疗的心理护理

The correlation between resilience and anxiety,depression and social support in outpatients treated with chemotherapy

目的探讨门诊化疗恶性肿瘤患者的心理弹性现状及其与焦虑、抑郁、社会支持的关系。方法采用心理弹性量表(CD-RISC)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和社会支持评定量表(SSRS),对100例门诊化疗肿瘤患者进行调查。结果 100例门诊化疗患者心理弹性总分为(68.88±16.35)分,坚韧得分为(35.63±9.36)分,自强得分为(21.57±5.44)分,乐观得分为(11.68±3.34)分,与抑郁得分呈负相关(r=-0.431,P<0.01),与社会支持呈正相关(r=0.316,P<0.01)。结论应重视心理支持,降低恶性肿瘤患者的抑郁水平,提高患者的社会支持度,增强门诊化疗患者的心理弹性。

Objective To investigate the status of resilience in outpatients treated with chemothera- py, and to analyze the correlation between resilience and anxiety, depression and social support. Methods Totally, 100 outpatients treated with chemotherapy in our hospital were investigated with the Chinese version of Connor and Davidson＇s Resilience Scale （CD-RISC） , Self-Rating Anxiety Scale （ SAS ） , Self-rating Depression Scale （SDS） and Social Science Reaserch Solutions （SSRS）. Results The average score of the re- silience was 68.88±16. 35. The scores of tenacity, Strength, and Optimism were 35.63 ±9.36, 21.57 ± 5.44 and 11.68 ± 3.34, respectively. The resilience was inversely correlated with anxiety（ r =-0. 431 ,P 〈 0. 01 ）, but positively corretated with social support （ r = 0. 316,P 〈 0.01 ）. Conclusions The health care workers should pay attention to the psychological support, decrease the level of depression in cancer patients and improve patients＇ social support, then increase the resilience of outpatients treated with chemotherapy.