肺癌术后化疗病人心理痛苦状况调查研究

Investigation on psychological distress in lung cancer patients with chemotherapy

[目的]描述肺癌术后化疗病人心理痛苦的水平,探讨心理痛苦的影响因素。[方法]本研究应用心理痛苦温度计中文版,调查32例肺癌术后化疗病人的心理痛苦程度并分析其影响因素。[结果]19例(59.4%)病人存在不同程度的心理痛苦(中度、重度、极重度分别为15例、3例、1例),心理痛苦平均分值为4.50分±2.50分,其主要原因为情绪问题及身体问题。一般资料与心理痛苦得分的单因素方差分析显示,化疗疗程对癌症病人心理痛苦的影响具有统计学意义(P=0.011)。[结论]大部分肺癌术后化疗病人存在心理痛苦,以中度为主。医护人员应高度重视并根据引起病人心理痛苦的原因进行个体化的护理干预,从而降低其心理痛苦程度。

Objective：To describe the level of psychological distress in lung cancer patients with postoperative chemotherapy and to probe into the influencing factors of psychological distress.Methods：In this study,the psy-chological distress thermometer （Chinese version）was used.It investigated the psychological distress of 32 ca-ses of lung cancer patients with postoperative chemotherapy and analyzed its influencing factors.Results：1 9 ca-ses of patients （59.4%）had different degrees of psychological distress （moderate,severe,very severe were 15 cases,3 cases,1 case）.The average score of psychological distress was 2.50 ±d 4.50,the main reasons included emotional problems and physical problems.A single factor analysis of variance in general data and psychological distress showed that the effect of chemotherapy regimen for the psychological distress of lung cancer patients with postoperative chemotherapy was statistically significant （P =0.01 1）.Conclusion：Most of lung cancer pa-tients with postoperative chemotherapy have psychological distress.Psychological distress mainly is moderate level.Medical personnel should pay attention to and carry out individual nursing intervention according to the cause of psychological distress of patients,so as to reduce their psychological distress.