恶性肿瘤患者死亡焦虑与焦虑、抑郁的相关性研究

Death Anxiety in Malignant Tumor Patients and Its Correlation with Anxiety and Depression

利用死亡焦虑量表、焦虑自评量表和贝克抑郁量表调查恶性肿瘤患者301例。恶性肿瘤患者死亡焦虑平均分为(6.35±3.21)分,较高死亡焦虑水平发生率为50.5%;焦虑平均分为(44.62±6.78)分,焦虑发生率为21.6%;抑郁平均分为(13.34±7.18)分,抑郁发生率为44.2%;患者死亡焦虑状况与焦虑、抑郁情绪呈显著正相关(P<0.05)。在恶性肿瘤患者的评估中,死亡焦虑的敏感性较焦虑、抑郁高。通过死亡焦虑水平的测评,能够更早识别恶性肿瘤患者负性情绪的严重程度,及时进行针对性心理护理,从而提高患者带瘤生存的期限和质量。

A total of 301 malignant tumor patients were interviewed by the Templer＇s Death Anxiety Scale （T-DAS）, Zung Anxiety Self-evaluation Scale （SAS） and Beck Depression Inventory Ⅱ （BDI Ⅱ ）. This study was to analyze the death anxiety of patients with malignant tumor, and correlate to anxiety and depression. There are 301 cases of malignant tumor patients were recruited in the study. Death anxiety score for the malignant tumor patients was （6. 35± 3. 21）, the percentage with higher death anxiety score was up to 50.5%. Anxiety score was （44. 62±6.78）, the rate of anxiety was 21.6%. Depression score was （13. 34± 7. 18）, the rate of depression was 44.2%. Death anxiety in patients with a significant positive correlation with anxiety, depression （P〈0.05）. In the evaluation of patients with malignant tumor, death anxiety sensitivity is relatively higher than anxiety and depression. Through death anxiety level assessment, the severity of the malignant tumor patients with negative emotions is identified. It is suggested that early psychological care should be given for tumor-bearing survivals.