化疗期乳腺癌患者自我护理能力与抑郁的相关性研究

A Study on the Relationship between self-care agency and Depression among Patients of Breast Cancer with Chemotherapy

目的：调查化疗期乳腺癌患者的自我护理能力及抑郁水平，并探讨两者的关系。方法：采用自我护理能力量表（ESCA）和自评抑郁量表（SDS）调查151名化疗期乳腺癌患者的自我护理能力与抑郁水平，并分析其相关性。结果：化疗期乳腺癌患者的自我护理能力总分为（108.60＆#177;11.78）分，31.1%的患者处于高等水平，68.90%处于中等水平；化疗期乳腺癌患者抑郁的发生率为78.8%，且抑郁水平要显著高于国内常模（P＜0.01）；自我护理能力水平与抑郁呈负相关（γ=-0.556，P〈0.01）。结论：化疗期乳腺癌患者的自我护理能力与抑郁水平密切相关，这提示临床护理工作者应重视减少患者不良情绪的发生，以提高患者的自我护理能力水平。

Objective： To investigate the status of self-care agency and depression among patients of breast cancer with chemotherapy and to analyze the correlation between them. Methods： Totally 151 patients of breast cancer with chemotherapy were investigated with the exercise of self-care agency scale（ESCA） and self-rating depression scale（SDS）. Using Pearson correlation analysis to analyze the correlation between them. Results： The overall score of the self-care agency was 108.60＆#177;11.78;31.1% of patients were at high level, 68.90% were at medium level. The incidence of depression was 78.8%. Self-care agency and depression were positive correlated with each other among patients of breast cancer with chemotherapy （γ=-0.556, P〈0.01）. Conclusions： Nurses should pay attention to reduce the occurrence of bad feelings to improve self-care agency among patients of breast cancer with chemotherapy.