脑肿瘤患者焦虑抑郁状况调查

Anxiety and depression among brain tumor patients

目的探讨脑肿瘤患者焦虑抑郁等心理健康状况，减少患者不良情绪，促进脑肿瘤患者身心健康发展。方法于2014年6月-2015年8月对神经外科205例脑肿瘤患者进行匿名问卷调查，内容包括性别、年龄、婚姻状况、教育背景等；采用压力知觉量表和医院焦虑抑郁量表对患者压力感受、焦虑抑郁状况进行调查。结果脑肿瘤患者焦虑、抑郁得分分别为（6．86±4．07）、（5．62±3．81）分，明显高于内科门诊患者（国内常模）焦虑、抑郁得分[分别为（3．30±2．40）、（2．60±2．20）分]；脑肿瘤患者焦虑、抑郁阳性率分别为39．51％、30．24％；Logistic回归分析结果显示，对于脑肿瘤患者焦虑和抑郁症状阳性者，压力感受的相对危险度分别为1．184（95％CI=1．102～1．273）和1．206（95％CI=1．113—1．306）。结论脑肿瘤患者压力感受越大，出现患焦虑和抑郁症状的可能性越大，对于压力感受水平较高的患者应给予及时的健康指导，预防其焦虑抑郁症状的出现。

Objective To explore the status of anxiety and depression for reducing mental disorders among inpatients with brain tumor. Methods An anonymous and self-administered survey was conducted among 205 neurosurgical inpatients with brain tumor using a questionnaire on demography ,Perceived Stress Scale（PSS） and The Hospital Anxiety and Depression Scale （HADS）for assessment of anxiety and depression. Results The score for anxiety and depression among the inpatients were 6. 86 ± 4.07 and 5.62± 3.81 and were both higher than those of national norm for internal medical outpatients （3.30± 2. 40 and 2. 60 ±2. 20 ）. The positive rate of anxiety and depression symptoms were 39. 51% and 30. 24% ,respectively among the inpatients. The results of logistic regression analysis showed that the inpatients with perceived stress were more likely to have anxiety and depression symptoms, with the odds ratio （95% confidence interval） of 1.84 （ 1. 102 - 1. 273 ） and 1. 206 （ 1.113 - 1. 306 ） compared to those without perceived stress. Conclusion Perceived stress is positively correlated with anxiety and depression symptoms among brain tumor inpatients and effective instruction on mental health should be provided to the inpatients for the prevention of these mental disorders.