喉癌患者焦虑、抑郁情绪及其参与临床决策的状况分析

Status of anxiety and depression on clinical decision-making participation of laryngeal cancer patients

目的了解喉癌患者焦虑、抑郁情绪及其参与临床决策的情况,为临床制订良好的临床决策提供理论依据。方法采用决策参与量表(control preferences scale,CPS)和焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)调查82例喉癌患者焦虑抑郁程度及其参与临床决策情况。结果喉癌患者参与临床决策被动型(40.24%)和家属全权代表型(29.27%),其次为合作型(20.73%),主动型较少,占9.76%;喉癌患者47.56%伴有焦虑症状,64.63%伴有抑郁症状,抑郁喉癌患者较被动参与临床决策,而焦虑患者较主动。结论喉癌患者在临床决策过程中处于被动地位,大多伴有焦虑、抑郁症状,焦虑、抑郁情绪影响其参与临床决策的程度,应加强医患沟通,消除其不良心理情绪,有利于制订满意的临床决策。

Objective To study the status of anxiety and depression on clinical decision-making participation of laryngeal cancer patients. Methods A total of 82 laryngeal cancer patients participated in the investigation by questionnaire to study the clinical decision-making participation by control preferences scale. The degree of anxiety and depression was investigated by self-rating anxiety scale and self-rating depression scale. Results During the clinical decision-making process, 40.24% of the patients were passive,29.27% had their families as absolute representatives, 20.73% took part collaborating with their families and only 9.76% were active.47.56% had anxiety and 64.63% depression, and the anxiety and depression influenced their participation in clinical decision-making postively and passively relatively. Conclusions Patients with laryngeal cancer are passive in clinical decision-making and most of them have anxiety and depression. Doctors should enhance the communication with patients, which can help to eliminate adverse psychological emotions and make satisfying clinical decision-making.