希望水平与抑郁情绪在肺癌全肺切除术患者中的相关性研究

Study on the Relationship Between the Level of Hope and Depression in Patients with Lung Cancer After Pneumonectomy

目的观察肺癌全肺切除术患者的希望水平,确定希望水平对肺癌全肺切除术患者抑郁情绪的影响。方法选择本院行全肺切除术的肺癌患者105例为研究对象,采用Herth希望量表、SDS抑郁自评量进行调查。结果肺癌全肺切除患者希望水平得分为(32.10 4.55)分,处于中等及以上水平;自评抑郁量表SDS评分显著低于常模,希望水平与抑郁情绪在统计学上呈负相关关系(P<0.01)。结论肺癌全肺切除术患者希望水平的提升应从提高对疾病认知水平及社会支持两方面来实现,护士应利用好患者的希望水平、疾病认知水平和社会支持水平三者间的相互作用,应注意给患者以希望和力量,从而达到提高患者生存质量的目标。

Objective To investigate the relationship between the level of hope and depression in patients with lung cancer after pneumonectomy. Methods 105 cases of patients with lung cancer after pneumonectomy were selected as study subject, Herth＇ s hope scale, Self-rating depression scale（SDS） were adopted as evaluation standard. Results Herth hope score of patients with pneumonectomy was 32.10 ＋ / - 4.55, which was under medium or above level; the SDS score was significantly lower than the norm, levels were negatively related with depression in statistical （P〈0.01）. Conclusion Upgrading hope of patients underwent pneumonectomy should be improved within the cognitive level and social support, the nurse should take advantage of the interaction between the patient＇s level of hope, illness cognition level and the level of social support, make effort with hope and encouragement, so as to achieve goal of improving the quality of survival.