急性白血病初治患者焦虑抑郁对其应对方式的影响

The influence of anxiety and depression on coping styles in patients with newly diagnosed acute leukemia

目的探讨急性白血病初治患者焦虑抑郁对其应对方式的影响。方法采用一般资料调查表、医院焦虑抑郁量表、医学应对量表对106例急性白血病初治患者进行调查。结果初治患者焦虑得分为(13.94±3.01)分,抑郁得分为(13.83±2.72)分;患者主要采取回避和屈服两种应对方式;多元回归结果显示,焦虑抑郁共同解释面对、回避、屈服3种应对方式总变异S分别为47.4%、52.6%、60.7%。结论急性白血病初治患者普遍存在焦虑抑郁情绪,焦虑和抑郁是初治患者应对方式的影响因素,护理人员应及时评估初治患者的焦虑抑郁水平,可通过采取相应护理措施缓解患者焦虑抑郁情绪以提高其疾病应对水平。

Objective To explore the influence of anxiety and depression on coping styles in patients with newly diagnosed acute leukemia. Methods Totally 106 patients were investigated by the self-designed questionnaire,the Hospital Anxiety and the Depression Scale,and the Medical Coping Modes questionnaire. Results The scores of HADS were （13.94±3.01）for anxiety and （13.83±2.72）for depression. Patients mainly adopted two coping styles of avoidance and yield. Multiple regression results showed that the level of anxiety and depression were the influence factors of coping styles,explaining 56.9%,57.3% and 64.4% of total variance of facing avoidance and yield respectively. Conclusion Most patients had anxiety or depression,which are the factors in how patients respond. Nurses should evaluate and take appropriate measures to alleviate the negative emotions of patients,so as to improve their disease response level.