宫颈癌化疗患者焦虑抑郁情绪及其影响因素分析

Anxiety and Depression and Influencing Factors in Chemotherapy Patients with Cervical Cancer

目的:调查宫颈癌化疗患者焦虑、抑郁情况,并分析心理弹性对其影响作用。方法:采取方便抽样方法抽取住院的200例宫颈癌化疗患者,采用一般人口学资料调查表、中文版Connor-Davidson心理弹性量表(CD-RISC)、综合性医院焦虑抑郁量表(HADS)对患者进行问卷调查。结果:宫颈癌化疗患者焦虑、抑郁发生率分别为29.7%、21.0%;心理弹性与焦虑、抑郁呈显著负相关(P<0.01);居住地、化疗次数对焦虑有负向预测作用,两者可解释焦虑变异的75.4%;年龄、化疗次数、坚韧维度对抑郁有负向预测作用,三者可解释抑郁61.5%的变异。结论:宫颈癌化疗患者患有不同程度的焦虑、抑郁,居住地、年龄、化疗次数、心理弹性是其主要的预测因素。

Objective： To investigate the anxiety and depression in patients with cervical cancer chemotherapy and analyze the effect of psychological elasticity. Methods： A total of 200 cases of cervical cancer patients were selected by convenience,demographic information questionnaire,Chinese version of Connor-Davidson Resilience Scale（ CD-RISC）,hospital anxiety and Depression Scale（ HADS） conducted a questionnaire survey of patients. Results： The incidence of anxiety and depression in patients with cervical cancer chemotherapy was29. 7% and 21. 0%,respectively,and there was a significant negative correlation between mental resilience and anxiety depression（ P〈0. 01）; the place of residence and the number of chemotherapy had a negative predictive effect on anxiety,which could explain 75. 4% of the anxiety variation; age,the number of chemotherapy,and the tenacity dimension had negative predictive effect on depression,and three can explain 61. 5% of depression. Conclusion： The patients with cervical cancer suffer from various degrees of anxiety and depression,and their place of residence,age,frequency of chemotherapy,and psychological elasticity are their major predictors.