肿瘤治疗后继发性淋巴水肿患者负性情绪的影响因素分析

Influence Factors Analysis of Negative Emotion in Patients with Secondary Lymphedema after Tumor Treatment

目的:探讨肿瘤治疗后继发性淋巴水肿患者负性情绪的影响因素。方法:选取我院2018年9月~2019年4月收治的46例肿瘤治疗后继发性淋巴水肿患者作为研究对象,采用自制问卷、广泛性焦虑量表(GAD-7)和健康问卷抑郁量表(PHQ-9)展开调查。采用单因素、多元回归分析患者负性情绪的影响因素。结果:肿瘤治疗后继发性淋巴水肿患者焦虑和抑郁水平得分分别为7.74±3.80分和9.04±4.70分,焦虑和抑郁的发生率分别为60.87%和67.39%。单因素分析结果显示,年龄、居住状况、家庭和社会支持状况、水肿程度以及对疾病的认知情况在焦虑、抑郁得分上,差异均具有统计学意义(均P<0.05);多元回归分析显示,水肿严重程度是负性情绪的危险因素,而给予良好的家庭和社会支持是负性情绪的保护因素(均P<0.05)。结论:肿瘤治疗后继发性淋巴水肿患者出现负性情绪的可能性较大,家庭和社会医疗服务体系应满足其身心健康需求,帮助患者积极应对负性情绪。

Objective:To investigate the influence factors of negative emotion in patients with secondary lymphedema after cancer treatment.Methods:A total of 46 patients with secondary lymphedema after cancer treatment were selected to conduct a survey by self-made questionnaire,7-item generalized anxiety disorder(GAD-7),and patient health questionnaire-9(PHQ-9).Then single factor and multiple regressions were used to analyze the influencing factors of patients'negative emotion.Results:The scores of anxiety and depression in patients with secondary lymphedema after tumor treatment were 7.74±3.80 and 9.04±4.70,respectively.And the incidence of anxiety and depression was 60.87%and 67.39%.Univariate analysis showed that there were significant differences in the scores of anxiety or depression in age,residence status,family and social support,edema degree and cognition of disease(all P<0.05).Multiple regression analysis showed that edema severity was the risk factor for negative emotion,while providing good family and social support was the protective factor for negative emotion(all P<0.05).Conclusion:Patients with secondary lymphedema after cancer treatment are more likely to have negative emotion.Family and social medical service systems should meet their physical and mental health needs and help them actively cope with negative emotion.