结直肠癌患者术后癌因性疲乏与焦虑、抑郁的相关性分析

Analysis on the Relativity of Cancer-related Fatigue and Anxiety,Depression after Surgery of Colorectal Cancer Patients

为探讨结直肠癌患者术后癌因性疲乏(CRF)与焦虑、抑郁的相关性,选择2018年1月至2019年2月我院收治80例结直肠癌术后患者作为观察对象,应用自制一般情况调查表、癌因性疲乏量表、医院焦虑、抑郁量表对其进行调查,并分析患者CRF与焦虑、抑郁的关系。结果显示,本组结直肠癌患者术后CRF总分为(24.94±8.83)分,其躯体疲乏得分为(14.20±3.78)分,情感疲乏得分为(5.95±2.41)分,认知疲乏得分为(4.79±2.64)分。本组结直肠癌患者焦虑评分为(4.40±2.04)分,抑郁评分为(3.86±2.17)分,焦虑、抑郁发生率分别为18.75%(15/80)和13.75%(11/80),焦虑与抑郁并存者占7.50%(6/80)。相关性分析显示,患者CRF总分及躯体疲乏、情感疲乏、认知疲乏评分均与其焦虑、抑郁程度呈正相关,P<0.05。结果表明,结直肠癌患者术后普遍存在CRF,部分患者存在焦虑、抑郁,而且RFC与焦虑、抑郁程度相关,术后应积极予以干预。

This study was to explore the relativity of cancer-related fatigue(CRF)and anxiety and depression after surgery of colorectal cancer patients,enrolled 80 cases who had received colorectal cancer surgery in author’s hospital from 2018-01 to 2019-02 as research objects,by using self-developed general status scale,CRF scale,hospital anxiety and depression scale to analyse the relation of CRF and anxiety and depression.As results,in the 80 cases,their postoperative CRF total rating was(24.98±8.38)points:body fatigne,(14.20±3.78)points;emotion fatigue,(5.95±2.41)points;cognition fatigne,(4.79±2.64)points;their anxiety score rating was(4.40±2.04)points,depression score rating was(3.86±2.17)points;the incidence of anxiety and depression was respectively 18.75%(15/80)and 13.75%(11/80),both anxiety and depression was 7.5%(6/80).And,the relativity analysis showed patients’CRF total rating as well the score on body fatigue,emotion fatigne and cognition fatigne were proportionally related to their anxiety and depression degree(P<0.05).Results show that after surgery patients generally suffered from CRF,some patients also from anxiety depression;CRF is related to anxiety and depression degree,thus it should be to intervene above status after surgery.