低位直肠癌Miles术后患者的负性心理状态及自我感受负担的现状分析

Analysis on mental state and self-perceived burden of patients with low rectal cancer undergoing permanent colostomy

目的评估低位直肠癌腹会阴切除术(Miles)术后患者的负性心理状态和自我感受负担的现状。方法选取2020-01-2020-12在某市两所三级甲等医院的110例行Miles手术的患者为研究对象。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我感受负担量表(SPBS)评分评价患者的负性心理状态和自我感受负担情况。并采用Spearman相关性检验分析患者的负性心理状态与自我感受负担之间的相关性。结果本研究中,患者的SAS评分为(57.31±7.58)分(范围:49.73~64.89分)、SDS评分为(58.58±8.53)分(范围:50.05~67.11分)、SPBS评分为(38.97±4.44)分(范围:34.53~43.41分),其中经济负担为(4.24±1.10)分(范围:3.14~5.34分)、情感负担为(14.69±2.14)分(范围:12.55~16.83分)、身体负担为(20.05±3.65)分(范围:16.40~23.70分)。患者的SAS评分、SDS评分与SPBS总分及其各维度评分呈正相关(P<0.05)。结论低位直肠癌Miles手术患者存在较严重的焦虑、抑郁负性心理,自我感受负担较重,且负性心理状态和自我感受负担成明显正相关。提示医务人员应关注患者的负性心理状态及相关负担,及早采取相关措施进行干预,以提升患者的整体幸福感。

Objective To evaluate the current mental state and self-perceived burden of patients with low rectal cancer undergoing permanent colostomy.Methods A total of 110 patients who underwent low permanent colostomy in two third-class A hospitals of our city from January 2020 to December 2020 were selected.Through the form of questionnaire,the mental state of patients was evaluated by the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and the self-perceived burden of patients was evaluated by the self-perceived burden scale.Spearman correlation test was used to analyze the correlation between patients'mental state and self-perceived burden.Results The average SAS score was(57.31±7.58)points.The average SDS score was(58.58±8.53)points.The total score of the self-perceived burden scale of patients was(38.97±4.44)points,including(4.24±1.10)points for economic burden,(14.69±2.14)points for emotional burden and(20.05±3.65)points for physical burden.Anxiety and depression were positively correlated with self-perceived burden(P<0.05).Conclusion Low rectal cancer patients with permanent colostomy mostly have different degrees of negative emotions of anxiety and depression,low happiness,heavy self-perceived burden,and negative emotions and self-perceived burden is significantly positive correlated.