恶性肿瘤患者家属知情诊断后急性应激障碍的影响因素及干预措施

Influencing Factors and Intervention Measures of Acute Stress Disorder After Informed Diagnosis of Family Members of Malignant Tumor Patients

目的:分析恶性肿瘤患者家属知情诊断后急性应激障碍的影响因素及干预效果。方法:选取三水区人民医院肿瘤科2021年1-12月首次知情患者诊断为恶性肿瘤的家属120名为研究对象,采用随机数表法分为两组,对照组60名进行常规入院宣教,观察组60名进行心理干预,调查其急性应激障碍状况、相关影响因素及生命质量。结果:120名患者家属斯坦福急性应激反应问卷(SASRQ)总评分为(55.57±13.21)分,急性应激障碍发生率为43.33%;单因素分析得出,已发生急性应激障碍与未发生急性应激障碍的患者家属在健康状况、照顾患者意愿、婚姻满意评分、心理弹性水平、社会支持方面,差异有统计学意义(P<0.05)。Logistic回归分析患者健康状况、婚姻满意度是急性应激障碍发生的重要影响因素,差异有统计学意义(P<0.05);社会支持度、心理弹性水平是急性应激障碍发生的保护性因素,差异有统计学意义(P<0.05)。干预后,观察组SASRQ评分低于对照组,生命质量测定量表总评分高于对照组,差异有统计学意义(P<0.05)。结论:恶性肿瘤患者家属知情诊断后急性应激障碍发生率较高,且与多方面因素有关,经过心理干预措施,可改善急性应激障碍状况,优化生活质量。

Objective:To analyze the influencing factors and intervention effect of acute stress disorder after informed diagnosis of family members of patients with malignant tumor.Methods:A total of 120 family members who were informed of the patient diagnosis of malignant tumors for the first time in the Department of Oncology,Sanshui District People′s Hospital from January 2021 to December 2021 were selected as the study subjects and divided into two groups by random number table method.60 cases in the control group were given conventional admission education,and 60 cases in the observation group were given psychological intervention.Their acute stress disorder status,related influencing factors and quality of life were investigated.Results:The total score of Stanford Acute Stress Response Questionnaire(SASRQ)of 120 patients′family members was(55.57±13.21)points,and the incidence of acute stress disorder was 43.33%;Univariate analysis showed that there were significant differences in health status,willingness to take care of patients,marital satisfaction score,level of psychological resilience and social support between family members with and without acute stress disorder(P<0.05).Logistic regression analysis showed that patients′health status and marital satisfaction were the important influencing factors for the occurrence of acute stress disorder,and the difference was statistically significant(P<0.05);Social support and psychological resilience level were the protective factors of the occurrence of acute stress disorder,and the difference was statistically significant(P<0.05).After the intervention,the SASRQ score of the observation group was lower than that of the control group,and the total score of Functional Assessment of Cancer Therapy General Scale was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The incidence of acute stress disorder after the family members are informed of patient diagnosis of malignant tumors is high,which is related to many factors.After psychological intervention measures,the situation of acute stress disorder can be improved and the quality of life can be optimized.