消化道恶性肿瘤患者焦虑和抑郁及生命质量追踪调查

Follow-up Study on Anxiety, Depression and Quality of Life of Chinese Patients Newly Diagnosed with Gastrointestinal Cancers

目的 :调查初期诊断的消化道恶性肿瘤患者半年中的焦虑和抑郁情绪和生命质量变化。方法 :采用SAI、BDI -13和CARES -SF对 14 6名初期诊断的消化道恶性肿瘤患者的情绪特征和生命质量进行为期半年的追踪调查。结果 :初期诊断的消化道恶性肿瘤患者的生命质量为中等 ,焦虑得分和生命质量大多数维度得分在半年中较稳定 ,但半年后患者的抑郁程度加重 ,生命质量的婚姻关系维度、性关系维度得分下降。结论 :初期诊断的消化道恶性肿瘤患者存在明显的情绪障碍 ,应持续评估其心理状态 ,并制订有针对性的干预方案 ,以提高肿瘤患者的生命质量。

Objective:To investigate anxiety, depression and quality of life of Chinese patients newly diagnosed with gastrointestinal cancers and follow them up for 6 months.Methods:A convenient sample of 146 patients newly diagnosed with gastrointestinal cancers completed self-reported inventories including State Anxiety Inventory, Beck Depression Inventory and CARES-SF. 107 of them completed the follow-up 6 months later.Results:Subjects reported moderate level of anxiety and quality of life. The state anxiety and most measures of life quality were stable over the 6 months. But they were more depressed and had poorer marital and sexual relationship in the follow-up. Conclusions:Chinese patients newly diagnosed with gastrointestinal cancers experience a range of distress, especially in marital and sexual relationship.