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目的了解癌症化疗病人心理障碍状况,并对其相关因素进行分析。方法应用抑郁自评量表(SDS)、焦虑自评量表(SAS)和自行设计的心理健康影响因素调查表对住院癌症化疗病人(实验组)151例和放疗病人(对照组)157例进行心理健康状况及其相关因素调查。结果两组病人SDS、SAS标准分显著高于常模(P<0.01);化疗组病人抑郁和焦虑得分明显高于放疗组(P<0.01);影响化疗病人的心理因素有对医疗费用、治疗效果的担心及治疗副反应的影响。结论接受化疗的癌症病人较普遍的存在焦虑、抑郁情绪,应及早给予心理干预和必要的社会支持,以提高治疗效果及生存质量。
Objective To understand the status of psychological disorders in cancer chemotherapy patients and to analyze the related factors. Methods A total of 151 hospitalized patients with cancer chemotherapy (experimental group) and 157 patients with radiotherapy (control group) were enrolled in the questionnaire of Self-rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS) and self-designed mental health factors questionnaire Mental health status and related factors survey. Results The scores of SDS and SAS in both groups were significantly higher than those in the normotensive group (P <0.01). The scores of depression and anxiety in the patients in the chemotherapy group were significantly higher than those in the radiotherapy group (P <0.01). The psychological factors affecting the patients with chemotherapy were: The effect of worry and treatment side effects. Conclusion Cancer patients receiving chemotherapy generally have anxiety and depression. Psychological intervention and necessary social support should be given earlier to improve the treatment effect and quality of life.