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目的通过对消化道肿瘤患者家属焦虑状况进行调查,以探讨影响家属焦虑状况的相关因素,从而寻找相应的对策,促进患者的康复。方法采用焦虑自评量表(SAS)和埃森克个性测验人格问卷(EPQ),对50例消化道肿瘤患者家属进行调查,并探寻导致焦虑的相关因素。采用SPSS12.0统计软件中的限制性logistic回归对两组数据进行分析。结果经分析家属罹患焦虑障碍与已付的医疗费用(OR=3.491,P<0.05)、病人得知诊断的时间长短(OR=4.689,P<0.05)、一起照料病人的其他家属的人数(OR=6.398,P<0.05)、家属个人性格的倾向性(OR=4.522,P<0.05)等因素有关。结论已付的医疗费用越高、病人得知诊断的时间越短、一起照料病人的其他家属的人数越少、并且个人性格内向的家属更容易产生焦虑症状。因此,应对那些得知诊断不久、性格内向及较少有人能帮忙照顾病人的家属,特别是花费巨大的家属给予心理支持和关怀,从而达到节省医疗资源的目的。
Objective To investigate the anxiety status of the family members of patients with gastrointestinal cancer so as to explore the related factors that affect the anxiety status of the family members so as to find the corresponding countermeasures and promote the rehabilitation of the patients. Methods The anxiety self-rating scale (SAS) and the Eysenck Personality Questionnaire (EPQ) were used to investigate the relatives of 50 patients with gastrointestinal cancer patients and to explore the factors leading to anxiety. Two sets of data were analyzed by using the restrictive logistic regression in SPSS12.0 statistical software. Results The family members were diagnosed with anxiety disorder and medical expenses (OR = 3.491, P <0.05). The length of time the patient was diagnosed (OR = 4.689, P <0.05) and the number of other dependents taking care of the patients = 6.398, P <0.05), family members personal personality tendencies (OR = 4.522, P <0.05) and other factors. Conclusions The higher the medical costs paid, the shorter the time the patient learns about the diagnosis, the smaller the number of other dependents taking care of the patient together, and the more introverted family members are more likely to develop anxiety symptoms. Therefore, those who know that diagnosis, introverted and less able to help take care of patients with their families, especially those who spend huge families to give psychological support and care, so as to achieve the purpose of saving medical resources.