摘要
目的探讨直肠癌结肠造口患者家属焦虑、抑郁状况及其影响因素。方法以94例中南大学湘雅二医院、湘雅医院、湘雅医学院附属肿瘤医院直肠癌结肠造口术后患者家属作为研究对象,采用自制的一般资料问卷、焦虑自评量表、抑郁自评量表进行调查。结果直肠癌结肠造口患者家属焦虑发生率为53.2%(50/94),抑郁发生率为67.0%(63/94)。不同性别、造口性质和是否因为照顾患者影响正常生活的患者家属的焦虑、抑郁发生率差异均有统计学意义(P<0.05);不同年龄组和有无亲戚朋友歧视的患者家属焦虑发生率差异有统计学意义(P<0.05);不同疾病了解程度患者家属的抑郁发生率差异有统计学意义(P<0.05)。多因素回归分析显示焦虑的相关影响因素有性别〔OR=5.191,95%CI(1.541,17.490),P=0.008〕、年龄〔OR=4.977,95%CI(1.940,12.769),P=0.001〕、经济压力〔OR=5.520,95%CI(1.762,17.291),P=0.003〕、造口性质〔OR=3.944,95%CI(1.213,12.821),P=0.023〕、是否因为照顾影响正常生活〔OR=0.272,95%CI(0.081,0.951),P=0.035〕;抑郁的相关影响因素有性别〔OR=3.047,95%CI(1.143,8.123),P=0.026〕、疾病了解程度〔OR=0.577,95%CI(0.357,0.933),P=0.025〕、是否因为照顾影响正常生活〔OR=0.318,95%CI(0.116,0.873),P=0.026〕。结论直肠癌结肠造口患者家属焦虑和抑郁发生率比较高,焦虑、抑郁的发生和多种因素有关,医务人员要有针对性地对其给予与患者同步性的心理干预。
Objective To investigate the morbidity of anxiety and depression and the related influential factors in family member of the coloreetal cancer patients with stoma. Methods A total of 94 family members of colorectal cancer patients with stoma from the Xiangya Hospital, the second Xiangya Hospital and the Tumor Hospital of Hunan Province were recruited as the subjects. A self- designed general information questionnaire, Self- rating Anxiety Scale （SAS） and Self- rating Depression Scale （SDS） were used for investigation. Results About 53.2% （50/94） of family members of colorectal cancer patients with stoma felt anxiety and 67.0% （63/94） felt depression. The differences in morbidity of anxiety and depression of the family members between different genders, stoma natures, and influences on normal life of the family members were statistically significant （ P 〈 0. 05 ）. The differences in morbidity of anxiety of the family members between different age groups, whether there was discrimination from relatives or friends were statistically significant （ P 〈 0. 05 ）. And The differences in morbidity of depression of the family members between different kevels of knowing the disease was statistically significant （ P 〈 0. 05 ）. Stepwise Logistic regression analysis showed that the factors related to the morbidity of anxiety were sex [ OR = 5. 191, 95% CI （ 1. 541, 17. 490）; P =0.008], age [OR =4.977, 95% CI （1.940, 12. 769）; P =0.001], economic status [OR =5.520, 95%CI （1.762, 17. 291）; P=0.003], stoma nature [OR=3.944, 95%CI （1.213, 12. 821）; P=0.023], and whether their life was affected by the care of patient [ OR =0. 272, 95% CI （0. 081, 0. 951 ） ; P =0. 035]. And the related influential factors of depression were sex [ OR = 3. 047, 95% CI （ 1. 143, 8. 123 ） ; P = 0. 026], knowledge of the disease [ OR = 0. 577, 95% CI （0. 357, 0. 933 ） ; P = 0. 025 ], whether their life was affected by the care of patient [ OR = 0. 318, 95% CI （ 0. 116, 0. 873 ） ; P = 0. 026 ] . Conclusion The morbidity of anxiety and depression of the family members of colorectal cancer patients with stoma are higher. Many factors contributed to their anxiety and depression. Psychological intervention is necessary to be taken to these family members in synchronism with patients.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第19期2290-2292,2295,共4页
Chinese General Practice
关键词
直肠肿瘤
患者家属
焦虑
抑郁
Rectal neoplasms
Family members of patients
Anxiety
Depression
