摘要
目的了解骨肿瘤患者化疗期间焦虑、抑郁情绪与应对方式的现状,探讨其关系。方法应用一般资料调查问卷、综合性医院焦虑抑郁量表(HAD)和特质应对方式问卷(TCSQ)对109例骨肿瘤化疗患者进行调查,并进行相关性分析。结果骨肿瘤化疗患者焦虑、抑郁发生率分别是35.78%、31.19%。积极应对得分低于常模,消极应对得分高于常模,差异有高度统计学意义(P<0.01)。患者的消极应对得分在性别上差异有统计学意义(P<0.05)。焦虑、抑郁与消极应对呈正相关(r=0.345、0.226,P<0.05)。结论骨肿瘤化疗患者焦虑、抑郁情绪反应普遍存在。女性比男性更容易消极面对压力。焦虑、抑郁情绪对患者的应对方式有负性影响,焦虑、抑郁程度越高,应对越消极。护理人员应及时评估患者的焦虑、抑郁情绪及人格特质以发现不良的心理变化,提供个体化的心理指导,促进患者身心健康。
Objective To investigate the status of anxiety, depression and coping styles of patients with bone tumour during chemotherapy, and study the relationship among them. Methods Three instruments were used to collect the data of 109 cases of patients with bone tumour during chemotherapy, including the demographic information, Hospital Anxi ety and Depression Scale （HAD） and Trait Coping Style Questionnaire （TCQS）. Then the correlation was analyzed. Results The rate of patients was 35.78% for anxiety, and 31.19% for depression. Negative coping scores were higher than the model, while positive coping scores were lower than the model, there were significant differences among them （P 〈 0.01）. Negative coping scores were significant differences in gender （P 〈 0.05）. Anxiety and depression were posi tively correlated with the negative coping style （r = 0.345, 0.226, P 〈 0.05）. Conclusion It is concluded that anxiety and depression are commonly seen in patients with bone tumour. Women are more likely than men to face pressure nega tively. Anxiety and depression emotions have a negative influence on patients＂ coping styles. The higher the degree of anxiety and depression, the more negative coping styles. The nurses should pay close attention to patients＂ anxiety and depression, personal characteristic, in order to assess psychological changes, and promote their rehabilitation by the personalized psychological nursing.
出处
《中国医药导报》
CAS
2014年第5期112-115,共4页
China Medical Herald
关键词
骨肿瘤
化疗
焦虑
抑郁
应对方式
Patients with bone tumour
Chemotherapy
Anxiety
Depression
Coping styles
