喉癌患者不良情绪的相关因素分析及干预效果研究.docVIP

喉癌患者不良情绪的相关因素分析及干预效果研究 　　【摘要】目的 分析喉癌患者不良情绪的发生率及相关因素，为临床心理干预提供依据。方法 将60例全喉切除患者分为干预组和对照组，每组各30例，应用焦虑自评量表（SAS）、抑郁自评量表（SDS）进问卷调查。结果 干预前两组SDS、SAS均50分，干预后干预组患者抑郁、焦虑发生率低于对照组，差异具有统计学意义（p0.01）。两组在性别、年龄、文化程度、职业类型，没有统计学差异。而在经济情况、家人支持上，干预组要好于对照组。结论 喉癌患者普遍存在严重的焦虑和抑郁等不良情绪，积极的心理干预，能减轻焦虑、抑郁的发生率，提高喉癌患者的生存质量。 　　【关键词】喉癌；焦虑；抑郁；心理干预；生存质量 　　Of the related factors and intervention in patients with laryngeal cancer effect research. 　　Zhong qihua，Geng yinglian. 　　The Chinese hospital of Laixi Shandong，266600，China. 　　[Abstract]Objective To analysis the ratect of anxiety，depression of patients with laryngeal cancer and relative factors.To provide the experiment proof for clinicl psychological interventions.Methods 60 cases patients with total laryngeal cancer were decided into control group（30 cases） and intervention group （30 cases） .All patients were linvestigated viafilling out self-rating anxiety scale（SAS） and self-rating scales（SDS）.Results The SAS and SDS scores of two group were higher than 50 before intervention.After the intervention，anxiety and depression trates of intervention group were 10 wer than that in control group ，and the different was significant （P0.01）.There was no statistical difference in Sex，age，educational level and occupation between two groups.The economy and family support in the intervention group was significantly better than that in the control group.Conclusion Anxiety and depression were popular among the patients of larynaeal cancer.Positive psychological intervention could reduce the incidence of anxiety and depression，and improve the living quality of patients. 　　[Keywords]laryngeal cancer；Anxiety；Depression；Psychological；intervention；Living quality 　　喉癌是耳鼻咽喉科常见的恶性肿瘤之一，疾病本身及治疗严重影响了患者的生理功能，生理功能丧失也导致了许多心理问题，据文献报道，喉癌患者是心理疾病的高危人群，癌症患者中约有90%以上存在心理问题，抑郁症的发症率高达40%左右[1.2]。因此抑郁焦虑的发生率与肿瘤患者的生存期密切关联。本研究旨在探讨喉癌患者的焦虑、抑郁的发生率及其相关因素，对喉癌患者术后生活质量的影响。并以积极的心理干预，减轻患者焦虑、抑郁的负性情绪，提高患者的生存质量，现分析报告如下。 　　1资料与方法 　　1.1一般资料 选取本地区2001年4月―2012年12月在外院和我院接受全喉切除术治疗的喉癌患者60例，男49例，