宫颈癌患者焦虑抑郁情绪与疲劳的相关性研究.docVIP

精品论文 参考文献 宫颈癌患者焦虑抑郁情绪与疲劳的相关性研究 李静1 楚中亚2 张瑞2 　　（1河南省漯河市120指挥中心 河南漯河 462000） 　　（2河南省漯河市中医院 河南漯河 462000） 　　【摘要】目的：探讨宫颈癌患者焦虑抑郁情绪与疲劳状况的相关性。方法：采用住院患者焦虑抑郁量表、疲劳评定量表（FAI）等，对102例宫颈癌患者进行研究。结果：有45例（44.1%）患者有确定的焦虑症状，51例（50%）患者有确定的抑郁症状，疲劳状况处于轻度水平。疲劳量表的疲劳严重程度、疲劳的结果维度与焦虑成正相关；疲劳对休息、睡眠的反应与抑郁情绪成正相关。结论：宫颈癌患者焦虑抑郁情绪与疲劳状况相关。护士应多关注患者的疲劳状况并及时采取措施缓解患者的疲劳，在一定程度上预防和减轻患者的焦虑抑郁，促进身心康复。 　　【关键词】宫颈癌；焦虑；抑郁；疲劳 　　【中图分类号】R730 【文献标识码】A 【文章编号】1007-8231（2015）13-0135-03 　　The relationships among anxiety,depression and fatigue in patients with cervical cancer patients 　　【Abstract】Objective To investigate the correlation between anxiety,depression and fatigue among patients with cervical cancer patients.. Methods One hundred and twenty cervical cancer patients were investigated with The hospital anxiety and depression scale(HADS) and fatigue assessment instrument(FAI). Results Forty-five(44.1%)patients have been definitely diagnosed with anxiety,and fifty-one (50%) patients have been definitely diagnosed with depression.The fatigue status in cervical cancer patients was in mild level. The fatigue severity and fatigue consequence in FAI were positively correlated with anxiety,while the responsiveness to rest and sleep in FAI were positively correlated with the depression. Conclusion The anxiety and depression is correlated with fatigue among patients with cervical cancer patients.Nurses should focus on patients fatigue and take targeted measures in time to prevent anxiety and depression to improve physical and psychological health. 　　【Key words】Cervical cancer patients; Anxiety; Depression; Fatigue 　　宫颈癌患病率居妇科肿瘤的第一位[1]。该病多发于40～60岁的女性[2]，患者常存在不同程度的焦虑、抑郁等负面情绪。有研究报道，宫颈癌患者的精神紧张可通过神经-内分泌系统引起免疫系统紊乱，促发、加重疾病[3]并对医疗费用会产生影响[4]。疲劳影响着50%～92%的癌症患者[5,6]，被认为是最常见的症状之一，严重的影响了患者的情绪状态[7]。本研究拟探讨宫颈癌患者焦虑抑郁情绪与疲劳的相关性，为进一步实施针对性的干预提供参考。 　　1.对象与方法 　　1.1 调查对象 　　选取2014年1月～6月在河南省某三级甲等医院妇科及肿瘤科住院的106例宫颈癌患者。纳入标准：①经病理确诊为宫颈癌；②意识清楚，有一定交流能力，能理解并配合调查；③本人知情同意，自愿参加研究。无其他严重躯体疾病、精神或意识障碍者。发放问卷，由患者独立