不同对象的病情沟通对胃腺癌术后化疗患者的抑郁影响研究.docxVIP

不同对象的病情沟通对胃腺癌术后化疗患者的抑郁影响研 究 王晓华刘晓梅李岗栉胡杰伟周强 (遂宁市中心医院肿瘤科 四川遂宁610003) 【摘要】口的:研究不同对彖的病情沟通对胃癌术后化疗患者的抑郁影响。 方法：150例胃腺癌患者随机分成2组，实验组与患者本人直接进行病情沟通, 对照组仅仅与患者委托人进行病情沟通。运用Zung抑郁白评量表分别对二组患 者进行病情沟通前后的抑郁程度评价。结果：进行病情沟通前二组患者的抑郁率 相比无明显的差异(Pgt；0.05),进行不同对象的病情沟通后二组的抑郁率有明 显的差异性，实验组的抑郁率明显的低于对照组(PV0.05)。结论：在胃腺癌患者 进行化疗前与患者本人的直接沟通比与患者委托人的沟通对更为有效，有较低的 抑郁率。 【关键词】病情沟通 胃腺癌化疗 抑郁 【屮图分类号】R730.5 【文献标识码】A 【文章编号】2095-1752 (2014) 14-0063-01 Depressive studies of different targets of communication in stomach carcinoma patients treated with chemotherapy Wang Xiaohua, Liu Xiaomei, Li Gangzhi, HuJiewei, Zhou Qiang (Suining Central Hospital Oncology, Suining 610003) [Abstract] Objective: To study the impact of different targets of communication on the depressi on status of stomach carci noma patie nts post-operatively treated with chemotherapy. Method: 150 post-operative patients of stomach carcinoma divides randomly into 2 groups. In the experimental group the doctor and patient discuss the condition directly, while in the control group the doctor discusses the condition merely with the trustee. Zung depression self-assessment scale is adopted to measure depress!on status before and after the condition discussions between two groups. Results: The depression rate of two groups of patients before the condition discussi on was no sign ificant d iff ere nces (P gt;0.05). The depressi on rate in the experimental group is sign讦icantly lower than in the control group (Plt;0.05) after the condition discussions between two groups. Conclusion: Direct discussion with the patient himself/herself before chemotherapy in patients with stomach carcinoma is more effective than with the trustee, with lower rate of depression. 【Key words] illness means of communicati on stomach carci noma depressi on 目前国内大多数医院均对患有恶性肿瘤的患者进行保护性医疗，如果不是患 者委托人强烈要求，在有损治疗前临床医师i般不会对恶性肿瘤患者详细如实的 告知病情。在目前的医疗环境下，人多数患者亲属包括部分医师均认为恶性肿瘤 患者是无法接受患恶性肿瘤的现实，以及患者也无法接受化疗所产生的严重毒副 反应的。为了比较不同对象的病情告知对胃腺癌化疗患者的情绪影响。我科于 2012年10月至2014年2月对150例胃腺癌患者进行化疗前随机给予不同对象 的病情告知。观察到