单位：无锡市第五人民医院肝科 目的探究原发性肝癌患者消极情绪的相关影响因素,并为这类特殊群体的优质医疗护理积累循证经验。方法选取我院于2012年9月~2014年10月收治的138例原发性肝癌患者,利用自制的一般资料问卷、SAS量表及SDS量表对138例确诊为肝癌的患者展开调研,并记录数据。结果经SAS量表测评认定为焦虑者为80例,发生率为57.9%,平均得分为(57.2±9.3)分;经SDS量表测评认定为抑郁者为86例,发生率为62.3%,平均得分为(56.3±9.1)分。患者的家庭月收入及家人支持力度跟其焦虑程度呈负相关;疼痛程度、担心放化疗与患者焦虑状况呈正相关。结论原发性肝癌患者出现焦虑及抑郁的可能性较大,医务人员应当引起重视,并根据负性情绪高危因素展开针对性心理干预,从而减轻其消极情感状况。
原发性肝癌;负性情绪;生活质量
Objective To explore the related factors of primary liver cancer patients with negative emotions, and accumulate experience for the quality of evidence-based medical care of this special population. Methods in our hospital in 2012 September ~2014 year in October admitted 69 cases of primary liver cancer patients, by using a self-made general questionnaire, SAS scale and SDS scale in 69 patients with hepatocellular carcinoma in patients with the investigation, and the data recording. Results SAS assessment identified as anxiety was 40 cases, the incidence rate was 57.9%, the average score is (57.2 + 9.3); the SDS assessment identified as depression was 43 cases, the incidence rate was 62.3%, the average score is (56.3 + 9.1) points. The patient's family monthly income and family support was negatively correlated with the degree of anxiety; the degree of pain, fear of chemotherapy in patients with anxiety were positively correlated with. Conclusion primary liver cancer patients with anxiety and depression appears more likely, medical personnel should pay attention to, and the psychological intervention into routine nursing procedures, thus reducing the negative emotional state.
primary liver cancer; negative emotion; quality of life
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