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卵巢癌化疗期患者心理健康调查及其对策分析

Investigate of mental health and countermeasures on patients with ovarian cancer chemotherapy period

  • 摘要: 目的 探讨和调查卵巢癌化疗期患者心理健康状况及其对策。方法 回顾性分析2011年1月-2013年6月期间广州市中西医结合医院确诊治疗的卵巢癌患者89例的临床资料,采用焦虑自评量表(SAS)评估焦虑状态,采用抑郁自评量表(SDS)评估抑郁状态,依据焦虑状态分为焦虑组和A组,依据抑郁焦虑状态分为抑郁组和B组,随访3年,统计分析所有患者化疗期间的心理健康状况和生存情况。结果 本次调查中,有焦虑情绪者62例,焦虑率为69.63%,有抑郁情绪者49例,抑郁率为55.06%,焦虑组患者3年生存率、中位生存期均明显低于A组,差异有统计学意义(P<0.05);抑郁组患者3年生存率、中位生存期均明显低于B组,差异有统计学意义(P<0.05)。结论 多数卵巢癌患者化疗期间存在焦虑、抑郁不良情绪,且此不良心理状况与患者化疗后不良生存预后有关,提示医师应在化疗同时给予心理干预。

     

    Abstract: Objective To investigate the mental health status and countermeasures on patients with ovarian cancer chemotherapy period.Methods The data of 89 patients with ovarian cancer chemotherapy period were retrospective analyzed,and the patients were treated in our Hospitals during January 2011 to June 2013.Self-evaluation of the anxiety scale(SAS) was used to assess the state of anxiety,depression self rating scale(SDS) was used to assess depression. According to the anxiety state,were divided into anxiety group and the group A; the patients were divided into depression group and B group according to their depression state. After 3 years' followed up,the mental health status and survival conditions of the patients during chemotherapy were analyzed.Results Among the patients,62 cases were anxiety and the anxiety rate was 69.63%; 49 cases were depression and the depression rate was 55.06%. The 3 years' survival rate and the median survival time in anxiety group were lower than those in group A,and the differences were statistically significant(P<0.05); The 3 years' survival rate and the median survival time in depression group were lower than those in group B,and the differences were statistically significant(P<0.05).Conclusions Most of the ovarian cancer patients during chemotherapy were anxiety or depression,the bad mood and the adverse psychological conditions were associated with prognosis poor survival,physicians should give psychological intervention at the same time of the chemotherapy for patient.

     

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