宫颈癌术后放疗患者抑郁焦虑水平及其应对方式的相关性分析

发布时间：2018-05-24 09:35

本文选题：宫颈癌 + 焦虑　；参考：《国际精神病学杂志》2016年05期

【摘要】：目的分析宫颈癌术后放疗期患者焦虑抑郁状况,探讨焦虑抑郁状况与患者应对方式之间的关系。方法选取我院的宫颈癌术后放疗期患者95例进行调查,应用医院焦虑抑郁量表(HADS)和Jalowiec的应对量表(JCS-60)对患者进行评估。结果 38例(40.00%)患者存在焦虑;34例(35.79%)患者存在抑郁;25例(26.32%)存在焦虑合并抑郁。患者焦虑水平得分(6.89±3.28),抑郁得分(6.17±3.97)。乐观(2.11±0.45)是患者应用最多的应对方式,情感宣泄(0.97±0.59)是患者应用最少的应对方式。与焦虑状况呈正相关的应对方式有:面对、逃避、宿命、情感宣泄(P0.01)。与焦虑状况呈负相关(P0.05)的应对方式为乐观。与抑郁状况呈正相关的应对方式有:宿命、情感宣泄(P0.01)。结论宫颈癌术后辅助放疗患者的焦虑抑郁水平较高,面对、逃避、宿命、情感宣泄等应对方式可进一步增大患者焦虑抑郁水平。因此临床工作者应及时对宫颈术后放疗癌患者进行心理干预措施。
[Abstract]:Objective to investigate the relationship between anxiety and depression and coping style in patients with cervical cancer during radiotherapy. Methods Ninety-five patients with cervical cancer during postoperative radiotherapy were investigated and evaluated by hospital anxiety and depression scale (Hads) and Jalowiec coping scale (JCS-60). Results there were 34 cases of anxiety and 35. 79% of anxiety in 38 patients.) 25 cases of depression were found in 25 cases.) anxiety combined with depression was found in 25 cases. The scores of anxiety and depression were 6.89 卤3.28 and 6.17 卤3.97 respectively. Optimism (2.11 卤0.45) was the most frequently used coping style, and emotional catharsis (0.97 卤0.59) was the least. The coping styles positively related to anxiety were: face, escape, fate, and emotional catharsis (P0.01). The coping style negatively correlated with anxiety (P 0.05) was optimistic. The coping styles positively related to depression were fatalism, emotional catharsis and P0.01. Conclusion the level of anxiety and depression is higher in patients with cervical cancer after adjuvant radiotherapy. The coping styles of face, escape, fate and emotional catharsis can further increase the level of anxiety and depression in patients with cervical cancer. Therefore, clinical workers should carry out psychological intervention measures for cervical postoperative radiotherapy cancer patients in time.
【作者单位】：陕西省第四军医大学唐都医院妇产科;
【分类号】：R737.33;R749

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