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目的探讨脑肿瘤患者焦虑抑郁等心理健康状况,减少患者不良情绪,促进脑肿瘤患者身心健康发展。方法于2014年6月—2015年8月对神经外科205例脑肿瘤患者进行匿名问卷调查,内容包括性别、年龄、婚姻状况、教育背景等;采用压力知觉量表和医院焦虑抑郁量表对患者压力感受、焦虑抑郁状况进行调查。结果脑肿瘤患者焦虑、抑郁得分分别为(6.86±4.07)、(5.62±3.81)分,明显高于内科门诊患者(国内常模)焦虑、抑郁得分[分别为(3.30±2.40)、(2.60±2.20)分];脑肿瘤患者焦虑、抑郁阳性率分别为39.51%、30.24%;Logistic回归分析结果显示,对于脑肿瘤患者焦虑和抑郁症状阳性者,压力感受的相对危险度分别为1.184(95%CI=1.102~1.273)和1.206(95%CI=1.113~1.306)。结论脑肿瘤患者压力感受越大,出现患焦虑和抑郁症状的可能性越大,对于压力感受水平较高的患者应给予及时的健康指导,预防其焦虑抑郁症状的出现。
Objective To investigate the mental health status of patients with brain cancer such as anxiety and depression, reduce the adverse emotions and promote the mental and physical health of patients with brain cancer. Methods From June 2014 to August 2015, 205 patients with brain tumors in neurosurgery were investigated by anonymous questionnaire, including gender, age, marital status and educational background. The stress perception scale and hospital anxiety and depression scale were used to evaluate the patients’ Stress feelings, anxiety and depression status investigation. Results The scores of anxiety and depression in brain cancer patients were (6.86 ± 4.07) and (5.62 ± 3.81) points, respectively, which were significantly higher than those of medical outpatients (domestic norm), and were 3.30 ± 2.40 and 2.60 ± 2.20); The positive rates of anxiety and depression in brain cancer patients were 39.51% and 30.24% respectively. Logistic regression analysis showed that the relative risk of stress perception in brain cancer patients with positive anxiety and depression were 1.184 (95% CI = 1.102-1.273) and 1.206 (95% CI = 1.113-1.306). Conclusions The greater the patients’ stress perception is, the more likely they are to suffer from anxiety and depressive symptoms. Patients with higher stress level should be given timely health guidance to prevent the occurrence of anxiety and depression symptoms.