中国呼吸与危重监护杂志

中国呼吸与危重监护杂志

肺癌患者心理问题的评估及其意义

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目的 对住院肺癌患者的心理状况做初步评估,从而为临床干预提供理论支持。 方法 对符合条件的肺癌患者使用症状自评量表(SCL90)进行心理自评,再结合患者的人口学资料及躯体症状等信息进行综合分析。 结果 共有 239 例肺癌患者参与本次调查,其中男 161 例(67.4%),女 78 例(32.6%),平均年龄(60.7±9.9)岁。60 例初筛阳性,抑郁患病率 11.3%(27/239),焦虑患病率 4.2%(10/239),总的心理失调患病率 25.1%。知情、确诊时间越长、有癌症家族史、自主症状多、失眠、疲惫乏力、疼痛、呼吸困难症状或 KPS 评分低的肺癌患者,心理问题更严重。 结论 肺癌患者的心理问题较为严重,对他们进行及时的心理评估具有现实临床意义。

Objective To assess the psychological status of patients with lung cancer in ward preliminarily for providing the theoretical support for further clinical treatment. Methods Lung cancer patients were enrolled in this study during the period from January 2016 to January 2017, when they were being treated in the respiratory ward of Nanjing General Hospital. Their psychological status was assessed by using Symptom Check List 90, and the results with their demographic information and somatic symptoms were combined. Data were analyzed by using SPSS 18.0 software. Results This study included 239 inpatients, out of them 161 patients were male (67.4%), and the average age was 60.7±9.9 years. Sixty patients had a positive psychological status. The incidence of depression was 11.3% (27/239), of anxiety 4.2% (10/239), and of the total psychological disorder 25.1%. The patients had more serious psychological problems, when they had a longer course, more autonomic symptoms, or a lower score of Karnofsky performance scale, etc. Conclusion More serious psychological problems exist in patients with lung cancer, so it has the clinical significance for their timely psychological assessment.

关键词: 肺癌; 心理失调; 症状自评量表

Key words: Lung cancer; Psychological disorder; Symptom Check List 90

引用本文: 喻慧, 苏欣, 施毅. 肺癌患者心理问题的评估及其意义. 中国呼吸与危重监护杂志, 2018, 17(6): 582-587. doi: 10.7507/1671-6205.201705031 复制

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