【摘要】 目的 了解結直腸癌患者術后發生抑郁、焦慮狀況，分析其影響因素。 方法 2010年1-3月，采用Zung抑郁自評量表（SDS）、焦慮自評量表（SAS）和一般資料調查問卷，結合病歷資料及心理評估，對64例結直腸癌術后患者進行測評，采用SPSS 13.0軟件對數據進行統計分析。 結果 64例患者SDS（47.02±10.38）分，SAS評分（42.42±7.96）分，均高于國內常模（P lt;0.001）。抑郁和焦慮發生率分別為42.2%、20.3%。造口患者抑郁得分高于非造口患者（P=0.004），Miles術患者抑郁得分高于非造瘺根治術患者（P=0.039），姑息術患者抑郁得分高于非造瘺根治術患者（P=0.007）；家庭月收入≤1 000元者抑郁得分高于1 001~3 000元及 gt;3 000元者（P=0.040，0.017）。不同情況患者焦慮得分差異無統計學意義（P gt;0.05）。SDS與SAS呈正相關（P lt;0.001）。 結論 結直腸癌術后患者存在不同程度的抑郁和焦慮。護理人員尤其應關注造口術后、晚期患者及收入低下患者，并進行針對性健康教育和心理干預。
【Abstract】 Objective To evaluate the postoperative anxiety and depression of patients with colorectal cancer and investigate its related factors. Methods From January to March 2010, 64 patients who were diagnosed to have colorectal cancer and received therapeutic operations were investigated with self-rating depressive scale (SDS), self-rating anxiety scale (SAS) and self-made related questionnaire respectively. Psychological assessment and medical records gathering were also carried out. The data collected were analyzed by SPSS 13.0. Results The total score of SDS (47.02±10.38) and SAS (42.42±7.96) of the 64 patients were both higher than those of the general population (P lt;0.001). The incidence rate of depression and anxiety was 42.2% and 20.3% respectively. Patients without stoma had lower SDS scores than those with stoma (P=0.004); patients undergoing Miles operation had higher SDS scores than those receiving non-fistula formation radical operations (P=0.039); patients receiving palliative treatment had higher SDS scores than those receiving non-fistula formation radical operations (P=0.007); patients with family monthly income less than 1 000 RMB had higher SDS scores than those with more than 3 000 RMB and between 1 001-3 000 RMB (P=0.017, 0.040). SAS scores among different patients were not significantly different (P gt;0.05). SDS had positive correlation with SAS (P lt;0.001). Conclusions Patients with colorectal cancer have higher emotions of anxiety and depression after operation than those in the general population. It is suggested that more psychological consultation, treatment and nursing should be carried out to promote the overall physical and mental rehabilitation of the patients, especially for those having undergone stoma formation, late-stage patients and those with a low income.
Citation： ZHANG Lina,LI Jiping. Investigation on Anxiety and Depression of Postoperative Patients with Colorectal Neoplasms. West China Medical Journal, 2011, 26(4): 590-593. doi: Copy
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