摘要
目的探讨食管癌术后化疗患者的症状困扰、生活受干扰程度及焦虑抑郁程度,并探讨前二者与焦虑抑郁的相关关系。方法采用M.D.Anderson症状调查量表、医院焦虑抑郁量表对84例食管癌术后化疗患者进行调查。结果患者的症状困扰及生活受干扰评分分别为3.18、2.81分,前者与其焦虑呈正相关,后者与焦虑、抑郁呈正相关(均P<0.01);患者的主要症状为脱发、胃口差、体质量减轻、反流等。结论食管癌术后化疗患者普遍存在症状困扰,且症状困扰与焦虑抑郁相互影响。护理人员在缓解患者躯体症状的同时应关注其心理状况,指导其合理宣泄情绪。
Objective To describe the symptom distress, the disturbing life, anxiety and depression level of esophageal cancer patients under going chemotherapy after radical esophagectomy, and to explore the relationship between the former 2 factors and the latter 2 factors. Methods The M.D. Anderson Symptom Inventory （MDASI）, and the Hospital Anxiety and Depression Scale （HADS） were used to inves- tigate 84 patients undergoing chemotherapy after radical esophagectomy. Results The patients averagely scored 3. 18 points in symptom i- tems, and 2.81 points in interference items, with the scores being positively correlated with anxiety and depression respectively （P〈0.01 4 for both）. The patients mainly reported symptoms of alopecia, lack of appetite, weight loss, reflux of gastric contents, etc. Conclusion Symptom distress is commonly seen in esophageal cancer patients undergoing chemotherapy after radical esophagectomy, and symptom dis- tress and anxiety and depression react upon one another. Nurses should pay attention to these patients＇ mental state, and guide them to ra- tionally vent their emotions.
基金
广东省自然科学基金项目(S2011010003549)
关键词
食管癌根治术
化疗
症状困扰
生活受干扰程度
焦虑
抑郁
radical esophagectomy
chemotherapy~ symptom distress~ life interference
anxiety~ depression
