摘要
目的探讨分析不良心理状态对姑息治疗肺癌患者生活质量的影响。方法选取2009年2月至2013年5月间进行姑息治疗的肺癌患者148例作为观察组,选取同期健康志愿者100名作为对照组。采用焦虑评分量表(SAS)、抑郁评分量表(SDS)、心理健康评分量表(SCL-90)及生活质量评分量表(QLQ-C30)统计分析姑息治疗肺癌患者心理状态与其生活质量的关系。结果观察组患者SAS、SDS、SCL-90得分显著高于健康对照组,差异有统计学意义(P<0.05)。观察组患者的生活质量评分为(60.12±11.96)分,生活质量较差。多因素Logistic分析显示,肺癌患者的焦虑、抑郁及不良心理状态是影响患者生活质量的危险因素(P<0.05)。结论姑息治疗的肺癌患者心理状态较差,且其不良的心理状态显著影响了生活质量。
Objective To explore impact of adverse psychological state on the life quality of pa- tients with lung cancer receiving palliative treatment. Methods 148 patients with lung cancer in our hospi- tal from February 2009 to May 2013 were included as the observation group, and 100 healthy volunteers were included in the control group. Anxiety rating scale （SAS） , depression Rating Scale （SDS） , symptom rating scale （SCL-90） and quality of life rating scale （QLQ-C30） were used to analyze the relationship of their psychological state and life quality. Results The SAS, SDS, SCL-90 scores of the observation group were significantly higher than those of the control group （ P 〈 0. 05 ）. Quality of life scores of the observation group was （60. 12 -＋ 11.96） rain which showed poor quality of life. Multivariate logistic analysis showed that anx- iety, depression and poor psychological state had a greater negative impact on the patient＇s quality of life （β=l.38,OR=5.30;β=1.86,OR=5.17;β=2.43,OR=9.12,respectively）. Conclusions Patients with lung cancer receiving palliative treatment stay poor mental state, and its adverse psychological state sig- nificantly affect the quality of life.
出处
《中国肿瘤临床与康复》
2014年第3期352-354,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
不良心理状态
姑息治疗
肺肿瘤
生活质量
Adverse psychological state
Palliative care
Lung neoplasms
Quality of life
