摘要
目的观察食管癌患者术后化疗期的抑郁情绪及负性自动思维的变化情况。方法本文择取100例食管癌患者进行回顾性的分析研究。以问卷调查的方式对上述患者展开一般资料、汉密尔顿抑郁量表(HAMD)、自动思维问卷(ATQ)的调查以及分析化疗后患者不良反应情况,计算HAMD、ATQ评分。结果 (1)与化疗前相比,化疗后HAMD明显升高;(2)a.与化疗前及化疗前后非抑郁患者相比,化疗后抑郁患者负性自动思维评分明显升高;b.化疗前后的非抑郁患者,其负性自动思维评分明显升高;(3)不良反应对比:非抑郁患者总体不良反应率及不良反应级别均低于抑郁患者。结论食管癌患者在术后化疗期间极易产生负性情绪,影响患者的生存质量及其心理负担,应根据其自身情况施加干预手段,消除患者负性自动思维,以提高患者的生存期及生活质量。
Objective To observe the changes of Depression and Negative Automatic Thinking in patients with esophageal cancer after operation during Postoperative Chemotherapy. Methods 100 patients with esophageal cancer were retrospectively analyzed. Patients＇ normal information, HAMD, ATQ, and patients＇ adverse reactions were surveyed . Results ① Compared with preoperative chemotherapy, patients＇ HAMD score were significantly increasing during postoperative chemotherapy. ② a. Compared with non-depressed patients who were during preoperative and postoperative chemotherapy, the depressed patients＇ ATQ score was significantly increasing during postoperative chemotherapy, b. The non-depressed patients＇ ATQ score was significantly increasing during postoperative chemotherapy.③ The rate of adverse reactions in non-depressed patients was less than depressed patients＇. Conclusion Patients with esophageal cancer are likely to have negative emotions during postoperative chemotherapy. It would affect patients＇ QOI, and psychological burden. So it should exert intervention means based on their own condition to improve patient＇s survival and quality of life.
出处
《国际精神病学杂志》
2017年第3期512-515,共4页
Journal Of International Psychiatry
关键词
负性自动思维
食管癌
术后化疗
抑郁情绪
Strabismus and amblyopia
Children
Social anxiety
Mental traits
Mental health
Comprehensive intervention
