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目的探讨在北京市癌症康复期患者的心理健康状况以及影响其心理健康的因素。方法针对2010年10月至2012年1月在中国医学科学院肿瘤医院治疗后出院的研究对象进行问卷调查,然后用SCL-90自评量表评价其心理健康状态,结果与1986年全国常模进行比较分析。结果相比于全国常模,742例癌症康复患者的总分(137.48±38.16)、总均分(1.53±0.42)、阳性项目数(31.64±18.61)、躯体化(1.61±0.47)、强迫(1.80±0.60)、抑郁(1.59±0.54)、焦虑(1.45±0.48)、恐怖(1.35±0.48)和精神病性(1.34±0.42)因子得分较高(P<0.01);而阳性症状分(2.43±0.43)、人际关系敏感(1.52±0.54)、敌对(1.44±0.45)和偏执(1.38±0.48)因子得分较低(P<0.01)。配偶的存在与各因子得分呈负相关(P<0.05),且影响因子阳性率。年龄的增长与敌对和精神病性得分呈负相关(P<0.01和P<0.05),初中以上文化与焦虑呈负相关(P<0.05)且影响敌对和偏执因子阳性率(P<0.05和P<0.01)。结论癌症康复患者的心理健康状态明显低于常模,为了帮助患者康复、改善预后,有必要进行适当的心理干预。
Objective To investigate the mental health status and the factors that affect their mental health in patients with cancer rehabilitation in Beijing. Methods From October 2010 to January 2012 in the Chinese Academy of Medical Sciences Cancer Hospital discharged from the questionnaire survey of subjects, and then use the SCL-90 self-rating scale to evaluate their mental health status, the results of the national model in 1986 comparative analysis. Results The total score (137.48 ± 38.16), total score (1.53 ± 0.42), number of positive items (31.64 ± 18.61), somatization (1.61 ± 0.47), forced 1.80 ± 0.60, 1.59 ± 0.54, 1.45 ± 0.48, 1.35 ± 0.48 and 1.34 ± 0.42, respectively (P <0.01), but the positive score (2.43 ± 0.48) 0.43), interpersonal sensitivity (1.52 ± 0.54), hostility (1.44 ± 0.45) and paranoid (1.38 ± 0.48) factors (P <0.01). The presence of spouse was negatively correlated with each factor score (P <0.05), and the positive rate of influencing factors. There was a negative correlation between age and adversity and psychiatric scores (P <0.01 and P <0.05), negative correlation between anxiety and junior high school (P <0.05), and the positive rates of hostility and paranoid factors (P <0.05 and P < 0.01). Conclusion The mental health of patients with cancer rehabilitation is significantly lower than that of norm. In order to help patients recover and improve their prognosis, it is necessary to make proper psychological intervention.