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目的探讨脑胶质瘤患者焦虑、抑郁情绪状况及影响因素,为临床诊断提供可靠的理论基础。方法选取我院2005年3月至2012年10月间收治的98例脑胶质瘤患者,采用焦虑自评量表(SAS)及抑郁自量表(SDS)对自身抑郁情况进行评价,然后采用自行设计的影响因素调查表,观察并分析其相关影响因素。结果该组患者中出现重度焦虑心理的人数均较轻度、中度焦虑心理的人数少,分别少45.9%和32.7%,差异有统计学意义(P<0.05)。而该组患者中出现轻度、中度焦虑心理的人数差异无统计学意义(P>0.05)。该组患者中出现重度抑郁心理的人数均较轻度、中度抑郁心理的人数少,分别少53.1%和34.7%,差异有统计学意义(P<0.05)。而该组患者中出现轻度、中度抑郁心理的人数差异无统计学意义(P>0.05)。该组患者产生焦虑心理的影响因素中最常见的为工作影响及治疗效果,分别为11.2%和18.4%,较少见的为死亡及自理能力,分别为5.1%和7.1%,但与其他影响因素如住院费用、家庭责任、社会支持、不良反应和医疗人员技术问题等差异无统计学意义(P>0.05)。结论脑胶质瘤患者的焦虑抑郁情绪较多,且影响因素存在一定差异,对患者的正常生存生活造成影响,针对其焦虑、抑郁的心理进行分析,找出相关影响因素,可有助于缓解患者的心理障碍程度,从而达到内外兼治的目的,值得在临床范围内广泛推广。
Objective To investigate the status of anxiety and depression in patients with glioma and its influencing factors so as to provide a reliable theoretical basis for clinical diagnosis. Methods Ninety-nine patients with glioma who were treated in our hospital from March 2005 to October 2012 were selected and their self-depressive symptoms were evaluated by self-rating anxiety scale (SAS) and depression self-rating scale (SDS) Self-designed questionnaire of influencing factors, observing and analyzing its related influencing factors. Results The number of patients with severe anxiety in this group of patients was mild, while the number of moderate anxiety patients was less (45.9% and 32.7% respectively). The difference was statistically significant (P <0.05). There was no significant difference in the number of mild and moderate anxiety among the group of patients (P> 0.05). The number of patients with major depressive psychosis in this group of patients was mild, moderate depression was less, respectively, less 53.1% and 34.7%, the difference was statistically significant (P <0.05). There was no significant difference in the number of mild and moderate depression in this group of patients (P> 0.05). The most common influencing factors of anxiety in this group of patients were work effect and treatment effect, which were 11.2% and 18.4% respectively. The less common were death and self-care ability, which were respectively 5.1% and 7.1% Factors such as hospitalization costs, family responsibilities, social support, adverse reactions and technical problems of medical staff were not statistically different (P> 0.05). Conclusion There are many anxiety and depression emotions in patients with glioma, and the influencing factors are different, affecting the normal life and death of patients. Analyzing the psychology of anxiety and depression and finding the relevant factors may help to alleviate the anxiety and depression. Patients with mental disorders, so as to achieve the purpose of both internal and external, it is worth in the clinical range widely.