Investigation on Anxiety and Depression of Postoperative Patients with Colorectal Neoplasms_West China Medical Journal

Authors：

ZHANG Lina ¹ ,  LI Jiping ²

1. Department of Nursing, West China Medical School, 2. Nursing Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Jiping, Email: zhang_ln82@163.com

Keywords：

抑郁; 焦虑; 结直肠癌; 术后; 调查

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【摘要】　目的　了解结直肠癌患者术后发生抑郁、焦虑状况，分析其影响因素。　方法　 2010年1-3月，采用Zung抑郁自评量表（SDS）、焦虑自评量表（SAS）和一般资料调查问卷，结合病历资料及心理评估，对64例结直肠癌术后患者进行测评，采用SPSS 13.0软件对数据进行统计分析。　结果　 64例患者SDS（47.02±10.38）分，SAS评分（42.42±7.96）分，均高于国内常模（P lt;0.001）。抑郁和焦虑发生率分别为42.2%、20.3%。造口患者抑郁得分高于非造口患者（P=0.004），Miles术患者抑郁得分高于非造瘘根治术患者（P=0.039），姑息术患者抑郁得分高于非造瘘根治术患者（P=0.007）；家庭月收入≤1 000元者抑郁得分高于1 001~3 000元及 gt;3 000元者（P=0.040，0.017）。不同情况患者焦虑得分差异无统计学意义（P gt;0.05）。SDS与SAS呈正相关（P lt;0.001）。　结论　结直肠癌术后患者存在不同程度的抑郁和焦虑。护理人员尤其应关注造口术后、晚期患者及收入低下患者，并进行针对性健康教育和心理干预。
【Abstract】　Objective　 To evaluate the postoperative anxiety and depression of patients with colorectal cancer and investigate its related factors. 　Methods　 From January to March 2010, 64 patients who were diagnosed to have colorectal cancer and received therapeutic operations were investigated with self-rating depressive scale (SDS), self-rating anxiety scale (SAS) and self-made related questionnaire respectively. Psychological assessment and medical records gathering were also carried out. The data collected were analyzed by SPSS 13.0.　Results　 The total score of SDS (47.02±10.38) and SAS (42.42±7.96) of the 64 patients were both higher than those of the general population (P lt;0.001). The incidence rate of depression and anxiety was 42.2% and 20.3% respectively. Patients without stoma had lower SDS scores than those with stoma (P=0.004); patients undergoing Miles operation had higher SDS scores than those receiving non-fistula formation radical operations (P=0.039); patients receiving palliative treatment had higher SDS scores than those receiving non-fistula formation radical operations (P=0.007); patients with family monthly income less than 1 000 RMB had higher SDS scores than those with more than 3 000 RMB and between 1 001-3 000 RMB (P=0.017, 0.040). SAS scores among different patients were not significantly different (P gt;0.05). SDS had positive correlation with SAS (P lt;0.001).　Conclusions　 Patients with colorectal cancer have higher emotions of anxiety and depression after operation than those in the general population. It is suggested that more psychological consultation, treatment and nursing should be carried out to promote the overall physical and mental rehabilitation of the patients, especially for those having undergone stoma formation, late-stage patients and those with a low income.

Citation： ZHANG Lina,LI Jiping. Investigation on Anxiety and Depression of Postoperative Patients with Colorectal Neoplasms. West China Medical Journal, 2011, 26(4): 590-593. doi: Copy

1.	李萍, 邹宏文. 直肠癌根治永久性结肠造口患者治疗期间心理体验的质性研究[J]. 解放军护理杂志, 2008, 25(1A): 5-8.
2.	郭卫刚. 癌症病人伴发心理障碍的预测[J]. 国外医学•精神病学分册, 1997, 24(3): 166.
3.	南克俊, 魏永长, 周芙玲. 消化道肿瘤患者抑郁症状的影响因素及细胞免疫功能的变化[J]. 第四军医大学学报, 2003, 24(17): 1627-1629.
4.	Dubinsky SL. Generalized anxiety disorder: new concepts and psychopharmacologic therapies[J]. J Clin Psychiatry, 1990, 51(1): 3-10.
5.	吴晴, 王崇顺, 周小寒, 等. 癌症患者抑郁情绪的调查分析[J]. 癌症, 1998, 17(5): 379-381.
6.	颜斐斐, 张立力. 结直肠癌术后患者癌因性疲乏与焦虑抑郁关系的研究[J]. 护理学杂志, 2009, 24(8): 83-85.
7.	陆敏, 夏媛媛. 癌症患者焦虑、抑郁情绪调查[J]. 中国心理卫生杂志, 1999, 13(3): 187.
8.	黄雪斐. 59例直肠癌患者焦虑状态的调查分析及护理[J]. 黑龙江护理杂志, 1999, 5(2): 30-31.
9.	张明圆. 精神科评定量表手册[M]. 长沙: 湖南科学技术出版社, 1998: 35-42.
10.	孙东辉, 王贵民, 王英超, 等. 接受不同术式的直肠癌患者的心理评估比较[J]. 医学与哲学, 2006, 27(8): 26-27.
11.	王逸如, 黄华兰, 应文娟, 等. 恶性肿瘤与良性疾病住院患者焦虑抑郁状况及影响因素[J]. 南方护理学报, 2004, 22(4): 47-49.
12.	许敏昭. 直肠癌造瘘术患者焦虑状况调查及原因分析[J]. 齐鲁护理杂志, 2009, 15(8): 88-89.
13.	覃惠英, 郑美春, 温咏珊, 等. 结肠造口患者生活质量的影响因素分析[J]. 癌症, 2004, 23(11s): 1589-1592.
14.	石素文, 潘莘莘. 结肠造口患者术后生活质量调查分析[J]. 南方护理学报, 2005, 12(10): 19-20.
15.	路潜, 郭蕾蕾, 王静. 直肠癌结肠造口患者生活质量的研究[J]. 中华护理杂志, 2002, 37(9): 648-651.
16.	张俊娥, 郑美春, 颜君. 结肠造口患者术后不同时期自我护理状况的调查[J]. 中国实用护理杂志, 2006, 22(1): 57-59.
17.	陈芳红, 陈惠敏, 徐玲芬, 等. 直肠癌结肠造口患者生活体验的质性研究[J]. 中国实用护理杂志, 2007, 23(1B): 13-15.
18.	云红, 聂红霞, 赵红. 直肠癌Mile手术后患者焦虑与相关因素调查分析[J]. 现代护理, 2004, 10(10): 892-893.

1. 　李萍, 邹宏文. 直肠癌根治永久性结肠造口患者治疗期间心理体验的质性研究[J]. 解放军护理杂志, 2008, 25(1A): 5-8.
2. 　郭卫刚. 癌症病人伴发心理障碍的预测[J]. 国外医学•精神病学分册, 1997, 24(3): 166.
3. 　南克俊, 魏永长, 周芙玲. 消化道肿瘤患者抑郁症状的影响因素及细胞免疫功能的变化[J]. 第四军医大学学报, 2003, 24(17): 1627-1629.
4. 　Dubinsky SL. Generalized anxiety disorder: new concepts and psychopharmacologic therapies[J]. J Clin Psychiatry, 1990, 51(1): 3-10.
5. 　吴晴, 王崇顺, 周小寒, 等. 癌症患者抑郁情绪的调查分析[J]. 癌症, 1998, 17(5): 379-381.
6. 　颜斐斐, 张立力. 结直肠癌术后患者癌因性疲乏与焦虑抑郁关系的研究[J]. 护理学杂志, 2009, 24(8): 83-85.
7. 　陆敏, 夏媛媛. 癌症患者焦虑、抑郁情绪调查[J]. 中国心理卫生杂志, 1999, 13(3): 187.
8. 　黄雪斐. 59例直肠癌患者焦虑状态的调查分析及护理[J]. 黑龙江护理杂志, 1999, 5(2): 30-31.
9. 　张明圆. 精神科评定量表手册[M]. 长沙: 湖南科学技术出版社, 1998: 35-42.
10. 　孙东辉, 王贵民, 王英超, 等. 接受不同术式的直肠癌患者的心理评估比较[J]. 医学与哲学, 2006, 27(8): 26-27.
11. 　王逸如, 黄华兰, 应文娟, 等. 恶性肿瘤与良性疾病住院患者焦虑抑郁状况及影响因素[J]. 南方护理学报, 2004, 22(4): 47-49.
12. 　许敏昭. 直肠癌造瘘术患者焦虑状况调查及原因分析[J]. 齐鲁护理杂志, 2009, 15(8): 88-89.
13. 　覃惠英, 郑美春, 温咏珊, 等. 结肠造口患者生活质量的影响因素分析[J]. 癌症, 2004, 23(11s): 1589-1592.
14. 　石素文, 潘莘莘. 结肠造口患者术后生活质量调查分析[J]. 南方护理学报, 2005, 12(10): 19-20.
15. 　路潜, 郭蕾蕾, 王静. 直肠癌结肠造口患者生活质量的研究[J]. 中华护理杂志, 2002, 37(9): 648-651.
16. 　张俊娥, 郑美春, 颜君. 结肠造口患者术后不同时期自我护理状况的调查[J]. 中国实用护理杂志, 2006, 22(1): 57-59.
17. 　陈芳红, 陈惠敏, 徐玲芬, 等. 直肠癌结肠造口患者生活体验的质性研究[J]. 中国实用护理杂志, 2007, 23(1B): 13-15.
18. 　云红, 聂红霞, 赵红. 直肠癌Mile手术后患者焦虑与相关因素调查分析[J]. 现代护理, 2004, 10(10): 892-893.

West China Medical Journal

Investigation on Anxiety and Depression of Postoperative Patients with Colorectal Neoplasms

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