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通过收集2013年9月至2015年3月,嵊州市人民医院门诊和住院的癌痛患者,入组患者共159例,轻度癌痛患者52例,中度癌痛患者62例,重度癌痛患者45例。全部癌痛患者完成一般资料问卷、抑郁自评量表(SDS)、焦虑自评量表(SAS)。结果显示,中度癌痛患者抑郁发生率80.65%,重度癌痛患者抑郁发生率93.33%,均高于轻度癌痛组抑郁发生率28.85%,差异均有统计学意义(χ2=30.96、41.40,P=0.000、0.000)。中度癌痛患者焦虑发生率70.97%,重度癌痛患者焦虑发生率86.67%,高于轻度癌痛组焦虑发生率17.31%,差异均有统计学意义(χ2=32.73、46.42,P=0.000、0.000)。轻、中、重组癌痛患者SDS分值分别为(49.67±11.00)分、(61.98±10.59)分、(69.98±10.84)分,轻度癌痛组与中、重度癌痛组比较差异有统计学意义(Z=-38.30、-51.62,P=0.000、0.000);中度癌痛组与重度组癌痛组比较差异有统计学意义(Z=-33.84,P=0.000)。轻、中、重组癌痛患者SAS分值分别为(44.00±8.67)分、(53.98±10.05)分、(58.78±10.17)分,中、重度癌痛患者的SAS平均分均高于轻度癌痛组,差异有统计学意义(Z=-36.45、-44.26,P=0.000、0.000)。中、重度癌痛患者的焦虑差异有统计学意义(Z=-2.37,P=0.018)。癌痛程度对癌痛患者的焦虑、抑郁情绪有重要的影响,积极有效地控制癌痛对于改善癌痛患者的心理状态有重要意义。
A total of 159 patients were enrolled in the outpatient and inpatient hospital of Shengzhou People’s Hospital from September 2013 to March 2015. There were 159 patients with mild cancer pain, 62 patients with moderate cancer pain, 45 patients. All patients with cancer pain completed a general information questionnaire, self-rating depression scale (SDS), self-rating anxiety scale (SAS). The results showed that the incidence of depression in patients with moderate cancer pain was 80.65%, the incidence of depression in patients with severe cancer pain was 93.33%, which was significantly higher than that in patients with mild cancer pain (28.85%, χ2 = 30.96,41.40 , P = 0.000,0.000). The incidence of anxiety in patients with moderate cancer was 70.97%, that of patients with severe cancer was 86.67%, higher than that in patients with mild cancer (17.31%), the differences were statistically significant (χ2 = 32.73, 46.42, P = 0.000 , 0.000). The SDS scores of patients with mild, moderate and severe cancer pain were (49.67 ± 11.00) points (61.98 ± 10.59) and (69.98 ± 10.84) points, respectively. There were statistically significant differences between mild and moderate cancer pain groups (Z = -38.30, -51.62, P = 0.000,0.000). There was significant difference between moderate cancer pain group and severe cancer pain group (Z = -33.84, P = 0.000). The SAS scores of patients with mild, moderate and severe cancer were (44.00 ± 8.67), (53.98 ± 10.05) and (58.78 ± 10.17) respectively. The SAS scores of patients with moderate and severe cancer were higher than those with mild cancer Pain group, the difference was statistically significant (Z = -36.45, -44.26, P = 0.000,0.000). The difference of anxiety between moderate and severe cancer patients was statistically significant (Z = -2.37, P = 0.018). Cancer pain in patients with anxiety and depression have a significant impact on the positive and effective control of cancer pain for improving the psychological state of patients with cancer pain is of great significance.