原發(fā)性肝細胞癌患者術前焦慮抑郁狀況及相關因素研究

張靜，安松林，王黎明，榮維淇，吳凡，馮莉，吳健雄(.北京回龍觀醫(yī)院心身醫(yī)學科，北京00096；.北京協(xié)和醫(yī)學院/中國醫(yī)學科學院腫瘤醫(yī)院肝膽外科，北京000)

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原發(fā)性肝細胞癌患者術前焦慮抑郁狀況及相關因素研究

張靜1，安松林2，王黎明2，榮維淇2，吳凡2，馮莉2，吳健雄2
(1.北京回龍觀醫(yī)院心身醫(yī)學科，北京100096；2.北京協(xié)和醫(yī)學院/中國醫(yī)學科學院腫瘤醫(yī)院肝膽外科，北京100021)

[摘 要]目的 研究原發(fā)性肝細胞癌患者術前焦慮抑郁狀況及相關因素。方法 采用焦慮自評量表(SAS)和抑郁自評量表(SDS)對2014年1月至2014年12月142例原發(fā)性肝細胞癌患者術前的焦慮、抑郁狀況進行調(diào)查，并分析影響焦慮和抑郁發(fā)生的相關因素。結果 142例肝細胞癌患者術前SAS平均標準分為(55.41± 10.13)分，69.01%(98/142)的患者伴有焦慮情緒，術前SDS平均標準分為(54.59±12.22)分，59.86%(85/142)的患者伴有抑郁情緒。教育程度、婚姻狀況、醫(yī)療費用來源、經(jīng)濟狀況等因素影響焦慮、抑郁情緒的發(fā)生。

結論 肝細胞癌患者術前焦慮抑郁情緒發(fā)生率較高，應充分認識此現(xiàn)象并給予合理干預。

[關鍵詞]肝細胞癌；焦慮；抑郁

Study on anxiety and depression in preoperative patients with hepatocellular carcinoma

ZHANG Jing1, AN Song-lin2, WANG Li-ming2, RONG Wei-qi2, WU Fan2, FENG Li2, WU Jian-xiong2.1Department of Psychosomatic Medicine, Beijing Huilongguan Hospital, Beijing 100096, China;2Department of Hepatobiliary Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China

Abstract ObjectiveTo investigate preoperative anxiety and depression status in hepatocellular carcinoma patients and to study the associating factors.MethodsThe Self-Rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were used to study the psychological status in 142 hepatocellular carcinoma patients admitted from January 2014 to December 2014.ResultsThe average score of SAS was 55.41±10.13, and 69.01% (98/142) of these patients were combined with anxiety.The average score of SDS was 54.59±12.22, and 59.86% (85/142) of these patients were combined with depression.Multivariate logistic regression analysis showed that education level, marital status, types of medical payment, and economic conditions in■uenced the occurrence of anxiety and depression.ConclusionA high incidence of preoperative anxiety and depression is found in hepatocellular carcinoma patients, and medical staff should fully understand this phenomenon and give reasonable intervention.

Key words hepatocellular carcinoma； anxiety； depression

根據(jù)2008年全球癌癥統(tǒng)計數(shù)據(jù)，原發(fā)性肝癌年新發(fā)病例超過70萬例，而中國幾乎占據(jù)總數(shù)的55%[1]，肝癌在我國居惡性腫瘤死亡率的第二位[2]。肝癌患者術前承受巨大心理負擔，從而產(chǎn)生明顯的焦慮抑郁情緒，目前相關報道較少。本研究通過對2014年1月至2014年12月中國醫(yī)學科學院腫瘤醫(yī)院肝膽外科142例肝細胞癌患者術前的焦慮抑郁狀況進行調(diào)查，初步闡明肝癌術前焦慮抑郁的發(fā)病情況及發(fā)病相關因素。……