【摘要】 目的探讨手术患者心理健康状况及其相关因素。方法应用抑郁自评量表(SDS)和焦虑自评量表(SAS)及自行设计的患者情感状况相关因素调查表,对手术患者141例(观察组)及非手术患者134例(对照组)进行测评。结果观察组抑郁和焦虑水平及阳性率均高于对照组,差异有统计学意义(P<0.01);心理健康状况的相关因素以对家庭的责任未尽(48.94%),担心治疗效果(78.72%),疼痛(75.89%),担心住院费用、不了解疾病知识及生活自理能力下降为主(均占68.09%)。结论手术患者的抑郁和焦虑情感障碍发生率及程度高于非手术患者,引起心理障碍的因素主要有家庭的责任未尽、担心治疗效果及住院费用、疼痛、不了解疾病相关知识及自理能力下降。更多还原

【Abstract】 Objective To explore the mental health status of patients undergoing surgical treatment and the correlation factors. Methods 141 patients undergoing surgery (observation group) and 134 patients undergoing non-surgical treatments (control group) were invited for our investigation by self-rating depression scale (SDS), self-rating anxiety scale (SAS) and self-edited related factors questionnaire. The data was analyzed statistically. Results The SDS and SAS scores of observation group were higher than those of control group (P<0.01). Correlation factors that influence the mental health included: unfinished responsibility for the families (48.94%), worrying about the therapeutic efficacy (78.72%), pain (75.89%), worrying about the cost for hospitalization and less knowledge about illness, worrying about decrease of self-care ability (both 68.09%). Conclusions The incidence of depression and anxiety of patients undergoing surgery was higher than that of the patients undergoing no-surgical treatment. The major factors which lead to mental disorders include the unfinished responsibility for the families, worries about the therapeutic efficacy, pain, cost for hospitalization, less knowledge about illness, and decrease of self-care ability.更多还原