【摘要】 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。更多还原

【Abstract】 Objective To investigate and analyze anxiety and depression and impact factors about glioma patients to provide a reliable theoretical basis on clinical diagnosis.Methods 98 cases of glioma patients from March 2005 to October 2012 admitted in our hospital were chosen as a clinical study,their own depression was evaluated by the application of anxiety self-rating scale(SAS) and depression scale(SDS),then the questionnaires of the application of the influencing factors by designing themselves were observed and analyzed related impact factors.Results This group of patients with severe anxiety was less than who with mild,moderate anxiety,respectively 45.9% and 32.7%(P<0.05),it had statistics significantly.While the number of the group of patients with mild and moderate depression had no significant difference(P>0.05).The working impact and treatment effects were the most common psychological and anxious impact factors in the group,respectively 11.2% and 18.4%,death and self-care ability were rare,respectively 5.1% and 7.1%,but there was no significant difference about the other impact factors such as the cost of hospitalization,family responsibilities,social support,adverse reactions,medical technical problem(P> 0.05).Conclusions The glioma patients had more anxiety and depression.And the impact factors which have differences influenced normal life of patients.Psychological anxiety and depression were analyzed to identify the related factors.This could help ease the degree of psychological barriers of patient to achieve the purpose of the Internal and External treatment.It was worthy of popularizing in the clinical range.更多还原