摘要
目的:了解肺癌与乳腺癌患者心理健康状况的差异,并将肺癌患者与全国常模的测试结果进行比较。方法:选择2002-01/10在解放军总医院中医科确诊的肺癌患者50例,乳腺癌患者34例,应用症状自评量表(以躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性9个因子作为观察指标,按照0～4的5级评分,0=无,l=轻度,2=中度,3=相当重,4=严重),根据各自的实际情况做出独立的测试。将肺癌患者分别与全国常模和乳腺癌患者的心理测试结果进行比较。结果:纳入病例总数84例,进入结果分析84例,无脱落者。①肺癌患者与国内常模症状自评量表评分比较:肺癌患者总分、总均分、阳性项目数、阳性项目均分、躯体化、抑郁、焦虑、恐怖等因子分值均高于国内常模(145.12±40.36,129.96±38.76;1.61±0.41,1.44±0.43;31.86±18.32,24.92±18.41;2.82±0.45,2.60±0.59;1.55±0.49,1.37±0.48;1.72±0.65,1.50±0.59;1.73±0.40,1.39±0.43;1.38±0.45,1.23±0.41)。②肺癌患者与乳腺癌患者症状自评量表评分比较:肺癌患者焦虑、恐怖因子高于乳腺癌患者(1.73±0.40,1.54±0.46;1.38±0.45,1.19±0.39,P<0.05)。结论:肺癌患者存在不同程度的心理问题,肺癌患者的总体精神状况和躯体化、抑郁、焦虑、恐怖等方面与正常人比较均有显著差异,心身健康状态较差。肺癌患者焦虑、恐怖状况高于乳腺癌患者,可能与肺癌患者普遍病情较重,身体状况差,化疗反应较大,及预后差有关。而乳腺癌病情相对较轻,症状自评量表测试与全国常模比较差异较小。
AIM：To investigate the rlifferenee of mental health status between patients with lung cancer and mammary eaneer, and compare the results between patients with lung cancer and national norms.METHODS：Fifty patients with lung cancer and 54 patients with mammary cancer, who were diagnosed in the Department of Traditional Chinese Medicine, General Hospital of Chinese PLA between January and October 2002, were assessed with symptom checklist-90 （taking 9 factors of somatization, obsession-compulsion, interpersonal sensitivity, depression,anxiety, hostility, phobic anxiety, paranoid ideation and psychotieism as the observational indexes, the 5-grade scoring of 0 to 4 points was used： 0 as none, 1 as mild, 2 as moderate, 3 as quite severe, 4 as severe）, they were assessed independently according to their actual conditions, The assessed results of patients with lung cancer were compared with those of national norms and patients with mammary cancer.RESULTS：All the 84 patients were involved in the analysis of results without deletion. ① Comparison of the scores of symptom checklist-90 between patients with lung cancer and national norms： The total score,average total score, number of positive items, average score of positive items, scores of somatization, depression, anxiety and phobic anxiety were all higher in the patients with lung cancer than in national norms（145.12±40.36, 129.96±38.76; 1.61±0.41, 1.44±0.43; 31.86±18.32,24.92±18.41; 2.82±0.45, 2.60±0.59; 1.55±0.49, 1.37±0.48; 1.72±0.65,1.50±0.59; 1.73±0.40, 1.39±0.43; 1.38±0.45, 1.23±0.41）. ②Comparison of the scores of symptom checklist-90 between patients with lung cancer and mammary cancer： The scores of anxiety and phobic anxiety were higher in the patients with lung cancer than in those with mammary cancer （1.73±0.40,1.54±0.46; 1.38±0.45, 1.19±0.39； P 〈 0.05）.CONCLUSION：The patients with lung eaneer suffer from mental problems of different degree, and their total mental status, somatization,depression, anxiety and phobic anxiety are significantly different form those in normal people, and their mental health status is worse. The patients with lung cancer has higher scores of anxiety and phobic anxiety than those with mammary cancer, it may be associated with the severer condition of disease, bad physical status, greater reaction to chemotherapy and bad prognosis in patients with lung cancer, but the condition of disease is relatively lighter in patients with mammary ranter, and their results of symptom checklist-90 have smaller differences as compared with the national norms.
出处
《中国临床康复》
CSCD
北大核心
2005年第20期124-125,共2页
Chinese Journal of Clinical Rehabilitation
