CAJ | 학술논문

目的：分析2013年广州市萝岗区社区随访癌症患者焦虑、抑郁情况，为更好地开展社区随访干预提供科学依据。方法对全区社区卫生服务机构的癌症随访工作人员开展培训，使之掌握焦虑量表（SAS）、抑郁量表（SDS）正确的使用方法，对全区168名癌症患者开展焦虑、抑郁量表调查，其中回收有效的焦虑自评量表150份，有效的抑郁自评量表168份，对焦虑、抑郁量表数据进行统计分析。结果伴有焦虑情绪的占49.33%，伴有抑郁情绪的占49.40%，焦虑以及抑郁情绪的发生率较高。女性焦虑、抑郁评分分别为（51.5±9.2）分和（50.9±10.6）分，均明显高于男性患者（44.9±8.6）分和（44.1±9.3）分，差异具有统计学意义（P<0.05）。肠癌患者的SAS评分显著高于其他类型癌症患者；乳腺癌患者的SDS评分显著高于其他类型癌症患者。结论在社区随访的癌症患者普遍存在轻度以上的焦虑和抑郁情绪，需要社区卫生服务中心的工作人员提供更多的心理支持，或是通过药物治疗减轻患者的焦虑和抑郁症状，提高患者的生存质量。
목적：분석2013년엄주시라강구사구수방암증환자초필、억욱정황，위경호지개전사구수방간예제공과학의거。방법대전구사구위생복무궤구적암증수방공작인원개전배훈，사지장악초필량표（SAS）、억욱량표（SDS）정학적사용방법，대전구168명암증환자개전초필、억욱량표조사，기중회수유효적초필자평량표150빈，유효적억욱자평량표168빈，대초필、억욱량표수거진행통계분석。결과반유초필정서적점49.33%，반유억욱정서적점49.40%，초필이급억욱정서적발생솔교고。녀성초필、억욱평분분별위（51.5±9.2）분화（50.9±10.6）분，균명현고우남성환자（44.9±8.6）분화（44.1±9.3）분，차이구유통계학의의（P<0.05）。장암환자적SAS평분현저고우기타류형암증환자；유선암환자적SDS평분현저고우기타류형암증환자。결론재사구수방적암증환자보편존재경도이상적초필화억욱정서，수요사구위생복무중심적공작인원제공경다적심리지지，혹시통과약물치료감경환자적초필화억욱증상，제고환자적생존질량。
Objective To analyze the area in 2013,Guangzhou Luogang community follow-up of cancer patients anxiety, depression, and to provide a scientific basis for better development of community follow-up intervention. Methods Cancer follow-up training of staff of the region's community health services, training, proper used of each unit staff Anxiety Scale, Depression Scale, the survey region 168 cancer patients carried anxiety, depression scale, which effectively self-rating anxiety scale 150, effective self-rating depression scale 168 copies, statistical analyzed of anxiety and depression scale data. Results The anxiety associated with accounting for 49.33%;accompanied by depression accounted for 49.40%, a higher incidence of anxiety and depression. Women's anxiety and depression scores were 51.5 ± 9.2 and 50.9 ± 10.6, higher than those of male patients 44.9 ± 8.6 and 44.1 ± 9.3, the difference was significant statistically (P<0.05). Patients with colorectal cancer in SAS score was significantly higher than those in patients with other types of cancer; Breast cancer patients SDS score significantly was higher than those in patients with other types of cancer. Conclusion The prevalence of cancer patient community follow-up of more than mild anxiety and depression, you need to staff community health centers to provide more psychological support, or to reduce anxiety and depression symptoms through medication, and to improve patient survival quality.