CAJ | 학술논문

目的：：研究不同对象的病情沟通对胃癌术后化疗患者的抑郁影响。方法：150例胃腺癌患者随机分成2组，实验组与患者本人直接进行病情沟通，对照组仅仅与患者委托人进行病情沟通。运用Zung抑郁自评量表分别对二组患者进行病情沟通前后的抑郁程度评价。结果：进行病情沟通前二组患者的抑郁率相比无明显的差异（P>0.05），进行不同对象的病情沟通后二组的抑郁率有明显的差异性，实验组的抑郁率明显的低于对照组( P＜0.05）。结论：在胃腺癌患者进行化疗前与患者本人的直接沟通比与患者委托人的沟通对更为有效，有较低的抑郁率。
목적：：연구불동대상적병정구통대위암술후화료환자적억욱영향。방법：150례위선암환자수궤분성2조，실험조여환자본인직접진행병정구통，대조조부부여환자위탁인진행병정구통。운용Zung억욱자평량표분별대이조환자진행병정구통전후적억욱정도평개。결과：진행병정구통전이조환자적억욱솔상비무명현적차이（P>0.05），진행불동대상적병정구통후이조적억욱솔유명현적차이성，실험조적억욱솔명현적저우대조조( P＜0.05）。결론：재위선암환자진행화료전여환자본인적직접구통비여환자위탁인적구통대경위유효，유교저적억욱솔。
Objective: To study the impact of different targets of communication on the depression status of stomach carcinoma patients post-operatively treated with chemotherapy. Method: 150 post-operative patients of stomach carcinoma divides randomly into 2 groups. In the experimental group the doctor and patient discuss the condition directly, while in the control group the doctor discusses the condition merely with the trustee. Zung depression self-assessment scale is adopted to measure depression status before and after the condition discussions between two groups. Results: The depression rate of two groups of patients before the condition discussion was no significant differences (P >0.05). The depression rate in the experimental group is significantly lower than in the control group (P<0.05) after the condition discussions between two groups. Conclusion: Direct discussion with the patient himself/herself before chemotherapy in patients with stomach carcinoma is more effective than with the trustee, with lower rate of depression.