CAJ | 학술논문

目的：了解胃肠道恶性肿瘤患者抑郁焦虑情况，并探讨导致胃肠道恶性肿瘤患者抑郁焦虑发生的相关因素。方法：选取2010年-2013年来我院接受治疗的胃肠道恶性肿瘤患者120例，采用问卷方式调查焦虑及抑郁发生情况，与国内常模比较 SAS 及 SDS 评分，并找出其中影响胃肠道肿瘤患者放化疗后焦虑抑郁状态的因素。结果：患者整体的焦虑抑郁发生率为44.17％，焦虑抑郁患者的 SAS、SDS 评分显著高于国内常模（P ＜0.05）。影响患者焦虑抑郁发生的主要因素为疼痛、担心住院费用、担心医疗费用、担心医护人员的工作情况等11项。结论：影响胃肠道恶性肿瘤患者焦虑、抑郁发生的因素是多方面的，需要采取综合措施才能进行有效干预。
목적：료해위장도악성종류환자억욱초필정황，병탐토도치위장도악성종류환자억욱초필발생적상관인소。방법：선취2010년-2013년래아원접수치료적위장도악성종류환자120례，채용문권방식조사초필급억욱발생정황，여국내상모비교 SAS 급 SDS 평분，병조출기중영향위장도종류환자방화료후초필억욱상태적인소。결과：환자정체적초필억욱발생솔위44.17％，초필억욱환자적 SAS、SDS 평분현저고우국내상모（P ＜0.05）。영향환자초필억욱발생적주요인소위동통、담심주원비용、담심의료비용、담심의호인원적공작정황등11항。결론：영향위장도악성종류환자초필、억욱발생적인소시다방면적，수요채취종합조시재능진행유효간예。
Objective:To investigate gastrointestinal tract malignant tumor patientsˊ incidence of depression and anxiety and to explore the influence factors of anxiety and depression in patients with gastroenteric tumor after chemo-radiotherapy. Methods:Selected 120 patients with malignant gastroenteric tumor and chemoradiotherapy in our hospi-tal,investigated the anxiety and depression of patients by questionnaire compared SAS and SDS score with national norm,and found out the influence factors. Results:The overall incidence of anxiety and depression was 44. 17% ,SAS and SDS score of anxiety and depression were significantly higher than national norm(P < 0. 05),the main influence factors for anxiety and depression were pain,concern about hospital cost,medical cost and so on. Conclusion:Many factors can influence on the anxiety and depression of patients with gastrointestinal tract malignant tumor,it needs complex measures for effective intervention.