CAJ | 학술논문

目的探讨食管癌患者知晓癌症病情对其子女心理健康状况的影响,以及影响食管癌患者子女心理健康状况的因素.方法选取解放军济南军区总医院胸外科明确诊断为食管癌并即将近期手术患者的子女107例,根据患者是否知晓癌症病情分为知晓病情组(45例)和不知晓病情组(62例).应用症状自评量表(SCL-90)中文版进行调查.结果在107名食管癌患者子女总体心理健康状况调查中抑郁[(1.62±0.30)分]、焦虑[(1.78±0.34)分]及敌对[(1.93±0.47)分]症状因子得分高于国内常模(P＜0.01);知晓和不知晓癌症病情患者的两组子女心理健康状况总分、躯体化、强迫状态、人际关系敏感、抑郁、敌对、恐怖及偏执等得分均差异无统计学意义(P＞0.05);不知晓病情患者的子女组焦虑症状[(1.89±0.33)分]高于知晓病情患者的子女组[(1.62±0.33)分],差异有统计学意义(P＜0.01).多元逐步回归分析发现,年龄和知晓病情情况是影响食管癌患者子女焦虑症状的因素(P＜0.05).结论食管癌患者知晓癌症病情可减轻其子女焦虑症状.
목적 탐토식관암환자지효암증병정대기자녀심리건강상황적영향,이급영향식관암환자자녀심리건강상황적인소.방법 선취해방군제남군구총의원흉외과명학진단위식관암병즉장근기수술환자적자녀107례,근거환자시부지효암증병정분위지효병정조(45례)화불지효병정조(62례).응용증상자평량표(SCL-90)중문판진행조사.결과 재107명식관암환자자녀총체심리건강상황조사중억욱[(1.62±0.30)분]、초필[(1.78±0.34)분]급활대[(1.93±0.47)분]증상인자득분고우국내상모(P＜0.01);지효화불지효암증병정환자적량조자녀심리건강상황총분、구체화、강박상태、인제관계민감、억욱、활대、공포급편집등득분균차이무통계학의의(P＞0.05);불지효병정환자적자녀조초필증상[(1.89±0.33)분]고우지효병정환자적자녀조[(1.62±0.33)분],차이유통계학의의(P＜0.01).다원축보회귀분석발현,년령화지효병정정황시영향식관암환자자녀초필증상적인소(P＜0.05).결론 식관암환자지효암증병정가감경기자녀초필증상.
Objective To explore the impact of patients with esophageal cancer knowing diagnosis on the mental health of their children and investigate the factors.Methods 107 family carriers whose parent diagnosed esophageal cancer in General Hospital of Jinan Command were interviewed.Respondents were categorized into two groups:one group was those whose parents knew their diagnosis(Group A,n=45)and the other group was those whose parents did not know(Group B,n=62).The Chinese version of Self-reporting Inventory(SCL-90) was used.Results The scores of 107 children of esophageal cancer patients in depression(1.62±0.30),anxiety(1.78±0.34) and hostility (1.93±0.47) were higher than national norms (P＜0.01).Compared with group A,group B showed a significant higher degree of anxiety((1.89±0.33) vs (1.62±0.33),P＜0.01).In multiple regression analysis,age and the knowledge of esophageal cancer diagnosis had statistically significant difference (P＜ 0.05).Conclusion Patients' knowledge of the esophageal cancer diagnosis contribute to relieving family carers' symptoms of anxiety.