胃癌患者希望水平与焦虑抑郁情绪及社会支持的关系研究

摘要

目的 探讨胃癌患者希望水平的状况及其与焦虑抑郁情绪、社会支持的关系.方法 对120例住院胃癌患者应用Herth希望量表、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及社会支持评定量表进行调查,并与120例正常人做对照.结果 (1)胃癌组患者与对照组在希望总均分、焦虑总分、抑郁总分、社会支持总分上比较,差异均有统计学意义(P＜0.05).(2)希望总均分与焦虑总分、抑郁总分呈负相关,而与社会支持呈正相关(P＜0.05).(3)多元逐步回归发现:焦虑总分、抑郁总分、社会支持总分以及客观支持可解释46.6%的希望水平总变异量;胃癌患者的希望总均分=28.08-0.33×焦虑总分+0.28×社会支持总分-0.14×抑郁总分+0.21×客观支持.结论 焦虑抑郁情绪及社会支持是希望水平的重要预测因素,其中焦虑抑郁可能会不利于提高希望水平,而社会支持则有利于提高希望水平.%Objective To investigate gastric cancer patients' hope level status as well as the relationship between hope level, an×iety, depression and social support. Methods 120 gastric cancer patients and 120 healthy persons were e×amined by Herth Hope Inde× ( HHI ), Hamilton An×iety Scale ( HAMA ), Hamilton Depression Scale ( HAMD ) and social support rating scale ( SSRS ). Results (1) Compared with healthy persons, gastric cancer patients had higher scores of hope level, an×iety and depression, but lower scores of social support. There is statistical difference between them ( P <0. 05 ). (2) Correlation a-nalysis showed a significantly negative correlation among the level of hope, an×iety and depression and a significantly positive correlation between the level of hope and social support. ( 3 ) The multiple linear stepwise regression found that scores of an×iety, depression, social support and objective support could predict 46. 6% of the variation of the hope level. The total average score of the hope level equals to 28. 2 -0. 33 × total an×iety scores +0. 28 × total social support scores -0. 14 × total depression scores + 0. 21 ×total objective support scores. Conclusion An×iety, depression and social support were important factors for predicting hope level of gastric cancer patients.