胶质细胞瘤患者主要照顾者术前心理困扰及其相关因素的临床研究。
Clinical study of preoperative psychological distress and its related factors in the primary caregivers of patients with glioma.
机构信息
School of Nursing, Southwest Medical University, Taiping Street 25#, Lu Zhou, 646000, China; Department of Anorectal, The Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University, Chunhui Road 16#, Lu Zhou, 646000, China.
Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Taiping Street 25#, Lu Zhou, 646000, China; Neurosurgery Clinical Medical Research Center of Sichuan Province, Taiping Street 25#, Lu Zhou, 646000, China.
出版信息
Clin Neurol Neurosurg. 2021 Jan;200:106364. doi: 10.1016/j.clineuro.2020.106364. Epub 2020 Nov 26.
OBJECTIVE
To investigate the preoperative psychological distress in the primary caregivers of glioma patients and its influencing factors and to determine the relationship between preoperative psychological states of glioma patients and their caregivers.
METHODS
Using a mixed methods design, the caregivers of patients with malignant glioma were interviewed and completed questionnaires about anxiety/depression and family function during preoperative period.
RESULTS
Caregivers of glioma patients had different types of psychological distress before surgery. A total of 46 caregivers (36.5 %) had preoperative psychological depression or anxiety symptom; 30 caregivers (23.8 %) had depression symptoms, 39 caregivers (31.0 %) had anxiety symptoms, and 23 (18.3 %) had both preoperative anxiety and depression symptoms. Female gender was an influential factor for both preoperative depression and anxiety symptoms in caregivers, surgical information was a risk factor for caregivers' preoperative depression symptoms and residence was a risk factor for caregivers' preoperative anxiety symptoms. The preoperative psychological states of patients was positively correlated with the preoperative anxiety and depression symptoms of caregivers.
CONCLUSION
The rural female caregivers are more likely to experience psychological distress before surgery, and the preoperative psychological states of patients was positively correlated with the psychological distress in caregivers.
目的
调查脑胶质瘤患者主要照顾者术前心理困扰及其影响因素，并确定脑胶质瘤患者及其照顾者术前心理状态之间的关系。
方法
采用混合方法设计，在术前期间对恶性脑胶质瘤患者的照顾者进行访谈并完成焦虑/抑郁和家庭功能问卷。
结果
脑胶质瘤患者术前存在不同类型的心理困扰。共有 46 名照顾者（36.5%）存在术前心理抑郁或焦虑症状；30 名照顾者（23.8%）有抑郁症状，39 名照顾者（31.0%）有焦虑症状，23 名照顾者（18.3%）同时有术前焦虑和抑郁症状。女性是照顾者术前抑郁和焦虑症状的影响因素，手术信息是照顾者术前抑郁症状的危险因素，居住地是照顾者术前焦虑症状的危险因素。患者的术前心理状态与照顾者的术前焦虑和抑郁症状呈正相关。
结论
农村地区女性照顾者更有可能在术前经历心理困扰，且患者的术前心理状态与照顾者的心理困扰呈正相关。
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