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目的调查分析完全肠外营养(TPN)癌症晚期患者家属心理状况。方法采用自制一般情况调查表,通过焦虑自评量表(SAS)、症状自评量表(SCL-90)、抑郁自评量表(SDS)对患者直系家属进行问卷调查,与国内常模组各因子比较。结果患者家属精神症状、抑郁、偏执、焦虑、强迫、恐怖6个方面是尤为突出的心理障碍。患者家属SAS、SDS总粗分和标准分均高于国内常模组,差异均有统计学意义(P<0.01)。结论医务工作者要理解家属处境,要有爱心、耐心,并给予精神及言语安慰,尽量满足患者家属的要求,必要时给予药物治疗。
Objective To investigate the psychological status of family members of patients with advanced parenteral nutrition (TPN). Methods A self-made general questionnaire was used to investigate the direct family members of the patients through self-rating anxiety scale (SAS), symptom self-rating scale (SCL-90) and depression self-rating scale (SDS) Each factor is compared. Results The psychiatric symptoms, depression, paranoid, anxiety, coercion and terror were the most prominent psychological disorders in the patients. SAS and SDS total score and standard score of family members of the patients were higher than those of the domestic norm group, the differences were statistically significant (P <0.01). Conclusion Medical workers should understand the situation of their relatives, love and patience, give them spiritual and verbal comfort, try their best to meet the needs of the patients’ families, and give medications if necessary.