摘要目的：本研究主要是通过调查晚期癌症患者家属的焦虑、抑郁心理健康状况，然后再分 析影响晚期癌症患者家属心理健康状况的主要因素。方法：本研究选取 2016 年 3 月-2017年 3 月在某医院肿瘤科住院治疗的晚期癌症患者家属作为调查对象，对 200 例符合入组标准的家属进行问卷调查，回收 180 份，回收率为 90%，其中剔除 9 分不合格问卷，有效问卷为 171 份，问卷有效率为 95％。问卷调查内容包括：医院焦虑抑郁量表（HADS）、参照国内外 文献，自行编制的晚期癌症患者及家属的一般情况调查表。本研究运用 SPSS20．0 统计软件 对资料进行整理和统计分析，对调查所获得的结果以频数、构成比、均数、标准差等形式进 行描述，并采用方差分析的方法对可能影响晚期癌症患者家属的焦虑抑郁的因素进行单因素 分析；以及对单因素分析中有统计学意义（P<0。05）的自变量进行多元线性逐步回归分析。 结果：显示晚期癌症患者家属有焦虑症状的占 60。23%；影响焦虑状况的因素有：与患者关 系、家属年龄。62。57%的家属存在抑郁症状；其主要影响因素为：与患者关系、患者知情情 况、家属年龄。结论：通过本次调查研究得出：晚期癌症患者家属存在着较严重的焦虑、抑 郁症状。而影响家属焦虑、抑郁的共同因素有：与患者关系、家属年龄；而患者的知情情况 也是抑郁的高危因素。88906

毕业论文关键词：晚期癌症患者家属；焦虑；抑郁；影响因素

Abstract Objective: In order to investigate the family members of patients with advanced cancer anxiety and depression, psychological health status, and analyze the main influence factors。 Method: This study selected in 2016 March -2017 year in March in the tumor department of a hospital family of patients with advanced cancer treatment as the object of investigation。 A questionnaire survey was conducted to meet the standard set of families in 200 cases。 The content of questionnaire  include:  the hospital anxiety and Depression Scale (HADS), the advanced cancer patients and their families by the general situation questionnaire。 In this study, the use of SPSS20。0 statistical software for data sorting and statistical analysis of survey results, obtained by frequency, composition ratio, mean, standard deviation and other forms of description; using the method of analysis of variance of the families of patients with advanced cancer of the depression and anxiety factors were analyzed by single factor analysis of single factor analysis; there was statistical significance (P<0。05) stepwise multiple linear regression analysis of the independent variables。 Results: The results showed that the families of cancer patients have symptoms of anxiety accounted for 60。23%; influencing factors of anxiety of patients, families and relationships are: age。 The 62。57%  families had depressive symptoms; and its  main influencing factors   are:

relationship, and  were  informed,  the  families  of the age。  Concludes：Through this

study concludes that: The families of patients with advanced cancer, there are serious anxiety and depression symptoms。 And the families of the effects of anxiety, depression, there are common factors: The relationship with patients, family members' age; And informed patients are high risk factors of depression。

Keywords：Families of the patient with Advanced cancer; anxiety; depression; influencing factors

目 录

1 前言 1

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1。2 国内外研究现状