黄石市30年3819例肺癌患者心理特点变化趋势分析

目的:探讨黄石市30年3819例肺癌患者心理变化特点,为相关决策提供理论依据。方法:收集1985-2014年30年间我院收治的新发肺癌患者3819例,以2000年为界,分为前15年(1985年-1999年)组828例和后15年(2000-2014年)组2991例,观察患者心理特点,比较对肿瘤放化疗的接受度及完成率。结果:后15年病例数是前15年的3.61倍,前15年很多癌症病人拒绝治疗以及许多病人家属选择隐瞒患者病情不送医院治疗,而后15年大多数癌症患者知晓病情并愿意积极住院接受治疗;患者对自己病情的知晓度明显提高,最近的一次病情问卷调查显示约91.96%患者知道自己罹患癌症;后15年患者接受化疗的意愿明显高于前15年,差异有统计学意义(P0.05),并且能顺利完成全程治疗的病人也明显多于后者,差异有统计学意义(P0.05);后15年患者接受放疗的意愿略高于前15年,但完成率明显高于于后者,差异有统计学意义(P0.05)。结论:随着肿瘤治疗水平的提高和时代的进步,患者对病情的知晓度和对放化疗的依从性普遍提高,这有利于肺癌患者的综合治疗的开展从而改善肺癌患者的疗效。

Psychological Characteristics of 3819 Lung Cancer Patients of 30 Years in Huangshi

ABSTRACT Objective: To explore the characteristics of psychological changes in 3819 cases of lung cancer in Huangshi in 30 years, and to provide theoretical basis for related decision making. Methods: Selected 3819 cases of patients with lung cancer were treated in our hospital from 1985 to 2014 of 30 years, which were divided into the former 15-year group(1985-1999) of 828 cases and latter 15-year group(2000-2014) of 2991 cases by 2000 as the world, observed the psychological characteristics of patients, and to compare the degree of acceptance and completion rate of tumor radiotherapy and chemotherapy. Results: The amount of lung cancer cases in the latter 15-year group was 3.61 times more than that the former 15-year group. In the former 15 yeas, many cancer patients refused the treatments or their relatives did not tell the truth so as not to go to the hospital, whereas in the latter 15 yeas, most cancer patients knew about their illness and were willing to receive the treatments. The awareness of these patients was obviously improved. The latest questionnaire survey about illness showed that about 91.96% patients had known about their suffering from lung cancer. The acceptance rate of chemotherapy in the latter 15-year group was significantly higher than that in the former 15-year group (P<0.05), and so was the completion rate (P<0.05). The acceptance rate of radiotherapy in the latter 15-year group was slightly higher than that in the former 15-year group, but the completion rate of radiotherapy in the latter group was significantly higher than that in the former group (P<0.05). Conclusion: With the improvement of the level of tumor therapy and the progress of the times, patients'' awareness of the disease and the compliance of chemotherapy and radiotherapy are generally improved, which helps the development of comprehensive treatment so as to improve the therapeutic effects of lung cancer patients.