The Context Survey And Analysis Of Anxiety In Digestive System Tumor Patients Before Operation And The Study About The Effect Of Therapeutic Communication System

【Objective】To obtain the anxiety epidemiological data of the digestive system tumor patients before operation,and understand fully the main influence factor, evaluate the effect of therapeutic communication system on the anxiety ,quality of life and trait coping styles of digestive system tumor patients before operation.【method】451 digestive system tumor patients before operation were recruited continuously in four A-grade hospitals in hefei.In cross section study, General Information has been surveyed,and Self-Rating Anxiety Scale(SAS), Chineseversion of European Organization for Research and Treatment quality of life Questionnaire (EORTC QLQ- C30) ,trait coping styles questionnaire(TCSQ) and Eysenck Personality Questionnaire(EPQ) has been investigated and analyzed respectively. With anxiety for dependent variable, General Information, quality of life,trait coping styles,and Personality for independent variable, influence factor of anxiety has been analyzed by linear regression. 87 anxiety digestive system tumor patients selected before operation were recruited and divided randomly into experimental group (n=41) and control group(n=46). The control group was given routine preoperative care and clinical common communication, in addition to this, the experimental group was given therapeutic communication system. Before and after intervention (the day of admission and the day before operation), SAS, EORTC QLQ- C30 and TCSQ were used to investigate the patients respectively.【Result】cross section study reveal that the digestive system tumor patients, anxiety score is 44.33±8.644,higher than domestic norm,and there are 145(35%) patients suffer anxiety. The fuction dimensionality and totality quality of life of quality of life are negatively correlated with anxiety, symptom and singleness dimensionality are positive correlated with anxiety. Quality of life is statistic different between anxiety patients and not anxiety patients. positive coping score is 34.224±8.185,and negative coping score is 30.446±8.329. positive coping is negatively correlated with anxiety, and negative coping is positive correlated with anxiety. trait coping styles is statistic different between anxiety patients and not anxiety patients. For personality, psychoticism and lie are higher than domestic norm. introversion and extroversion and lie are negatively correlated with anxiety, neurotic is positive correlated with anxiety, Personality is statistic different between anxiety patients and not anxiety patients. After linear regression, gender,standard of culture,main care giver, Emotional Functioning,sleeplessness,anepithymia,positive coping are influence factor of anxiety of digestive system tumor patients. experimental study revealed that,Before intervention, the result showed that there were not significant differences between the general data, anxiety, quality of life and trait coping styles in the two groups. There were significant melioration on anxiety, physical functioning, emotional functioning, social function, cognitive function, overall quality of life, fatigue, constipation, financial impact, positive coping and negative coping in the experimental group than before, while significant exacerbation on social function, appetite loss and positive coping in the control group. Moreover, the significant differences has come to light between the two groups after the intervention on anxiety, function, overall quality of life, symptom, appetite loss, financial impact, positive coping and negative coping.【Conclusion】It's worth to pay more attention to digestive system tumor patients before operation because of the higher anxiety , lower quality of life,weaker trait coping styles. gender,standard of culture,main care giver, Emotional Functioning,sleeplessness,anepithymia,positive coping can influence the anxiety of this kind of patient. Moreover, Therapeutic communication system has positive effect on the anxiety, quality of life and trait coping styles of digestive system tumor patients before operation while clinical common communication does not have the effectiveness.