肺癌患者抑郁状态的相关因素分析

The Related Factors of Depression in Patients with Lung Cancer

目的 :探讨肺癌患者抑郁状态的发生率及相关因素。方法 :以汉密尔顿抑郁量表为抑郁的评估工具 ,对 5 7例肺癌患者进行检测。辅以艾森克人格测查 (EPQ) ,生活事件量表 (LES)及自行设计调查表进行相关因素调查。结果 :5 7例肺癌患者有 2 2例伴有抑郁 ,检出率为 38.5 9%。单因素分析显示 :对家人、亲友、医生的关心自觉满意度、住院费用的支付方式、对自身健康的评价、疼痛程度、知情、对家庭的责任感、收入占家庭中的比例、生活事件和艾森克人格测查 (P因子 ) 11项因素与抑郁状态的发生显著相关 (P <0 .0 5 )。经Logistic回归分析 ,家人对患者的关心、疼痛、对家庭的责任感、生活事件和艾森克人格测查 (P因子 ) 5个自变量进入回归方程。结论 :提示肺癌患者的抑郁情绪与疼痛、社会支持、生活事件等因素相关 ,为心理干预提供了依据。

Objective: To study the prevalence and related factors of depression among patients with lung cancer. Method: 57 newly diagnosed lung cancer patients were assessed with HAMD, EPQ, LES (life event scale) and a self-developed data-collecting form. Results: Among 57 patients, 22 (38.59%) were detected as depressive (total score of HAMD ≥17). Single factor analysis showed that lack of support from family, relatives and doctors, economic burden due to disease, low self-evaluation of one's health, pain, being informed of the diagnosis, the responsibility to their family, greater economic income from patient compared with other family members, more life events and P factor of EPQ were correlated with depression. With logistic regression analysis, the authors found that support from family, pain, the responsibility to their families, life events and factor P of EPQ were included in the equation. Conclusion: The depressive state is correlated with pain, social support and recent life event.