中老年癌症患者抑郁情绪相关危险因素的调查分析

The Investigative Analysis of Related Risk Factors of Depression among Mid-aged Cancer Patients

目的了解中老年癌症患者抑郁情绪发生率及相关危险因素,为早期实施针对性心理干预提供临床依据。方法 183例中老年癌症患者进行老年抑郁量表简本(the geriatric depression scale-short form,GDS-SF)与社会人口学特征等定式问卷调查后,采用χ2检验、Logistic回归分析对抑郁情绪相关危险因素进行统计学分析。结果癌症患者抑郁发生率为26.2%,GDS-SF平均评分是(3.23±2.82)。抑郁情绪发生的独立相关危险因素包括年龄(χ2=14.5,p<0.001)、经济收入(χ2=9.16,p=0.01)、家庭对患者的支持情况(χ2=5.02,p=0.02)、疾病本身或治疗引起的诸多不良症状(χ2=26.46,p<0.001)。结论中老年癌症患者抑郁发生率高,应当根据抑郁症发生的社会人口学因素,早期实施有针对性的心理干预措施,有效地缓解患者的负性情绪,减少抑郁症的发生,提高患者生活质量。

Objective：To explore the prevalence and related risk factors of depression among mid-aged cancer patients,in order to provide basis for early interventions.Methods：183 mid-aged cancer patients were recruited and completed a questionnaire packet that included the Geriatric Depression Scale-Short form as well as social-demographic characteristics and medical information.χ2 test and logistic regression were used to identify the demographic and illness-related factors of depression in the sample.Results：The overall prevalence of depression in the sample was 26.2%.The mean score for the GDS-SF was 3.23±2.82.Independent related risk factors of depression consisted of younger age（60 years,χ2=14.5,p0.001）,employment status（χ2=9.16,p=0.01）,proximity to family（χ2=5.02,p= 0.02）,and multiple symptoms due to cancer or treatment（χ2 =26.46,p 0.001）.Conclusion：Findings indicate a high prevalence of depression among cancer patients which can be attributed to identifiable risk factors.We should initiate early interventions to improve psychological outcomes and lessen the potential burden of cancer on these patients and improve the quality of life of patients.