上海市奉贤区癌症患者抑郁状况的分析

Analysis of Depression of Cancer Survivors in Shanghai Fengxian District

目的了解奉贤区癌症患者抑郁障碍的现况,分析癌症患者抑郁发生的影响因素,为制定干预策略提供依据。方法从上海市肿瘤登记系统的奉贤区癌症患者资料中,选取社区中110例癌症患者进行问卷调查并填写自评量表,共收回合格调查表103份。统计描述其抑郁状况的发生情况,确定患者发生抑郁的一些影响因素。结果奉贤区癌症患者抑郁发生的比例为31.07%,癌症患者的学历高低、收入多少、体能评分KPS高低、VAS癌疼程度、饮食、锻炼、与病友交流、家务是癌症患者发生抑郁的主要影响因素,经分析有统计学意义,与病友交流、正常饮食、经常锻炼、经常做家务的癌症患者抑郁发生分别为8.51%、9.80%、12.24%、16.95%。结论对癌症患者进行早期病友教育干预,保持病友交流、饮食正常、经常锻炼、做家务可以减少其抑郁的发生,提高癌症患者的生活质量。

Objective To know the depressive disorders of cancer patients＇ in Fengxian district of shanghai,and analyze the possible influencing factors and providing a basis of establishing intervention strategies.Methods A total of 110 cancer survivors who lived in communities in fengxian were selected sampling based on the system of ＂shanghai cancer patient Database＂.they were investigated with questionnaires which included Zung Self-rating Scale evaluate the depression current 103 questionnaires called back and were eligible.The occurrence of depression to determined their influential factors.Results The prevalence rate of depression the cancer survivors in communities was 31.07%.The Analysis showed that educational level and income,physical fitness,scoring KPS discretion,VAS cancer pain degree,diet,exercise,and patients exchanges,doing housework were the important factors and exists significant difference in statistic.patients exchanges,normal diet,regular exercise,often doing household was 9.80%,8.51% 12.24%,16.95%.Conclusion Early intervention for cancer patients and keeping patients education communication,normal diet,exercise regularly,housework can reduce the occurrence of the depression,and improve cancer and the quality of life.