肺癌化疗患者主要照顾者抑郁状况及影响因素分析

The depression status and its influencing factors in primary caregivers of patients with lung cancer chemotherapy

目的:探讨肺癌化疗患者主要照顾者的抑郁状况及影响因素。方法:对160例肺癌化疗患者主要照顾者进行问卷调查,并对结果进行分析。结果:肺癌化疗患者主要照顾者抑郁自评量表(SDS)得分为(66.30±9.33)分,显著高于国内常模(P<0.01);单因素分析显示,有抑郁组和无抑郁组照顾者在家庭收入、文化程度、照顾持续时间、患者病程时间、患者TMN分期等方面差异有统计学意义(P<0.05);多因素Logistic回归分析显示照顾持续时间、家庭收入、患者病程时间是照顾者抑郁的主要影响因素。结论:肺癌化疗患者主要照顾者存在较严重的抑郁,护理人员应重视对肺癌化疗患者主要照顾者的心理干预。

Objective]To study and explore the depression status and its influencing factors in primary caregivers of patients with lung cancer chemotherapy .[Method]160 primary caregivers of patients with lung cancer chemotherapy were surveyed ,and the results were analyzed statistically .[Result] The scores of SDS was 66.30 ± 9.33 ,which was higher than that of the domes-tic norm .Univariate analysis showed that depression was associated with family income level ,education level ,duration of care , course of disease ,and the TNM classification .Multinomial Logistic regression showed that duration of care ,family income lev-el ,and the course of disease were the main factors of depression for primary caregivers .[Conclusion] The primary caregivers of patients with lung cancer chemotherapy existed more severe depression ,the nursing staff should pay attention to the psycho-logical intervention of primary caregivers of patients with lung cancer .