乳腺癌患者抑郁心理的影响因素分析

Analysis of Influential Factors of Depression in Breast Cancer Patients

目的:探讨乳腺癌患者抑郁心理的发生情况及其影响因素。方法:选取2015年9月至2017年5月期间本院所收治乳腺癌住院患者123例,对其进行抑郁心理评估,并采用本院自制调查量表对患者临床治疗信息、生活行为方式、人口学特征等资料进行收集统计。结果:单因素分析结果显示,疗并发症种类、家庭支持程度、病理分期程度、疾病认知程度均是影响乳腺癌患者出现抑郁心理的重要因素,差异具有显著性(P<0.05);多因素分析显示,治疗并发症种类、家庭支持程度、疾病认知程度均是影响乳腺癌患者抑郁心理出现的关键因素,其中术后无并发症、家庭完全支持、对疾病认知程度较高可有效降低乳腺癌患者抑郁心理发生风险,差异具有显著性(P<0.05)。结论:疾病认知程度、家庭支持程度、治疗并发症种类同乳腺癌患者抑郁情绪的出现密切相关,其中2种以上并发症、乳腺癌认知程度低、家庭支持力度差均是造成此类患者在治疗过程中抑郁情绪发生风险上升的重要因素。

Objective： To investigate the incidence of depression and its influencing factors in breast cancer patients.Methods： A total of 123 patients with breast cancer admitted in our hospital from September2015 to May 2017 were enrolled in this study.The self-made survey scale was used to evaluate the clinical treatment information,life behavior,population characteristics and other information collected statistics.Results： The results of univariate analysis showed that the types of complications,the degree of family support,the degree of pathological stage and the degree of disease cognition were all important factors in the depression of breast cancer patients,the difference was significant （P〈0.05）.The analysis showed that the types of treatment complications,the degree of family support and the degree of disease cognition were the key factors influencing the emergence of depression in patients with breast cancer.There was no complication after operation,the family was fully supported and the disease awareness was higher.The risk of depression in patients with breast cancer was significantly different （P〈0.05）.Conclusion： The degree of disease cognition,the degree of family support and the type of treatment complication are closely related to the appearance of depression in breast cancer patients.Among them,more than two kinds of complications,low degree of awareness of breast cancer and poor family support important factors in the risk of depression in the course of treatment.