咸宁市某医院老年丧偶肿瘤患者抑郁状况调查

Investigation of Depression Among Elderly Widowed Tumor Patients of a Hospital in Xianning City

目的:探究湖北省老年丧偶肿瘤患者抑郁症状发生情况及影响因素,为提高患者生存质量提供参考依据。方法选择2014年1月-2016年12月在咸宁市某医院住院的丧偶老年肿瘤患者作为研究对象,采用汉密尔顿抑郁量表(HDRS)进行评定,并对相关因素进行比较分析。结果:老年丧偶肿瘤患者抑郁发生率是68.92%;男性平均HDRS分(11.3±3.6)低于女性分(14.7±4.1),差异有统计学意义(P<0.05);除年龄、性别外,受教育程度、离退休前职业、丧偶年限、家庭人均月收入、居住情况、陪护情况等因素比较均有显著性差异(P值均<0.05);心理干预前后,老年丧偶肿瘤患者HDRS评分差异有统计学意义(t=8.971,P<0.001)。结论:老年丧偶肿瘤患者的心理治疗不容忽视,应完善现有的诊疗管理模式,强调心理干预和临床规范诊疗同步进行,动员社会力量,提高其社会支持力度,提高患者的生存质量和幸福感。

Objective:To explore the incidence and influencing factors of depressive symptoms in elderly widowed cancer patients in Hubei Province,so as to provide reference for improving the quality of life of patients.Methods:Widowed elderly cancer patients were selected as the research objects during January2014to December2016in Xianning Central Hospital,by using Hamilton Depression Scale(HDRS)to evaluate,and the related factors were compared.Results:The elderly widowed tumor patients with depression incidence is68.92%;the average male HDRS(11.3±3.6)lower than women(14.7±4.1),the difference was statistically significant(P<0.05);education,occupation before retired,widowed life,family income,living and the accompanying conditions had significant difference(P<0.05);before and after the psychological intervention,the elderly widowed tumor patients with HDRS score difference was statistically significant(t=8.971,P<0.001).Conclusion:Elderly widowed psychological therapy can not be ignored,should improve the existing management mode,emphasizing the psychological intervention and clinical standard treatment simultaneously,causing widespread concern in society,mobilize social forces to improve their social support,improve the patients quality of life and happiness.