胃癌患者的疾病应对方式、希望水平、心理弹性、癌症复发恐惧与抑郁水平的关系

Relationship among disease coping style,hope level,resilience,cancer recurrence fear and depression in patients with gastric cancer

目的探讨胃癌患者的疾病应对方式、希望水平、心理弹性、癌症复发恐惧与其抑郁水平的关系。方法选取2018年2月~2020年2月我院收治的122例胃癌患者,根据住院期间是否发生抑郁情况分为抑郁组(56例)和非抑郁组(66例)。记录两组患者的临床资料以及医学应对方式问卷(MCMQ)评分、Herth希望量表(HHI)评分、心理弹性量表(CD-RISC)评分、癌症复发恐惧量表(FCRI)评分,采用多因素Logistic回归分析胃癌患者抑郁的独立影响因素,判断胃癌患者抑郁的发生与疾病应对方式、希望水平、心理弹性、癌症复发恐惧的关系。结果抑郁组家庭人均月收入<3000元、疾病分期为Ⅲ+Ⅳ期、医疗支付方式为自费所占比例高于非抑郁组(P<0.05),病程及屈服应对评分、FCRI评分高于非抑郁组(P<0.05),HHI评分、CD-RISC评分低于非抑郁组(P<0.05);两组年龄、受教育程度、吸烟史、高血压史、肿瘤直径、病理类型等一般资料无统计学差异(P>0.05)。多因素Logistic回归分析显示,家庭人均月收入(OR=3.902,95%CI=1.362~11.179)、病程(OR=3.367,95%CI=2.164~5.239)、医疗支付方式(OR=5.862,95%CI=2.912~11.800)外,屈服应对评分(OR=2.450,95%CI=1.672~3.590)、HHI评分(OR=3.224,95%CI=1.706~6.093)、CD-RISC评分(OR=3.184,95%CI=1.014~9.998)、FCRI评分(OR=4.870,95%CI=1.082~21.920)是胃癌患者出现抑郁的独立影响因素(P<0.05)。结论胃癌患者抑郁的发生与疾病应对方式、希望水平、心理弹性、癌症复发恐惧等有关。

Objective To explore the relationship among disease coping style,hope level,psychological resilience,cancer recurrence fear and depression level in patients with gastric cancer. Methods 122 patients with gastric cancer admitted to our hospital from February 2018 to February 2020 were selected and divided into depression group(56 cases)and non depression group(66 cases)according to whether depression occurred during hospitalization. Record two groups of general data and clinical pathology,medical coping modes questionnaire(MCMQ)score,Herth hope scale(HHI)score,mental resilience scale(CD-RISC)score,cancer recurrence fear scale(FCRI)score. Using multiariable Logistic regression analysis to explore the independent influencing factors of depression in patients with gastric cancer. Results The proportion of family income per capita < 3000 yuan,disease stage of stage Ⅲ + Ⅳ,medical payment at their own expense in the depression group was significantly higher than that in the non depression group(P<0.05),the course of disease,yield coping score and fcri score were significantly higher than those in the non depression group(P<0.05),and the HHI score and cd-risc score of the depression group were significantly lower than those of the non depression group(P<0.05);There was no significant difference in age,education level,smoking history,hypertension history,tumor diameter and pathological type between the two groups(P>0.05). Multivariate logistic regression analysis showed that,in addition to family monthly income(OR=3.902,95%CI=1.362~11.179),disease course(OR=3.367,95%CI=2.164~5.239),medical payment methods(OR=5.862,95%CI=2.912~11.800),yield response score(OR=2.450,95%CI=1.672~3.590),HHI score(OR=3.224,95%CI=1.706~6.093),CDRISC score(OR=3.184,95%CI=1.014~9.998),FCRI score(OR=4.870,95%CI=1.082~21.920)are also independent influencing factors of depression in patients with gastric cancer(P<0.05). Conclusion The occurrence of depression in patients with gastric cancer is related to disease coping style,hope level,psychological resilience,cancer recurrence fear and so on.