宫颈癌根治术患者抑郁的危险因素

The risk factors of depression in patients undergoing cervical cancer radical surgery

目的 观察宫颈癌根治术患者抑郁发生的危险因素。方法 选取我院在2021年6月~2023年6月收治的80例行宫颈癌根治术患者纳入研究,术后根据汉密尔顿抑郁量表(Hamilton Depression Rating Scale,HAMD)将。患者分为抑郁组([Fear of Progression Questionnaire-Short Form,FoP-Q-SF]≥34分)38例及无抑郁组(FoP-Q-SF <34分)42例。收集患者基线资料,通过ROC及多因素Logistic回归分析宫颈癌根治术患者抑郁的影响因素。结果 抑郁组年龄≥40岁、家庭月收入<2000元患者占比高于无抑郁组,且抑郁组社会支持评定量表(Social support rating scale,SSRS)、自我管理效能感量表(Strategies Used by People to Promote Health,SUPPH)低于无抑郁组(P<0.05);经多因素Logistic回归分析证实,年龄≤40岁、SSRS <0.732分、家庭月收入<2000元、SUPPH<0.864分均是影响宫颈癌根治术患者抑郁的危险因素(P<0.05);经ROC分析证实SSRS、SUPPH可用于预测宫颈癌根治术患者抑郁的评估,曲线下面积分别为0.732、0.864(P<0.05)。结论 年龄、SSRS、家庭月收入、SUPPH均是影响宫颈癌根治术患者抑郁的危险因素。

Objective Observing the risk factors for depression in patients undergoing cervical cancer radical surgery.Methods Eighty patients who underwent cervical cancer radical surgery in our hospital from June 2021to June 2023 were selected for the study.After surgery,they were divided into a depression group(FoP-Q-SF ≥ 34points)of 38 cases and a non depression group(FoP-Q-SF<34 points)of 42 cases according to the Hamilton Depression Rating Scale(HAMD).Collect patient baseline data and analyze the influencing factors of depression in patients undergoing cervical cancer radical surgery through ROC and multivariate logistic regression.Results The proportion of patients aged ≥ 40 years and with a monthly family income of less than 2000 yuan in the depression group was higher than that in the non depression group,and the Social Support Rating Scale(SSRS)and Strategies Used by People to Promote Health(SUPPH)in the depression group were lower than those in the non depression group(P<0.05).Multiple logistic regression analysis confirmed that age ≤ 40 years old,SSRS<0.732 points,monthly family income<2000 yuan,and SUPPH<0.864 points are all risk factors for depression in patients undergoing cervical cancer radical surgery(P<0.05).ROC analysis confirmed that SSRS and SUPPH can be used to predict depression in patients undergoing cervical cancer radical surgery,with areas under the curves of 0.732 and 0.864,respectively(P<0.05).Conclusion Age,SSRS,monthly family income,and SUPPH are all risk factors for depression in patients undergoing cervical cancer radical surgery.