宫颈癌放疗患者抑郁状况调查分析

Analysis of depressive symptoms in patients with cervical cancer

目的 探讨宫颈癌放疗患者的抑郁状况及其影响因素。方法 用抑郁自评量表 (self ratingdepressionscale,SDS)及自行设计的多项目调查表对 13 0例宫颈癌患者进行评定。结果 宫颈癌患者放疗前期有 70 %存在轻重不等的抑郁症状 ;放疗中期占 66.9% ;放疗后期占 3 0 .76%。放疗前后SDS评分具有显著性差异 (P <0 .0 5)。多元线性逐步回归分析提示无故疲乏、决断困难、生活空虚感和疼痛是影响宫颈癌患者抑郁症状的重要因素。结论 抑郁是宫颈癌患者普遍存在的症状 ,并受多种因素影响。因此 ,在宫颈癌患者放疗过程中 。

Objective To explore depressive symptoms and cor relative factors in patients with cervical cancer (CC). Methods Questionnaires of self-rating depression scale (SDS) and multiple items w ere given to the 130 hospitalized patients with CC. Results Depressive symptoms (SDS≥50) in patients were different, with 70% before radiotherapy, 66.9% in metaphase and 30.76% in anaphase. The prevalance of depr essive symptoms was higher in prophase than in anaphase during the whole radioth erapy procedure( P < 0.05 ). Cancer-related fatigue syndrome, determinatio n with difficulty, void and pain were critical factors affecting depression by a step-wise regression analysis. Conclusion Depression is c ommon and is influenced by multiple complex factors in patients with CC. Therefo re, it is essential that psychological interventions should be carried out durin g radiotherapy.