癌症患者焦虑、抑郁及相关性调查分析

Survey and Analysis of Anxious, Depression of Patients with Cancer and Correlation between Them

目的:调查癌症患者焦虑、抑郁情况及其相关因素,为临床有重点地为癌症患者提供有效心理支持提供依据。方法:运用问卷调查法,评价695例在我院住院的癌症患者的焦虑、抑郁情况,比较不同自然属性患者的抑郁得分,分析患者心理社会因素与抑郁得分之间的关系。结果:1) 695例癌症患者的焦虑发生率为11.22%,有轻度及以上抑郁情绪的癌症患者占32.52%,其中14.25%的患者存在中、重度抑郁。2) 女性癌症患者的抑郁得分较男性高(P 【0.05);青少年癌症患者的抑郁得分较其它年龄段高(P 【0.05);单身癌症患者的抑郁得分较已婚和离异患者低(P 【0.05);住外科和介入科治疗的癌症患者抑郁得分较内科低(P 【0.05);肝癌患者的抑郁得分较其它癌症低(P 【0.05)。3) 癌症患者的抑郁得分与患者的生存治疗和对疾病的认识相关,回归方程为:抑郁得分 = −0.37 ×生存质量得分 − 0.092 ×疾病认识得分。结论:抑郁是癌症患者主要和最危险的心理并发症,女性和青少年癌症患者的抑郁得分高,单身、住外科和介入科、肝癌患者的抑郁得分相对较低,癌症患者的抑郁得分与患者的生存质量和对癌症的认识及治疗态度相关。

Objective: To investigate the anxiety, depression and their related factors in cancer patients to provide evidence for clinical psychological support for cancer patients in pursuit focus. Methods: Anxiety and depression of 695 cases of cancer patients were evaluated in our hospital by questionnaire, depression scores of the patients of different natural attributes were compared, and relationship between psychosocial factors and depression scores was analyzed. Results: 1) Anxiety occurred in 11.22% of 695 cancer patients, mild depression and above accounted for 32.52%, 14.25% with severe depression. 2) Female cancer patients had higher depression scores than males (P <0.05);Depression in adolescent patients scored higher than other age groups (P <0.05);Single cancer patients’ depression scores were lower than the married and divorced patients (P <0.05);Cancer patients receiving surgery or interventional radiology treatment scored lower than those receiving internal medicine treatment (P <0.05);Liver cancer patients scored lower than other patients (P <0.05). 3) Depression scores of cancer patient related to treatment, survival and awareness of the disease. The regression equation: Depression score = −0.37 ×QOL score − 0.092 ×disease awareness score. Conclusion: Depression is the main and most dangerous psychological complication of cancer patients. The depression scores of female and adolescent cancer patients are higher, while the depression scores of single, surgical and interventional patients and liver cancer patients are lower. Depression scores of cancer patients relate to quality of life, understanding of cancer and attitude on cancer treatment.