摘要
目的调查淋巴瘤病人的抑郁情绪状况 ,分析影响淋巴瘤病人抑郁的因素 ,提出针对性对策。方法选用Hamilton抑郁量表以及自编的淋巴瘤后抑郁相关因素问卷作测查工具 ,对 15 3名行化疗、放疗的淋巴瘤病人进行了抑郁状况调查分析 ;采用逐步回归统计方法对被调查的 15 3名中伴有抑郁的 10 8名淋巴瘤病人进行了相关因素分析。结果淋巴瘤组中 10 8人有不同程度的抑郁 ,HAMD平均得分为12 .77± 1.70 ;对照组中仅有 8人伴有轻度抑郁 ,HAMD平均得分为 4.87± 1.70 ,两组之间差异显著 (P <0 0 1)。淋巴瘤病人对死亡的恐惧 ,主观感受病情严重程度、无价值感、缺乏社会支持、疼痛与治疗带来的副作用 ,经济问题等六因素进入回归方程。结论淋巴瘤病人的心理健康状况显著低于其他躯体疾病病人 ,淋巴瘤病人的抑郁与对死亡的恐惧 ,主观感受病情严重程度、无价值感、缺乏社会支持 ,疼痛与治疗带来的副作用、经济问题等因素密切相关。
ObjectiveTo investigate the status of depression and analyze its related factors in Lymphoma patients. Methods HAMD and self-composed general-case questioning paper were used to investigate the depressive status of Lymphoma patients, Stepwise Regression was performed to analyze the effects of factors related to depression companied by Lymphoma patients. Results Among 153 Lymphoma patients ,there are 108 cases with depression in different degrees, and also of 84 patients suffering from variety of the other physical diseases, there are only 8 cases with slight depression.Significant difference was showed between the group of Lymphoma patients and the other group of physical diseases except cancers . The six factors such as thanatophobia、subjective sense of seriousness about Lymphoma patients,sense of being lacking of social value,social support,disadvantages caused by chemotherapy or radiotherapy and pain,financial problem were found in regressive equation. Conclusions The mental condition in Lymphoma patients is much lower than in other physical diseases. Depression of Lymphoma patients is closely associated with thanatophobia and other five factors .
出处
《中国行为医学科学》
CSCD
2004年第5期512-513,共2页
Chinese Journal of Behavioral Medical Science
