摘要
目的探讨癌症患者抑郁症状的发病、分布特征及其相关因素。方法采用自编问卷、抑郁自评量表、医学应对方式问卷、社会支持评定量表对154例癌症患者进行测评;对抑郁自评量表(SDS)得分>53分的患者按照ICD-10有关抑郁障碍的诊断标准进行诊断,采用相关和回归分析研究癌症抑郁的相关因素。结果①癌症患者抑郁症状的检出率为60.8%,其中符合ICD-10诊断标准的占47.5%;癌症患者的情绪障碍包括急性应激反应、创伤后应激障碍、抑郁症、适应障碍、焦虑抑郁混合状态、药源性抑郁和器质性抑郁等;②相关分析显示,癌症抑郁与性别、文化程度、家庭收入呈显著负相关(P<0.05),与病程呈显著正相关(P<0.05),与应对方式中的面对(P<0.05)和回避因子(P<0.05)呈显著负相关,与屈服(P<0.05)呈显著正相关;与客观支持、主观支持、支持利用度的评分呈负相关(P<0.05)。③以抑郁总分为应变量,进行逐步多元回归分析,躯体不适、屈服、病程、主观支持和支持利用度进入回归方程。结论减轻患者抑郁通过以下方式,如重视患者的躯体症状,适时止痛,减轻躯体不适;过度医疗带来的副反应、屈服的应对方式也增加患者的抑郁风险,社会支持尤其情感的支持(主观支持)及患者对支持的利用度能减少患者的抑郁风险。
Objective To probe into the attack,distribution and relevant factors of depression symptoms in cancer patients.Methods The self-composed questionnaires,depression self-evaluating chart,medical coping questionnaire and social support rating scale were used for evaluation of 154 cases with cancer;The diagnostic criteria for depressive disorder was that SDS53 according to ICD-10 and then the data was analyzed.Results The detection rate of depressive symptoms in cancer patients was 60.8%,among which conform to the ICD-10 diagnostic criteria accounted for 47.5%;The emotional disorders of cancer patients included acute stress reaction,post traumatic stress disorder,depression,adjustment disorder,mixed state of anxiety and depression,drug-induced depression and organic depression;The results indicated that depression was significant negative correlation with gender,educational level and household income（P0.05）,and it was significant positive correlation with the course of the disease（P0.001）,and it was significant negative correlation with the coping style of confronting factors（P0.05） and evasive factors（P 0.05）,with the surrender（P0.05）;negative correlation with objective support,subjective support and the grading of the utilization of support（P0.05）.The total points of depression as the dependent variables,carry out graduate multiple regression analysis,and include physical discomfort,surrender,and course of disease,subjective support and utilization of support in the regression equation.Conclusion Alleviate the depression in patients in the following ways： we should attach importance to patients＇ physical symptoms,timely pain relief and the reduce of physical discomfort;side effects of excessive medical;yielding responses also increase the risk of depression;social support especially emotional support and patient＇s utilization of support can reduce the patient＇s risk of depression.
出处
《宁夏医学杂志》
CAS
2012年第10期967-969,共3页
Ningxia Medical Journal
基金
宁夏自然科学基金资助项目(NZ10165)
关键词
癌症患者
抑郁
相关因素
Cancer patients
Depression
Related factors
