摘要
目的分析癌症患者疼痛与抑郁之间的相关性。方法研究对象为2012年2月到2013年2月在我院肿瘤内科的住院患者及部分门诊患者,该研究共纳入患者30例,均为确诊为癌症患者(经病理学或细胞学检查确诊),同时伴有癌痛。对纳入患者进行数字疼痛强度量表(NRS)、抑郁自评量表(SDS)调查分析。对重度疼痛患者予以镇痛治疗,观察分析镇痛前后抑郁评分结果。结果癌痛患者抑郁情绪发生率为86.7%,伴有中、重度疼痛患者的抑郁评分明显高于伴有轻度疼痛患者的抑郁评分(P<0.05),抑郁评分与疼痛程度呈正相关(r=0.8,P=0.001)。与镇痛前相比,重度疼痛患者镇痛治疗后,患者抑郁评分明显减低,两组差异有统计学意义(t=7.9,P=0.001)。结论癌症患者疼痛程度与抑郁情绪密切相关,两者相互影响。镇痛治疗可以缓解抑郁情绪。
Objective To survey the correlation of depression of patients with cancer pain and to further analyze the factors influen- cing depression. Methods Thirty cases patients with cancer pain were selected in our hospital. All the cases were confirmed by cytology and pathology. All cases themselves completed the following questionnaires ： general condition questionnaire, numerical rating scale （NRS） and self- rating depression scale （SDS）. The depression after pain treatment on severe cancer pain was observed. Results The prevalence of depression of cancer pain was 86.7%. The mean score of depression of cancer patients with either middle pain or severe pain was higher than that of cancer patients with mild pain （ P 〈 0.05 ）. Cancer pain score was positively correlated with the degree of depression （ r = 0.8, P = 0.00l ）. The SDS score was lower after pain treatment on severe cancer pain （ t = 7.9, P = 0.001 ）. Conclusion Pain is an important factor for depression of patients with cancer. It is of great significance to control pain actively for improving the mental state of patients with cancer pain. Pain treatment can relieve depression.
出处
《安徽医学》
2013年第9期1283-1284,共2页
Anhui Medical Journal
基金
安徽医科大学校科研基金(项目编号:2012xkj083)
