论文部分内容阅读
[目的]了解社区肿瘤患者中抑郁的患病状况,探讨肿瘤患者发生抑郁的可能影响因素。[方法]对上海市新华社区464例癌症患者,使用抑郁自评量表Zung评价抑郁状况,采用调查问卷收集一般人口学信息和疾病相关信息,采用多因素Logistic回归等统计学方法分析影响因素。[结果]社区肿瘤患者中抑郁症患病率17.9%,男性、女性分别为16.3%和19.3%;高龄组(≥80岁)抑郁患病率达31.3%,高于其他年龄组患病率(P=0.006)。受教育程度和有无疼痛是影响抑郁状况的主要因素,初中及初中以下文化程度患者发生抑郁的可能性是初中以上文化程度者的2.013倍(OR=2.013,95%CI:1.154￣3.510);有疼痛者发生抑郁的可能性是没有疼痛者的2.947倍(OR=2.947,95%CI:1.578￣5.504)。[结论]尽管本社区肿瘤患者抑郁症状患病率目前较低,但文化程度较低、有疼痛症状的肿瘤患者出现抑郁症状的可能性较大,应加强对这一人群的心理健康指导和支持。
[Objective] To understand the prevalence of depression in community cancer patients and to explore the possible influencing factors of depression in cancer patients. [Methods] 464 cancer patients in Xinhua community of Shanghai were evaluated for depression by using Zung depression self-rating scale. General demographic information and disease-related information were collected by questionnaire. Multivariate Logistic regression analysis was used to analyze the influencing factors. [Results] The prevalence of depression in community cancer patients was 17.9%, with 16.3% and 19.3% for males and females respectively. The prevalence of depression in senior citizens (≥80 years old) was 31.3%, which was higher than the prevalence in other age groups P = 0.006). The degree of education and the presence or absence of pain were the main factors that affected the depression. The patients with junior high school and junior high school education were 2.013 times more likely to have depression than those with junior high school education (OR = 2.013, 95% CI: 1.154-3.510). Patients with pain were 2.947 times more likely to have depression (OR = 2.947, 95% CI: 1.578-5.504). [Conclusion] Although the prevalence of depressive symptoms in patients with cancer in our community is relatively low at present, cancer patients with lower educational level and pain symptoms are more likely to have depressive symptoms. Psychological guidance and support should be strengthened for this group of patients .