祁小丽,普拉提·努尔别克,杨 杰.盆腔恶性肿瘤患者抑郁、焦虑发生影响因素分析[J].中国肿瘤,2016,25(11):915-918. |
盆腔恶性肿瘤患者抑郁、焦虑发生影响因素分析 |
Risk Factors of Depression,Anxiety in Patients with Pelvic Malignancies |
投稿时间:2016-02-20 |
DOI:10.11735/j.issn.1004-0242.2016.11.A016 |
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中文关键词: 盆腔恶性肿瘤 抑郁 焦虑 相关因素 |
英文关键词:pelvic malignancies depression anxiety related factors |
基金项目:新疆维吾尔自治区自然科技基金(2014211A061) |
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中文摘要: |
摘 要:[目的] 探讨盆腔恶性肿瘤患者抑郁、焦虑的发病特点及其相关影响因素。[方法] 采用Zung 抑郁自评量表(SDS)、焦虑自评量表(SAS)及患者一般临床特征调查表对128例盆腔恶性肿瘤患者进行数据采集及相关因素分析。[结果] 128例盆腔恶性肿瘤患者中有抑郁障碍者87例(67.97%),平均得分62.61±6.97分。有焦虑者38例(29.69%),平均得分58.84±9.49分。Logistic 回归多因素分析显示,抑郁、焦虑的发生率均与患者年龄、文化程度、医疗费用来源、临床分期、慢性癌痛呈显著相关性(P<0.05),而与患者性别、KPS评分、日常锻炼无相关性。[结论] 盆腔恶性肿瘤患者中抑郁和焦虑发生率较高。对于老年、肿瘤晚期、伴有慢性癌痛等因素的患者,需要进行心理—生理方面的综合干预。 |
英文摘要: |
Abstract:[Purpose] To assess the risk factors of depression and anxiety in patients with pelvic malignancies. [Methods] One hundred and twenty eight patients with pelvic malignancies were included in the study. The depression,anxiety and general clinical features of the patients were evaluated by Zung depression self rating scale(SDS),self-evaluation of anxiety scale(SAS) and the general clinical features questionnaire,respectively. [Results] Among 128 patients,there were 87 cases(67.97%) with depression with an average SDS score of 62.61±6.97;38 cases(29.69%) with anxiety,with an average SAS score of 58.84±9.49. Logistic regression analysis showed that the incidence of depression and anxiety were correlated with age,education level,source of medical expenses,clinical stages and cancer pain(P<0.05),while not correlated with gender,KPS score and daily exercise.[Conclusion] The incidence of depression and anxiety in patients with pelvic malignancies is higher. It is necessary to conduct psycho-physiological intervention particularly for elderly cancer patients and those with advanced disease and chronic cancer pain. |
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