化疗期乳腺癌患者抑郁的影响因素分析  

An Analysis of the Affecting Factors for Depression among Breast Cancer Patients during Chemotherapy

作　　者：叶红[1] 文华[2] 严国娇[3] 

机构地区：[1]广东省人民医院广东省医学科学院护理部,广东广州510080 [2]广东省人民医院广东省医学科学院肿瘤中心肺科,广东广州510080 [3]中南大学湘雅医院乳腺科,湖南长沙410008

出　　处：《护理学报》2009年第6期71-73,共3页Journal of Nursing（China）

摘　　要：目的了解乳腺癌患者在化疗期的抑郁水平及其影响因素。方法运用自评抑郁量表和自设一般资料和疾病资料调查问卷,对93例化疗期乳腺癌患者进行抑郁水平与相关因素的调查。采用统计描述法和多重逐步回归法进行统计学分析。结果65.4%的乳腺癌患者在化疗期存在不同程度的抑郁障碍,其抑郁水平显著高于国内常模(P<0.01)。对病情的主观感受、亲密的社交关系、不良反应的严重程度、婚姻状况、医疗费用支付类型、家庭关系是化疗期乳腺癌患者抑郁水平的重要影响因素(P<0.01)。结论化疗期是乳腺癌患者发生抑郁的易感时期,护理人员可根据其重要的影响因素制定相应的护理措施,以降低化疗期乳腺癌患者的抑郁水平,改善患者的心理健康状况。Objective To learn about the affecting factors for depression among breast cancer patients during chemotherapy. Methods With the Self-rating Depression Scale and the self-designed questionnaire about general information and information about diseases, a survey was made on the depression and the affecting factors for the depression among 93 breast cancer cases during chemotherapy. Then a statistical description and multiple regression analysis were made. Results 65.4% of the interviewees had depression to various degrees distinctly higher than the norm for the Chinese （P〈0.01）. The affecting factors for the depression included the feeling of the disease condition, social relationship, the degree of adverse reactions, marital status, way of medical expense payment and the condition of family life（P〈0.01）. Conclusion The period of chemotherapy is a depression-prone one. The nursing personnel should formulate corresponding measures in light of the affecting factors in order to reduce the depression and improve their mental health.

关 键 词：乳腺癌 化疗 抑郁 心理护理 

分 类 号：R737.9[医药卫生—肿瘤]