老年癌症患者抑郁状况及其影响因素调查  

A survey on elderly cancer patients depression and its related factors

作　　者：沈丽达[1] 杨静[1] 

机构地区：[1]云南省肿瘤医院,云南省肿瘤研究所肿瘤化疗研究中心,云南昆明650118

出　　处：《现代肿瘤医学》2012年第5期1031-1033,共3页Journal of Modern Oncology

基　　金：民政部老年学会项目[编号:民人教科字(2007)18-2-28]

摘　　要：目的:调查老年癌症患者抑郁发生状况,分析影响老年癌症患者抑郁发生的因素。方法:采用抑郁自评量表(SDS)对我院109例老年癌症患者进行问卷调查;采集患者血清标本进行免疫功能分析;收集患者临床资料,分析影响老年癌症患者抑郁的相关因素。结果:109例老年癌症患者中78例(71.6%)患有抑郁;其中,女性患者和男性患者发生抑郁的百分比分别为83.3%和64.2%,差异有统计学意义(P=0.049);49例伴癌痛的老年癌症患者中39例(79.6%)患有抑郁,43例处于疾病进展期的老年癌症患者中37例(86.0%)患有抑郁,差异均有统计学意义(P=0.022,P=0.003)。结论:老年癌症患者抑郁发生率高,女性较男性更易发生;伴癌痛及处于疾病进展期与抑郁的发生及严重程度成正相关。Objective：To investigate the depression and its influencing factors among elderly cancer patients.Methods： All 109 elderly cancer in-patients were tested with self-rating depression scale（SDS）;Simultaneous venous blood sample were obtained from all patients for measurement of immune function.Clinical data were collected to study the related factors.Results： Of 109 elderly patiets with cancer,78（71.6%） patients presented depression;Among them,the percentage of depression of the female and male were 83.3% and 64.2%,（P=0.049）;There were 39（79.6%） of 49 patients with cancer pain and 37（86.0%）of 43 patients on the advanced disease were found with depression,（P=0.022,P=0.003）.Conclusion： The incidence of elderly cancer patients was high,and the female was obviously higher than male;The occurrence and severity of depression were positively correlated with cancer pain and advanced disease.

关 键 词：老年人 癌 抑郁 

分 类 号：R730.5[医药卫生—肿瘤]