非霍奇金淋巴瘤患者主要照顾者抑郁状况及相关影响因素分析  

Depression status of primary caregivers of non-Hodgkin lymphoma patients and its influencing factors

作　　者：沈琴琴[1] 沈一平[1] 

机构地区：[1]浙江省中医院血液科,浙江杭州310000

出　　处：《中国医药导报》2014年第23期47-50,共4页China Medical Herald

基　　金：国家中医临床研究基地业务建设科研专项课题(编号JDZX2012176)

摘　　要：目的探讨非霍奇金淋巴瘤患者主要照顾者抑郁状况,并分析其影响因素。方法选取2011年6月～2013年12月于浙江省中医院住院治疗的120例非霍奇金淋巴瘤患者的主要照顾者,采用自编一般调查问卷、Zung抑郁自评量表(SDS)对主要照顾者进行问卷调查,并对调查结果进行统计学分析。结果非霍奇金淋巴瘤患者主要照顾者抑郁发生率为40%(48/120),SDS得分为(57.59±4.62)分,高于国内常模,差异有高度统计学意义(P<0.01)。单因素分析结果显示,发生抑郁和未发生抑郁照顾者在年龄、家庭收入、文化程度、日均照顾时间、照顾持续时间、与患者的关系、患者病程时间、患者TMN分期、疗效、患者对疾病是否知情方面差异有统计学意义(P<0.05或P<0.01);多因素Logistic回归分析结果显示照顾持续时间、家庭收入、照顾者文化程度、患者TMN分期、患者病程时间是照顾者抑郁的主要影响因素(OR=1.826、0.603、0.505、1.540、1.343,P<0.05或P<0.01)。结论非霍奇金淋巴瘤患者主要照顾者存在较严重的抑郁情绪,医护人员应重视对非霍奇金淋巴瘤患者主要照顾者进行心理干预。Objective To study and explore the depression status of primary caregivers of non-Hodgkin lymphoma pa-tients, and its influencing factors. Methods From June 2011 to December 2013, in Chinese Medicine Hospital of Zhe-jiang Province, 120 primary caregivers of non-Hodgkin lymphoma patients were selected, surveyed by self-designed general information questionnaire, the self rating depressions cale （SDS）, and the results were taken statistical analysis. Results The incidence of depression was 40%（48/120）, and SDS were （57.59±4.62） scores, which were higher than those of the domestic norms, the differences were statistically significant （P〈0.01）. The univariate analysis results showed that depression was associated with age, family income level, education level, the average time of daily care, duration of care, relationship with the patients, course of disease, the TNM classification, efficacy of disease, and whether the pa-tients informed the disease, the differences were statistically significant （P〈0.05 or P〈0.01）. Logistic regression results showed that education level, duration of care, family income level, the TNM classification, and the course of disease were the main factors of depression for primary caregivers （OR =1.826, 0.603, 0.505, 1.540, 1.343, P〈0.05 or P〈0.01）. Conclusion The primary caregivers of non-Hodgkin lymphoma patients exist more severe depression, the nursing staff should pay attention to the psychological intervention of primary caregivers of non-Hodgkin lymphoma patients.

关 键 词：非霍奇金淋巴瘤 主要照顾者 抑郁 影响因素 

分 类 号：R359.1[医药卫生—基础医学]