住院恶性肿瘤患者抑郁障碍的临床特征分析  

Clinical characteristics of depressive disorders in inpatients with malignant tumors

作　　者：宗玲 景举珍[2] 曲鸿儒[3] 马晓雷[3] 吕淑艳[3] 赵莹莹[4] 

机构地区：[1]中山市第三人民医院司法鉴定科,广东528451 [2]中山市中医院影像科,广东528400 [3]天津市安宁医院,天津300300 [4]北京安定医院,北京100008

出　　处：《中国临床新医学》2016年第8期692-696,共5页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的分析恶性肿瘤住院患者抑郁障碍的检出率及临床特征。方法由经过培训的两位精神科医师对肿瘤内科的413例住院恶性肿瘤患者进行《简明国际神经精神访谈》(中文版)、特质应对方式问卷评定,并收集患者的社会人口学和肿瘤特征变量,最后对所有数据进行分析。结果恶性肿瘤住院患者抑郁障碍的检出率为22.0%;非在婚状态、肿瘤远处转移、肿瘤确诊时间间隔短于1.5年、接受姑息治疗和乳腺癌与患者抑郁障碍显著相关;消极应对得分明显较高。结论肿瘤内科住院患者抑郁障碍检出率较高,肿瘤科医师应重视患者的精神卫生问题,特别是应注意改善患者的不良认知及行为。Objective To investigate the detectable rate and the clinical characteristics of depressive disorders in the inpatients with malignant tumors. Methods A total of 413 cancer inpatients were recruited from the department of oncology and were surveyed with a Chinese version of the Mini International Neuropsychiatric Interview and TCSQ by two trained psychiatrists. The patients＇ socio-demographic and clinical data were collected during the interview. All the data were analysed in the end. Results The detectable rate of depressive disorders in inpatients with malignant tumors was 22. 0%; Unmarried state,distant metastasis of cancers,a duration of time≤1. 5 years before the diagnosis of cancer,receiving palliative care,and having breast cancer were the high risk factors of depression. Conclusion The inpatients in the department of oncology have a high detectiable rate of depressive disorders.Oncologists should pay more attention to the mental health problems of patients with cancerous tumors,especially with negative cognitive and cognition.

关 键 词：抑郁障碍 恶性肿瘤 住院患者 

分 类 号：R730[医药卫生—肿瘤]