恶性肿瘤患者焦虑、抑郁状况调查及影响因素分析  

Malignant Tumor Patients wiht Anxiety Depression Research and Influence Factors Analysis

作　　者：马艳梅[1] 朱青山[2] 温文斌[3] 杨建斌[1] 崔鹏[4] 

机构地区：[1]长治医学院附属和济医院血液肿瘤科,046011 [2]河南省安阳市肿瘤医院放疗科 [3]长治医学院附属和济医院肾内科 [4]长治医学院附属和济医院普外科

出　　处：《长治医学院学报》2016年第5期354-357,共4页Journal of Changzhi Medical College

摘　　要：目的:了解恶性肿瘤患者焦虑及抑郁状况,探讨焦虑及抑郁影响因素,为临床防治焦虑及抑郁提供科学依据。方法:采用焦虑及抑郁自评量表对111例恶性肿瘤患者进行调查,了解其焦虑及抑郁发生率,分析其焦虑及抑郁影响因素。结果:111例恶性肿瘤患者中存在焦虑27例(24.32%);抑郁患者48例(43.24%);同时存在焦虑及抑郁患者18例(占16.22%)。患者家庭年收入<5万元87例中焦虑及抑郁患者分别为25、42例,≥5万元24例中焦虑及抑郁患者分别为2、6例,2组恶性肿瘤患者其焦虑及抑郁发生率差异明显。肿瘤患者生存质量Karnofsky(KPS)评分<90分33例恶性肿瘤患者中,焦虑及抑郁患者分别为15、21例,KPS评分≥90分的78例恶性肿瘤患者,焦虑及抑郁患者分别为12、27例,KPS评分不同的2组患者中焦虑及抑郁发生率亦明显不同。27例血液肿瘤患者中抑郁患者9例,比84例实体瘤患者中抑郁患者18例抑郁发生率亦明显增高。结论:焦虑及抑郁在恶性肿瘤患者中发生率均较高,家庭年收入越低,肿瘤患者生存质量越差,其焦虑及抑郁发生率越高;血液肿瘤则较实体瘤患者更易合并抑郁。Objective：To understand the situation of anxiety and depression in patients with malignant tumor,and to explore the factors influencing anxiety and depression,and to provide scientific basis for clinical prevention and treatment of anxiety and depression.Methods：1 1 1 malignant tumor patients hospitalized for treatment in our hospital and Anyang Tumour Hospital from March 201 6 to June 201 6 were investigated by the anxiety and depression self rating scale,to clear the anxiety and depression incidence and analyse it’s influencing factors.Results：There were 27 cases of anxiety,accounting for 24.32%,48 cases of depression,accounting for 43.24%,18 cases of anxiety and depression,accounting for 1 6.22% in 1 1 1 malignant tumor patients.There were 25 cases of anxiety and 42 cases of depression in 87 malignant tumor patients with annual household income below 50 thousand yuan,however,there were only 2 cases of anxiety and 6 cases of depression in 24 malignant tumor patients with annual household income above 50 thousand yuan.The incidence of anxiety and depression was significantly different between the two groups of patients with malignant tumor.There were 1 5 cases of anxiety and 21 cases of depression in 33 malignant tumor patients with KPS score below 90.However,there were only 12 cases of anxiety and 6 cases of depression in 27 malignant tumor patients with KPS score greater than or equal to 90.The incidence of anxiety and depression was also significantly different between the two groups of patients with malignant tumor.9 cases of depression in 27 patients with hematological tumor,18 cases of depression in 84 patients with solid tumor,and the incidencenbsp;of depression in the former was significantly higher than the latter.Conclusion：The currency rate of anxiety and depression in patients with malignant tumor is high.The lower the annual household income and the worse quality of life of cancer patients,the higher the incidence of anxiety and de-pression.Hematological tumor patients are more likely to b

关 键 词：恶性肿瘤 焦虑 抑郁 影响因素 

分 类 号：R734[医药卫生—肿瘤]