肿瘤科住院患者抑郁情绪调查研究  

Investigation on depression in hospitalized patients in the Department of Oncology

作　　者：王瑜[1] 余建英[1] 董再全[1] 王建[1] 刘阳[1] 罗珊霞[1] 陈靓[1] 黄明金[1] 莫丽玲[1] 郭万军[1] 何宁[1] 陈然[1] 姜愚[2] 殷文蓉[2] 张岚[1] 

机构地区：[1]四川大学华西医院心理卫生中心,成都610041 [2]四川大学华西医院肿瘤科,成都610041

出　　处：《华西医学》2017年第2期200-203,共4页West China Medical Journal

摘　　要：目的探究综合医院肿瘤科住院患者抑郁的估计患病率及其相关因素。方法 2013年10月29日对四川大学华西医院肿瘤科所有住院患者进行时点问卷调查。调查内容包括一般人口学资料和患者健康问卷抑郁量表,以了解综合医院住院患者的抑郁情绪发生率及其相关影响因素。结果共向546例患者发放了调查问卷,其中18例患者因为缺乏兴趣和时间拒绝参与研究,收回问卷528份,脱落率为3.4%,其中7份问卷有超过15个变量缺失,视为无效问卷,最终回收有效问卷521份,问卷有效回收率为95.4%。肿瘤科住院患者抑郁的估计患病率为32.8%(171/521),肿瘤患者发生抑郁的危险因素为女性[比值比(odds ratio,OR)=1.550,95%置信区间(confidence interval,CI)(1.034,2.325),P=0.034]、受教育程度为小学及以下[OR=2.534,95%CI(1.329,4.832),P=0.005]、家庭年收入<10 000元[OR=1.850,95%CI(1.056,3.243),P=0.032]。135例(25.9%)患者存在自杀风险,其中有90例(52.6%)患者检出抑郁,Spearman相关分析发现自杀风险与PHQ-9得分呈中度正相关(r=0.558,P<0.001)。结论肿瘤科住院患者抑郁的估计患病率高,尤其是女性、文化程度低、家庭年收入低的患者。必须谨慎评估肿瘤患者的抑郁情绪和自杀风险,并及时给予相应的心理干预。Objective To investigate the estimated prevalence of depression and its associated factors among inpatients in the Department of Oncology in general hospitals. Methods On October 29 th, 2013, we surveyed all hospitalized patients from the Department of Oncology in West China Hospital, Sichuan University. The questionnaire on patients＇ demographic characteristics and the Patient Health Questionnaire-9（PHQ-9） were combined to form one questionnaire to investigate the incidence of depression in hospitalized patients in general hospitals and its influencing factors. Results We gave out 546 questionnaires and retrieved 528 with a retrieval rate of 96.6%. Seven questionnaires had 15 or more empty items and were deleted. The final number of valid questionnaires was 521, with a validity rate of95.4%. The estimated prevalence of depression among inpatients from the Department of Oncology was 32.8%（171/521）.Risk factors for depression in patients in the Department of Oncology included female gender [OR=1.550, 95%CI（1.034,2.325）, P=0.034] illiterate and primary school education [OR=2.534, 95%CI（1.329, 4.832）, P=0.005] and annual household income lower than 10 000 RMB [OR=1.850, 95%CI（1.056, 3.243）, P=0.032]. A total of 135 patients had suicidal risks,among whom 90（52.6%） had depression, and Spearman correlation analysis showed that suicidal risk was moderately and positively correlated with PHQ-9 scores（r=0.558, P〈0.001）. Conclusions The estimated total prevalence of depression is high in hospitalized patients in the Department of Oncology, especially in female, low educational level and low family incomepatients. We must pay more attention to the mental health of cancer patients, evaluate depression and suicidal tendency carefully and provide psychological service timely.

关 键 词：肿瘤科 住院患者 抑郁 危险因素 

分 类 号：R473.73[医药卫生—护理学]