新冠肺炎疫情期间乳腺癌患者就医延迟与焦虑抑郁的现况调查  

Investigation of the delay of medical treatment and anxiety and depression of breast cancer patients during the pandemic of COVID-19

作　　者：文敏[1] 徐红平 张晓璐 王浩[1] 杨婧[1] 李艳 任正欣 唐丹 WEN Min;XU Hong-ping;ZHANG Xiao-lu;WANG Hao;WANG Jing;LI Yan;REN Zheng-xin;TANG Dan(Department of Mammary Gland,Sichuan Cancer Hospital,Chengdu,Sichuan 610041,China;不详)

机构地区：[1]四川省成都市武侯区四川省肿瘤医院乳腺科,四川成都610041 [2]中国科学院合肥肿瘤医院,安徽合肥230031 [3]成都中医药大学,四川成都610036

出　　处：《现代预防医学》2020年第22期4093-4097,共5页Modern Preventive Medicine

摘　　要：目的了解新型冠状病毒肺炎疫情期间乳腺癌患者就医延迟与焦虑抑郁的发生情况,并分析焦虑抑郁的影响因素。方法采用问卷调查在我院接受治疗的乳腺癌患者的就医延迟及抑郁焦虑情况,采用SPSS进行数据分析。结果共收集316份有效问卷。就医延迟方面,化疗与复诊延迟的患者人数较多,患者多倾向于到原医院进行治疗,希望能采取网上就诊,邮寄药品的方式解决就医延迟。有39例(12.3%)患者存在焦虑症状,60例(19.0%)患者存在抑郁症状,其中农村地区(OR=3.05, 95%CI:1.51~6.15)、身体状况差(OR=1.86, 95%CI:1.06~3.26)、治疗阶段靠前(OR=0.54,95%CI:0.33~0.91)显著提高患者的焦虑水平,收入低(OR=0.59, 95%CI:0.39~0.91)、身体状况差(OR=1.71, 95%CI:1.05~2.79)、对延迟治疗越担忧(OR=1.53, 95%CI:1.16~2.02)显著提高患者的抑郁水平。结论新冠肺炎疫情期间乳腺癌患者出现了不同类别的就医延迟,患者表现出了不同程度的焦虑、抑郁心理反应,提示应根据影响因素合理分配医疗资源并提供心理干预。Objective To understand the delay in seeking medical attention and the occurrence of anxiety and depression in breast cancer patients during the novel coronavirus pneumonia(COVID-19)epidemic,and analyze the influencing factors of anxiety and depression.Methods Questionnaires were used to investigate the delay in the medical treatment and depression and anxiety scale of breast cancer patients in our hospital,and SPSS was used for data analysis.Results A total of 316 valid questionnaires were collected.Regarding medical treatment delays,there are a large number of patients with delayed chemotherapy and delayed re-examinations,and most patients tend to go to the original hospital for treatment.It is hoped that the delay in medical treatment can be solved by means of online consultation and mailing of medicines.There are 39 patients(12.3%)with anxiety symptoms,60 patients(19.0%)with depression symptoms,including rural areas(OR:3.05,95%CI:1.51-6.15),poor physical condition(OR:1.86,95%CI:1.06-3.26),early treatment stage(OR:0.54,95%CI:0.33-0.91)significantly increase the patient’s anxiety level and low income(OR:0.59,95%CI:0.39-0.91),poor physical condition(OR:1.71,95%CI:1.05-2.79),more worry about delayed treatment(OR:1.53,95%CI:1.16-2.02)significantly increase the patient’s depression level.Conclusion During the novel coronavirus pneumonia epidemic,the treatment of breast cancer patients experienced different types of delays,and the patients also experienced different levels of anxiety and depression psychological reactions.Medical resources and corresponding psychological interventions should be allocated according to their influencing factors.

关 键 词：新型冠状病毒肺炎 乳腺癌 就医延迟 焦虑 抑郁 

分 类 号：R173[医药卫生—妇幼卫生保健]