卵巢癌患者焦虑抑郁发生情况的现状分析及危险因素探讨  

Analysis of anxiety and depression in patients with ovarian cancer and its risk factors

作　　者：赖春双 李健[1] Lai Chunshuang;Li Jian(Department of Gynecology,Maoming People's Hospital,Maoming Guangdong,525000,China)

机构地区：[1]茂名市人民医院妇科,广东茂名525000

出　　处：《中外女性健康研究》2022年第19期7-8,25,共3页Women＇s Health Research

摘　　要：目的:调查卵巢癌患者的焦虑抑郁的发生情况及其危险因素。方法:选取本院于2018年1月至2018年12月收治的66例卵巢癌患者作为研究对象。应用医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)对患者的焦虑和抑郁状况进行评分。根据患者HADS评分,将患者分为有症状组和无症状组,采用单因素分析方法对两组的人口学特征和一般临床资料进行比较,分析焦虑抑郁发生的潜在危险因素。结果:66例患者焦虑抑郁平均总得分(9.42±5.37)分,其中焦虑平均评分(11.25±6.28)分,抑郁平均评分(8.67±4.38)分。其中存在焦虑症状患者16例(24.2%),存在抑郁症状患者10例(15.2%),焦虑和抑郁同时存在患者6例(9.1%)。单因素分析发现,有症状组患者平均年龄明显高于无症状组患者,且在有症状患者中,学历为初中及以下、月收入≤3000元、癌症分期为Ⅲ或Ⅳ期及伴有肿瘤转移的患者比例明显高于无症状组,差异具有统计学意义(P<0.05)。结论:卵巢癌患者焦虑或抑郁症状的发生率较高,其中患者年龄大、低文化水平、经济收入较低及肿瘤恶性程度高对卵巢癌患者发生焦虑或抑郁具有显著影响。Objective:To investigate the incidence of anxiety and depression in patients with ovarian cancer and analyze its risk factors.Methods:66 patients with ovarian cancer in our hospital from January 2018 to December 2018 were selected as the research objects.The hospital anxiety and Depression Scale(HADS)was used to evaluate the anxiety and depression of the patients.According to the hads score,the patients were divided into symptomatic group and asymptomatic group.The demographic characteristics and general clinical data of the two groups were compared by univariate analysis,and the potential risk factors of anxiety and depression were analyzed.Results:The average total score of anxiety and depression was(9.42±5.37),including(11.25±6.28)and(8.67±4.38).Among them,16 cases(24.2%)had anxiety symptoms,10 cases(15.2%)had depression symptoms,and 6 cases(9.1%)had both anxiety and depression.Univariate analysis showed that the average age of patients in the symptomatic group was significantly higher than that in the asymptomatic group,and among the symptomatic patients,the proportion of patients with junior high school education or below,monthly income≤3000 yuan,cancer stage III or IV and tumor metastasis was significantly higher than that in the asymptomatic group,the difference was statistically significant(P<0.05).Conclusion:The incidence of anxiety or depression in patients with ovarian cancer is higher,and older age,lower education level,lower income and higher malignant degree of tumor have a significant impact on anxiety or depression in patients with ovarian cancer.

关 键 词：卵巢癌 焦虑 抑郁 危险因素 心理健康 

分 类 号：R737.31[医药卫生—肿瘤]