恶性血液病患者抑郁情绪及与心理弹性、社会支持的关系  

Current status of depression in patients with hematological diseases and its relationship with psychological resilience and social support

作　　者：汪丽琴 张蕴玉 宋志刚[1] WANG Liqin;ZHANG Yunyu;SONG Zhigang(Department of Hematology,Navy Anqing Hospital,Anqing 246004,China)

机构地区：[1]海军安庆医院血液内科,安庆246004

出　　处：《国际精神病学杂志》2024年第2期539-541,共3页Journal Of International Psychiatry

摘　　要：目的探讨血液病住院患者抑郁现状及与心理弹性、社会支持的关系。方法纳入海军安庆医院2020年6月~2023年5月84例恶性血液病患者,进行抑郁情绪的评估,根据评估结果分组,分为抑郁组、无抑郁组,比较两组患者的一般资料、心理弹性量表(The conner-davidaon resilience scale,CD-RISC)、社会支持量表(social support rating scale,SSRS),采用单因素分析、二元Logistic回归分析探讨抑郁情绪与一般状况及两项量表评分的关系。结果84例血液病患者中共检出抑郁情绪38例,抑郁组、无抑郁组一般资料中年龄、教育年限、家庭经济收入、医疗费用结算方式、化疗等差异显著(P<0.05),性别、婚姻差异无统计学意义(P>0.05);抑郁组SSRS评分、CD-RISC评分显著高于无抑郁组(P<0.05);低收入、医疗费用自费、年龄<40岁、化疗、SSRS评分、CD-RISC评分是抑郁影响因素。结论血液病住院患者抑郁情绪较常见,低水平心理弹性和社会支持可能加重抑郁情绪。Objective To explore the current status of depression in hospitalized patients with hematological diseases and its relationship with psychological resilience and social support.Methods Eighty-four patients with hematological disorders were included in the Navy Anqing Hospital from June 2020 to May 2023 for depression assessment.They were grouped based on evaluation results.The general information,the psychological resilience scale(CDRISC),and social support rating scale(SSRS)between the depressive and non depressive groups were compared.The single factor analysis and binary logistic regression analysis were used to explore the relationship between depression and general information and two scale scores.Results A total of 38 cases of depression were detected in 84 patients with hematological diseases.There were significant differences in general information between the depression group and the non depression group,such as age,education years,family economic income,medical expense settlement methods,and chemotherapy(P<0.05).There was no statistically significant difference in gender and marriage(P>0.05).The SSRS score and CD-RISC score of the depression group were significantly higher than those of the non depression group(P<0.05).Low income,self funded medical expenses,age<40 years old,chemotherapy,SSRS score,and CDRISC score are the influencing factors for depression.Conclusion Depression is more common in hospitalized patients with hematological diseases,and low levels of psychological resilience and social support may exacerbate depression.

关 键 词：血液病 住院患者 抑郁 心理弹性 社会支持 

分 类 号：R749[医药卫生—神经病学与精神病学]