胆胰系统恶性肿瘤患者焦虑抑郁状况及其影响因素分析  

Analysis of anxiety and depression status and its influencing factors in patients with malignant tumor of biliary and pancreatic system

作　　者：赵金燕 周颖[1] ZHAO Jinyan;ZHOU Ying(General Medicine Department,Xuhui District Central Hospital,Shanghai 200030,China)

机构地区：[1]上海市徐汇区中心医院全科医学科,上海200030

出　　处：《临床医学研究与实践》2024年第31期13-16,共4页Clinical Research and Practice

摘　　要：目的分析胆胰系统恶性肿瘤患者焦虑抑郁状况及其影响因素。方法选择2023年2月至9月因胆胰系统恶性肿瘤住院的179例患者作为研究对象。通过医院管理信息系统及补充询问等方式获取患者的一般资料;以7项广泛性焦虑障碍量表(GAD-7)和9项患者健康问卷(PHQ-9)评估患者的焦虑、抑郁情况。焦虑和/或抑郁合称为焦虑抑郁。采用二元Logistic回归分析探究影响胆胰系统恶性肿瘤患者焦虑抑郁发生的因素。结果179例胆胰系统恶性肿瘤患者中,发生焦虑76例,占比42.5%,发生抑郁97例,占比54.2%,发生焦虑抑郁共计108例,占比60.3%。不同性别、年龄段、文化程度、慢性病史、肿瘤家族史、病程、疾病了解情况、BMI患者的焦虑抑郁发生率比较,差异具有统计学意义(P<0.05);不同居住地、职业性质、肿瘤类型、治疗方式患者的焦虑抑郁发生率比较,差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示,性别、年龄段、慢性病史、病程、疾病了解情况、BMI是胆胰系统恶性肿瘤患者焦虑抑郁发生的影响因素(P<0.05)。结论胆胰系统恶性肿瘤患者焦虑抑郁发生率较高。对于这类生存期短的患者,缓和医疗团队应尽早予以全方位的照护,包括精神心理问题的及时发现与干预,延缓其病情发展、改善生存质量。Objective To analyze the anxiety and depression status and its influencing factors in patients with malignant tumor of biliary and pancreatic system.Methods A total of 179 patients who were hospitalized for malignant tumor of biliary and pancreatic system from February to September 2023 were selected as the study objects.The general information of patients was obtained through hospital information system and supplementary inquiry;Generalized Anxiety Disorder-7(GAD-7)and Patient Health Questionnaire-9(PHQ-9)were used to evaluate the anxiety and depression of patients.Anxiety and/or depression were called anxiety and depression.Binary Logistic regression analysis was used to explore the factors affecting the occurrence of anxiety and depression in patients with malignant tumor of biliary and pancreatic system.Results Among the 179 patients with malignant tumor of biliary and pancreatic system,76 cases had anxiety,accounting for 42.5%,and 97 cases had depression,accounting for 54.2%and 108 cases had anxiety and depression,accounting for 60.3%.There were statistically significant differences in the incidences of anxiety and depression among patients with different gender,age group,educational level,history of chronic diseases,family history of cancer,course of disease,understanding of disease and BMI(P<0.05);there were no significant differences in the incidences of anxiety and depression among patients with different residence,occupational nature,tumor type and treatment methods(P>0.05).Multivariate Logistic regression analysis results showed that gender,age group,history of chronic diseases,course of disease,understanding of disease and BMI were the influencing factors of anxiety and depression in patients with malignant tumor of biliary and pancreatic system(P<0.05).Conclusion The incidence of anxiety and depression in patients with malignant tumor of biliary and pancreatic system is high.For such patients with short survival,the palliative care team should provide comprehensive care as soon as possible,including

关 键 词：胆胰系统恶性肿瘤 焦虑 抑郁 

分 类 号：R473.73[医药卫生—护理学]