社区肿瘤患者抑郁患病状况及其影响因素探究.docVIP

社区肿瘤患者抑郁患病状况及其影响因素探究 　 作者：张蓓燕　杨郗　费扬　徐飚 【摘要】 　　［目的］了解社区肿瘤患者中抑郁的患病状况，探讨肿瘤患者发生抑郁的可能影响因素。［方法］ 对上海市新华社区464例癌症患者，使用抑郁自评量表Zung评价抑郁状况，采用调查问卷收集一般人口学信息和疾病相关信息，采用多因素Logistic回归等统计学方法分析影响因素。［结果］ 社区肿瘤患者中抑郁症患病率17.9％，男性、女性分别为16.3％和19.3％；高龄组（≥80岁）抑郁患病率达31.3％，高于其他年龄组患病率（P＝0.006）。受教育程度和有无疼痛是影响抑郁状况的主要因素,初中及初中以下文化程度患者发生抑郁的可能性是初中以上文化程度者的2.013倍 (OR＝2.013，95%CI: 1.154~3.510)；有疼痛者发生抑郁的可能性是没有疼痛者的2.947倍(OR＝2.947，95%CI: 1.578~5.504)。 ［结论］ 尽管本社区肿瘤患者抑郁症状患病率目前较低，但文化程度较低、有疼痛症状的肿瘤患者出现抑郁症状的可能性较大，应加强对这一人群的心理健康指导和支持。 【关键词】 肿瘤　抑郁　患病率　社区 　　 A Study on Prevalence of Depression and Its Risk Factors in Cancer Patients in Community 2.Public Health College of Fudan University, Shanghai 200032, China)Abstract: ［Purpose］ To describe the prevalence of cancer patiants with depressive symptom in community and to explore the possible risk factors of depressive symptoms. ［Methods］ Four hundred sixty four cancer patients living in Xinhua Community were investigated. Zungs Selfreport Depression Scale was applied for depressive symptom screening. Information on diseases profiles and social characteristics of patients were collected by questionnaire. Multivariate Logistic regression was used to analyze the risk factors. ［Results］Eightythree patients were assessed having depressive symptom. The estimated prevalence of depressive symptom was 17.9% (16.3% with male, 19.4% with femak). The prevalence in patients at the age of 80 and above was 31.3%, which was significantly higher than that in other age groups (P=0.006). Education levels and pain were statistically associated with the occurrence of depressive symptom. Patients with not more than 9 years education (OR=2.013, 95%CI: 1.154~3.510) and patients who suffer from pains (OR=2.947, 95%CI: 1.578~5.504) showed the increased risk of depressive symptom. ［Conclusion］ Although the prevalence of depressive symptom among the community cancer patients is relatively low, less educated cancer patients and patients in pains are facing the increased risk of depressive symptom.