摘要
目的 分析合并抑郁症状的肺肿瘤术后过渡期患者社会人口学与疾病特征及其影响因素,为临床干预提供参考。方法 连续收集2018年5-10月在西安市某三级甲等医院进行手术治疗的肺肿瘤患者213例,使用抑郁自评量表(SDS)评定抑郁症状,按照SDS评分将患者分为抑郁组和非抑郁组,进行组间比较分析,采用多因素logistic回归分析合并抑郁的相关危险因素。结果 肺肿瘤术后过渡期抑郁症状的发生率为52.1%,不同性别、医疗费别、有吸烟史、肿瘤类型、术后疼痛性质的患者抑郁症状的发生率差异有统计学意义(P<0.05),自费医疗(OR=3.908,95%CI:1.893~8.071)、恶性肿瘤(OR=4.770,95%CI:2.060~11.046)及术后持续疼痛(OR=4.051,95%CI:1.972~8.322)与肺肿瘤术后过渡期抑郁症状显著相关。结论 肺肿瘤患者术后过渡期普遍存在抑郁情绪,医护人员不仅要针对患者病情严密观察,还要及时做好心理疏导和健康教育,从而有效改善患者的不良情绪反应,促使其早日恢复到最佳状态。
Objective To analyze the socio-demographic and disease characteristics and related influencing factors of lung tumor patients with depressive symptoms in the transitional period after operation,provide reference for clinical intervention.Methods A total of 213 lung tumor patients who underwent surgical treatment in a grade-A tertiary hospital of Xi'an City were recruited from May to October 2018.Depressive symptoms were assessed by Self-Rating Depression Scale(SDS).The patients were divided into depressive group and non-depressive group according to SDS score.A comparative analysis was made between the two groups.Multivariate logistic regression analysis was used to analyze the related risk factors of depression.Results The incidence of depressive symptoms was 52.1%.The differences in the incidence of depressive symptoms were statistically significant among patients with different sex,medical expenses,smoking history,tumor type and postoperative pain nature(P<0.05).Self-paying medical expenses(OR=3.908,95%CI:1.893-8.071),malignant tumor(OR=4.770,95%CI:2.060-11.046)and postoperative persistent pain(OR=4.051,95%CI:1.972-8.322)were significantly associated with post-operative depressive symptoms of patients.Conclusion Depression is common in patients with lung tumor during the transitional period after operation.Medical staff should not only observe the patient's condition closely,but also do a good job of psychological counseling and health education in time,so as to effectively improve patients'adverse emotional reactions and promote their early recovery to the best state.
作者
杨欣
张晶
史瑞洁
陈燕峰
王梅
尼春萍
YANG Xin;ZHANG Jing;SHI Rui-jie;CHEN Yan-feng;WANG Mei;NI Chun-ping(School of Nursing,Air Force Military Medical University,Xi'an Shaanxi,710032,China;Second Affiliated Hospital,Air Force Military Medical University,Xi'an Shaanxi,710038,China)
出处
《职业与健康》
CAS
2019年第18期2525-2528,共4页
Occupation and Health
基金
陕西省国际合作项目（2015KW-041)
关键词
肺肿瘤
过渡期
抑郁
相关因素
术后
Lung tumor
Transitional period
Depression
Related factors
Postoperative
