摘要
目的探究肿瘤患者TNM分期及焦虑、抑郁情况和社会支持度,并分析其相关性,为肿瘤患者后续诊疗提供依据。方法选取2020年1—5月于本院行PET-CT检查的肿瘤患者101例作为研究对象,根据肿瘤TNM分期分为原位癌组(T,n=32)和转移组(n=69),转移组进一步分为淋巴转移组(N,n=29)和远端转移组(M,n=40)。采用方便抽样法对肿瘤患者进行问卷调查,包括医院焦虑、抑郁量表(HAD)和社会支持度量表(SSRS)。分析肿瘤TNM分期与焦虑、抑郁情况和社会支持度的相关性。结果原位癌组主观支持分、利用率得分、社会支持总分均高于转移组,原位癌组焦虑、抑郁评分均低于转移组,差异有统计学意义(P<0.05);肿瘤分期与主观支持分、利用率得分、社会支持总分呈负相关,差异有统计学意义(r=-0.36、-0.25、-0.38,P<0.01)。肿瘤分期与焦虑、抑郁程度呈正相关,差异有统计学意义(r=0.35、0.38,P<0.01),淋巴转移组主观支持分、利用率得分、社会支持总分得分均高于远端转移组,且焦虑、抑郁评分均低于远端转移组,差异无统计学意义。结论肿瘤患者存在焦虑、抑郁的风险,患者发生转移的风险大小与患者焦虑、抑郁情况和社会支持度显著相关,而肿瘤患者是否发生远端转移与焦虑、抑郁情况和社会支持度无明显相关性,因此,应加强肿瘤患者的心理护理,尤其是确诊初期,提高患者生存率。
Objective To explore the TNM staging,anxiety and depression status and social support of patients with tumors,and analyze their correlations,so as to provide a basis for subsequent diagnosis and treatment of tumor patients.Methods 110 tumor patients who underwent PET-CT examination in our hospital from January to May 2020 were selected as the research subjects.They were divided them into carcinoma in situ group(T,n=32)and metastasis group(n=69),the metastasis group was further divided into lymphatic metastasis group(N,n=29)and distal metastasis group(M,n=40).Convenient sampling was used to conduct questionnaire surveys on cancer patients,including the hospital anxiety and depression scale(HAD)and the social support scale(SSRS).Analyzed the correlation between tumor TNM staging,anxiety and depression and the level of so-cial support.Results The subjective support score,utilization score,and total social support score in the cancer in situ group were higher than those in the metastasis group,and the anxiety and depression scores in the cancer group were lower than those in the metastasis group,the difference was statistically significant(P<0.05);tumor staging and subjective support score,utilization score,total social support score were negatively correlated,the difference was statistically significant(r=-0.36,-0.25,-0.38,P<0.01);tumor staging and anxiety score,and depression score were positively cor-related,the difference was statistically significant(r=0.35,0.38,P<0.01).The subjective support score,utilization score,and total score of social support in the lymphatic metastasis group were higher than those in the distal metastasis group,and the anxiety and depression scores were lower than those in the distal metastasis group,the difference was not statistically significant.Conclusion Cancer patients are at risk of anxiety and depres-sion.The risk of metastasis in patients is significantly related to their anxiety and depression and social support.However,whether remote metastasis occurs in tumor patients has no
作者
刘士玮
张红
杨志
马云霞
LIU Shiwei;ZHANG Hong;YANG Zhi;MA Yunxia(Key Laboratory of Carcinogenesis and Translational Research,Ministry of Education,NMPA Key Laboratory for Research and Evaluation of Radiopharmaceuticals,National Medical Products Administration,Department of Nuclear Medicine,Peking University Cancer Hospital&Institute,Beijing,100142,China)
出处
《当代医学》
2021年第22期1-4,共4页
Contemporary Medicine
基金
肿瘤核医学专业扬帆计划-重点医学专业(ZYLX201816)。
