摘要
目的调查妇科恶性肿瘤放疗患者伴发抑郁的状况及其影响因素。方法选取我院2021年2月~2022年2月102例妇科恶性肿瘤放疗患者(包括术后补充放疗及根治性放疗),依据是否有抑郁症状分为抑郁组与非抑郁组,评估患者放疗期间抑郁程度,调查两组年龄、文化程度等一般资料以及肿瘤分期、副反应等病历资料,并进行单因素与多因素分析。结果102例妇科恶性肿瘤患者检出抑郁40例(39.22%)。抑郁组、非抑郁组患者在年龄、肿瘤分期、家庭月收入、文化水平、骨髓抑制程度、卡氏评分(KPS)、家庭关怀度、医疗费用支付方式、是否同步化疗差异具有统计学意义(P<0.05),两组患者在婚姻状况、职业状态方面差异无统计学意义(P>0.05);多因素分析显示:肿瘤分期Ⅳ期、家庭月收入<2000元、小学及以下文化程度、Ⅳ度骨髓抑制、KPS评分<50分、家庭关怀度差是妇科恶性肿瘤放疗患者抑郁的危险因素。结论妇科恶性肿瘤放疗患者抑郁率较高,受到肿瘤分期、经济状况等多种因素的影响。
Objective To investigate the current situation and risk factors of depression in patients with gynecological malignant tumor undergoing radiotherapy.Methods A total of 102 patients with gynecological malignant tumors in our hospital from February 2021 to February 2022 were the subjects of this study.The degree of depression during radiotherapy was evaluated,and the patients were divided into a depression group and a non-depression group.The general data such as age and educational level of the two groups,as well as the medical records such as tumor stage and side effects,were investigated.Univariate and multivariate analyses were performed.Results Depression was detected in 40 cases of 102 gynecological malignant tumor patients.Depression group and non-depression group age,tumor stage,family monthly income,education level,degree of bone marrow suppression,Karnofsky score(KPS),family care,payment method of medical expenses,and the difference was statistically significant with or without concurrent chemotherapy(P<0.05).There was no significant difference in marital status and occupational status between the two groups(P>0.05).Multivariate analysis showed that tumor stage IV,monthly family income<2000 yuan,primary school education level or below,Grade IV myelosuppression,KPS score<50 points,and poor family care were risk factors for depression in patients undergoing radiotherapy for malignant tumors in the department.Conclusion The depression rate of radiotherapy patients with gynecological malignant tumors is relatively high,which is affected by various factors such as tumor stage and economic status.
作者
温馨
翟艳红
牛高丽
WEN Xin;ZHAI Yanhong;NIU Gaoli(Gynecologic Oncology,the Second People's Hospital of Jiaozuo City,Jiaozuo 454000,China)
出处
《国际精神病学杂志》
2023年第3期510-512,共3页
Journal Of International Psychiatry
关键词
妇科恶性肿瘤
放疗
抑郁
影响因素
Gynecological malignancies
Radiotherapy
Depression
Influencing factors
