肿瘤患者首次放疗前后抑郁症状的比较研究

目的:比较首次放射治疗前后肿瘤患者抑郁症状评分,并寻找导致评分增高的危险因素。方法:纵向比较126例接受放射治疗的肿瘤患者,比较化疗前后SDS评分升降情况。结果:3(2.38%)例患者治疗前后SDS评分相同,77(61.11%)例患者治疗后SDS评分高于治疗前,而46(36.51%)例患者治疗后SDS评分低于治疗前。平均年龄较小(20-29岁)、高龄或者接受头颈部放射治疗患者容易出现疲惫、焦虑及胃肠道等症状。结论:首次放射治疗会增加患者抑郁评分,但不是唯一因素。

Comparison Study of Assessment of Symptom Distress in Cancer

Objective：This study is aimed to evaluate the change in symptom distress in cancer patients after radiotherapy and its predisposing factors. Methods： A longitudinal design was conducted on 126 cancer patients who underwent radiotherapy in Anhui Provicial hospital radiotherapy department. The structured questionnaire included sections on demographics, medical conditions, and a symptom distress scale. Results： Of the cancer patients, 60.32% reported an increase in the overall figures of symptom distress after radiotherapy, whereas 37.3% experienced a decrease. Cancer patients 20 to 39 years old or who received radiotherapy on the head and neck reported the greatest increase in overall figure of symptom distress. Patients after radiotherapy on the head and neck experienced signifi- cant increase in bowel disturbance. Conclusion：Radiotherapy can increase symptom distress in all patients, but it is not the only factor.