鼻咽癌患者抑郁症影响因素研究

目的探讨鼻咽癌患者抑郁症发病的影响因素,以便及时有效解决癌症患者的心理问题。方法应用Zung抑郁自评量表(SDS)及自制鼻咽癌患者抑郁症影响因素调查问卷进行调查。结果调查456例鼻咽癌患者抑郁症发生率为40.35%。年龄≤50岁者抑郁症发生率高于>50岁患者(χ2=4.02,P<0.05)。家庭经济状况条件越差,抑郁症发生也越高(χ2=20.15,P<0.05)。癌症发生转移患者和副反应程度越重患者,抑郁症发生率也越高(χ2=19.19、21.81,P均<0.05),而鼻咽癌患者抑郁症发生率与性别、文化程度无关(P>0.05)。结论影响鼻咽癌抑郁发病因素主要是年龄、经济状况、癌症有无转移及副反应程度等,对鼻咽癌患者应进行适当的心理疏导,让患者树立战胜疾病的信心是降低鼻咽癌患者抑郁症发生率的重要措施。

Study on Influencing Factors of Depression in Patients with Nasopharyngeal Carcinoma

Objective To explore the factors influencing the development of depression among patients with nasopharyngeal carcinoma so as to solve the patients’ psychological problems timely and effectively.Methods The survey was conducted using Zung Self-rating Depression Scale(SDS) and the self-designed questionnaire about factors associated with depression in patients with nasopharyngeal carcinoma.Results Among 456 patients with nasopharyngeal carcinoma,the incidence rate of depression was 40.35%.The incidence rate of the patients aged ≤50 years was higher than that of the patients aged >50 years(χ2=4.02,P<0.05).The poorer was the family economic status,the higher was the incidence of depression(χ2=20.15,P<0.05).The incidence rates of depression in the patients with metastasis and with severe adverse reactions were also higher(χ2=19.19,χ2=21.81,both P<0.05).But no correlation was found between the incidence rate of depression and gender,educational background in patients with nasopharyngeal carcinoma(P>0.05).Conclusions The main factors associated with the development of depression in patients with nasopharyngeal carcinoma are age,economic condition,the metastasis of nasopharyngeal carcinoma,the degree of side effects,etc.Giving proper psychological guidance and setting up the patient’s confidence of overcoming the disease are the important measures to reduce the incidence rate of depression in patients with nasopharyngeal carcinoma.