癌症患者抑郁状况与社会支持的相关性分析

目的了解癌症患者抑郁状态与所得到的社会支持情况，并探讨二者之间的相关性，为提高癌症患者的生活质量与改善心理状态提供依据。方法采用Zung抑郁自评量表（SDS）、社会支持评定量表（SSRS），对82例癌症患者进行问卷调查。结果60．98％（50例）癌症患者存在抑郁状态；SSRS得分（44．51±4．02）分，与常模（34．56±3．73）分比较差异有统计学意义（t=22．425，P〈0．01）。不同年龄及文化程度的癌症患者，所获得社会支持及抑郁状态差异均有统计学意义（P〈0．01）。患者的抑郁状态与社会支持总分、客观支持、主观支持及支持利用度呈负相关（r分别为-0．791，-0．855，-0．710，-0．658；P〈0．01）。结论癌症患者抑郁发生率高，社会支持水平较好。社会支持与抑郁状态密切相关，社会支持越高，抑郁水平越低。护理人员应重视社会支持系统对改善癌症患者抑郁状态的作用，以恰当的社会支持来提高患者生活质量与改善其心理状态。

Correlation analysis of depression and social support level in cancer patients

Objective To understand the status of depression and social support in cancer patients,to discuss the correlation between them,and to provide basis for improving their quality of life and mental states.Methods A questionnaire survey was conducted in 82 cancer patients with radiotherapy using Zung Depression Rating Scale (SDS) and Social Support Rating.Scale (SSRS).Results 50 cases (60.98％ ) had depression symptoms ; Their SSRS score was ( 44.51 ± 4.02),with significant difference from the norm (34.56 ± 3.73 ) scores (t =22.425 ;P ＜0.01 ).Significant differences of social support and depression were found among different age groups and educational levels of cancer patients (P ＜0.01 ).Depression of the patients had a significant negative correlation with the level of social support,objective support,subjective support and utilization of support (r =-0.791,-0.855,-0.710,and -0.658;P＜0.01).Conclusions Incidence of depression in cancer patients was high and the level of social support was fine.Depression is negatively related with social support.Nurses should pay attention to the role of social support systems in depression of cancer patients and use appropriate social support to improve the quality of life and psychological state of patients.