宫颈癌患者不良心理情绪调查及相关危险因素分析

目的：研究宫颈癌患者抑郁发生相关危险因素。方法：对500例宫颈癌患者的不良心理情绪进行研究，并分析伴有抑郁症状的宫颈癌患者和未伴有抑郁症状的宫颈癌患者的临床资料进行对比分析，单因素分析采用卡方检验，多因素分析采用多因素非条件Logistic回归进行分析。结果：202例宫颈癌患者有抑郁症状，比例高达40．40％％，经过单因素和多因素分析发现：文化程度较低（OR=4．362，95CI：0．843-8．374），家庭月收入〈2500元（OR=5．942，95CI：0．458-9．953），对患病知情（OR=3．783，95CI：0．753—8．358），疼痛程度中度及以上（OR=3．456，95CI：0．353-11．836），子宫切除（OR=5．864，95CI：0．944—9．752），经过放化疗治疗（OR=4．342，95CI：0．453-7．654）是宫颈癌患者发生抑郁的相关危险因素。结论：应当加强对具有发生抑郁危险因素宫颈癌患者的心理干预，以便减少宫颈癌患者不良心理情绪的发生。

Risk Factors Analysis on Depression Psychological of Patients with Cervical Cancer

Objective： To investigate the risk factors of depression occurrence with cervical cancer. Method： 500 cases of patients with cervical cancer of the bad psychological emotions were studied, and the analysis of depressive symptoms of patients with cervical cancer and depressive symptoms of lung cancer patients with the clinical data analysis, single factor analysis using the chi-squared test, multivariate analysis using multivariate unconditional Logistic regression analysis. Result： 202 cases of cervical cancer patients with depressive symptoms, high proportion of 40.40%, after a single and multiple factors analysis found： lower cultural level （ OR=4. 362,95CI： 0. 843- 8. 374）, family monthly income 2500 （ OR =5. 942, 95CI： 0.458- 9. 953 ）, the prevalence of informed （ OR= 3. 783,95CI： 0. 753- 8. 358 ）, pain severity moderate and above （ 0R=3.456,95CI： 0.353- 11. 836）, hysterectomyafter（ OR=5. 864,95CI： 0.944- 9. 752 ）, ehemoradiation therapy （ OR = 4. 342,95CI ： 0.453 - 7. 654 ） lung cancer occurring in patients with depression related risk factors. Conclusion： To reduce cervical cancer patients with adverse psychological, it should be strengthened to have depression risk factor for lung cancer patients with psychological intervention.