癌症病人抑郁状态的相关因素调查与护理对策

目的 探讨癌症病人抑郁状态的发生率及其相关因素，为实施心理护理提供依据。方法 采用Zung抑郁状态自评量表作为抑郁的评估工具，对142例癌症病人进行检测。辅以艾森克人格测查（EPQ）、生活事件量表（LES）和自行设计的调查表进行相关因素调查。结果 142例癌症病人中95例有抑郁状态，检出率为66．9％。单因素分析显示病人的文化程度，家人、亲友、医生对其关心的程度，经济状况，疼痛程度，住院费支付方式，自身健康评价，LES和EPQ中P因子10项因素对抑郁状态扫生有显著影响（均P＜0．01）。经Logistic回归分析，疼痛、家人的关心程度、住院费支付方式、LES和EPQ中P因子5个因素进入回归方程。结论 应改善病人疼痛状况，提供良好的社会支持，提高病人对癌症的认知水平，从而降低抑郁状态的发生率。

Investigation on the Relative Factors for Depressed State of Cancer Patients and Nursing Measures

Objective To investigate the incidence of depressed state of the cancer patients and the relative factors to provide theoretical basis for mental nursing care. Methods By using Zung Depressed State Self Checklist, 142 cancer patients were assessed. EPQ, LES and self designed scale were used to study the relative factors.Results Among the 142 cancer patients, depressed state occurred in 95 cases, accounting for 66.9 %. Single factor analysis showed that education level, concern for them from family, relatives, doctors, economic state, pain degree, payment of the hospitalized fee, self health assessment, LES and 10 items of P factor in EPQ could significantly affect the occurrence of depressed state (all P <0.01). Logistic regression analysis indicated that pain, family's concern, payment of hospitalized fee and 5 items of P factor in LES and EPQ were involved in the regressive equation. Conclusion The depressed state of the concer patients should be improved, was related with pain, social support, life event and so on. The corresponding nursing measured shoud be put in practice.