癌症患者对患病后果的担忧及其与抑郁的关系

目的 探讨癌症患者对患病后果的担忧情况及其与抑郁的关系.方法 整群抽取武汉市和北京市4家综合医院的癌症住院患者,采用自行设计问卷调查癌症患者对患病后果的担忧情况,抑郁自评量表(SDS)测量患者的抑郁状况.结果 共调查485例癌症患者,其中男204例(42.1％),女281例(57.9％),平均年龄(56.59±11.19)岁.超过50％的患者经常或总是担忧医疗费用.不能照顾孩子,失去生命,身体残疾或留下后遗症,以及丧失生活能力也是患者担忧较多的情况.患者对失去生命的担忧程度越大,出现抑郁的可能性越大(P＜0.05);患者年龄越小,出现抑郁的可能性越大(P＜0.05);与职业为其他的患者相比,职业为公司职员的患者出现抑郁的可能性较小(P＜0.05).结论 癌症患者患病后对医疗费用、无法照顾孩子和失去生命等均有不同程度的担忧,对失去生命的担忧可影响其抑郁状况.

Worry about ill consequences in cancer patients and its relationship with depression

Objective To understand the worry situation about ill consequences in cancer patients and its relationship with depression.Methods The inpatients with cancer were extracted from 4 general hospitals of Wuhan and Beijing city by the cluster sampling.The self-designed questionnaires were adopted to survey the worry situation about ill consequences in cancer patients.The self-rating depression scale (SDS) was used to assess the patients' depression status.Results A total of 485 cancer patients were surveyed,including 204 males (42.1 ％),281 females(57.9 ％),and the mean age was (56.59 ± 11.19)years old.More than half of the patients usually or always worried about medical expenses.Worries about not taking care of their children,losing their lives,physical disability,leaving sequela and losing life ability also happened a lot.Patients worried more about losing their life,the possibility appearing depression was greater (P＜0.05).The younger the patients were,the greater the depression possibility was;the company staffs had lower risk of depression compared with those whose occupation was others (P＜0.05).Conclusion Cancer patients have different degrees of worries about ill consequences such as medical expenses,not taking care of their children and losing their lives and their worries about losing their lives could affect their depression status.