摘要
目的:探讨社区肿瘤患者抑郁症状现况及相关因素.方法:在全国范围内(不包含港澳台)以分层抽样与按全国第7次人口普查比例配额抽样相结合的方法抽取30 505例居民.采用中文版患者健康问卷-9、广泛性焦虑障碍量表、自编调查问卷、简化版领悟社会支持量表等评估肿瘤患者抑郁症状、焦虑症状、行为方式、社会支持情况等.结果:自我报告临床诊断肿瘤患者共359例(1.2％).其中,恶性肿瘤患者151例(42.1％),良性肿瘤患者208例(57.9％),肿瘤患者的抑郁症状检出率76.6％.过去1周内每天走路超过10 min少于3d(OR=6.63)或4～6d(OR=5.00)、整体睡眠质量很差(OR=4.80)或一般(OR=3.06)、领悟朋友支持程度低(OR=4.66)及伴有焦虑症状(OR=1.74)是肿瘤患者抑郁症状的危险因素.结论:肿瘤患者抑郁症状检出率较高,特别是睡眠质量差、运动量少、领悟社会支持低的患者.
Abstract
Objective:To investigate the associated factors of depressive symptoms among patients with neo-plasms.Methods:Nationwide(excluding Hong Kong,Macao,and Taiwan),30 505 residents were selected by a combination of stratified sampling and quota sampling according to the proportion of the seventh national population census.Patient Health Questionnaire-9(PHQ-9),General Anxiety Disorder-7(GAD-7),self-made questionnaire,and simplified perceived social support scale used to evaluate depressive symptoms,anxiety symptoms,behaviors,and perceived social support among patients with neoplasms.Results:Totally 359(1.2％)patients with self-repor-ted clinically diagnosed neoplasms were included,of which 151(42.1％)patients with malignant neoplasms and 208(57.9％)patients with benign neoplasms.The detection rate of depressive symptoms in patients with neo-plasms was 76.6％.Less than three days of walking for more than 10 minutes per day in the past week(OR=6.63),4-6 days of walking for more than 10 minutes per day in the past week(OR=5.00),the low(OR=4.80)or medium(OR=3.06)overall sleep quality,the lower perceived friend support(OR=4.66),and anxiety symp-toms(OR=1.74)among patients with neoplasms were risk factors for depressive symptoms.Conclusion:Patients with neoplasms generally might be at a high risk of depressive symptoms,especially for those patients with less ex-ercise,poor sleep quality,and low perceived social support.
基金项目
泰山学者青年专家人才项目(tsqn201909145)
济宁医学院高层次科研项目培育计划(JYGC2022KJ008)
国家科技期刊平台
NSTL
维普
万方数据