【摘要】 目的:探讨膀胱癌患者抑郁状态的发生率及其相关因素。方法:采用汉密尔顿抑郁量表(HAMD)、艾森克人格问卷(EPQ)、生活事件量表(LES)对57例膀胱癌患者的抑郁状态及相关因素进行了分析。结果:57例患者中22例伴有抑郁状态,检出率38.59%。单因素分析显示:对家人、亲友、医生的关心满意度及住院费用支付方式、自身健康的评价、疼痛程度、知情与否和对家庭的责任感、收入占家庭收入的比例、生活事件、艾森克人格测查与抑郁状态的发生明显相关(P<0.05～0.01)。多因素分析结果表明:家人对患者的关心、疼痛程度、对家庭的责任感、生活事件和艾森克人格测查5个自变量进入回归方程,方程总体拟合优度为89.47%,拟合度良好。结论:膀胱癌患者的抑郁情绪与疼痛程度、社会支持、生活事件等因素相关,为膀胱癌患者的心理干预提供了依据。更多还原

【Abstract】 Objective: To investigate the incidence and relative factors on depression in the bladder cancer patients. Methods: The 57 patients′ depression and relative factors were analysised by HAMD,EPQ and LES. Results: The 22 of 57 patients were found depression, the positive rate was 38.59%. The single factor demonstrated that the satisfaction to family, relation and dactor′s care, the cost in hospital, assessment of self-health, degree of pain, knowledge to disease, the responsibility to family, the patient′s earnings proportion in family incoming, the life accident, EPQ test had relation with patients′ depression (P<0.05~0.01). The multiple factor analysis demonstrated that the variable of the cares of family, pain, the responsibility to family, life of accident and EPQ test had a good relative to depression in regressive analysis. Conclusion: The bladder cancer patients′ depression has relation to pain, the social support and the life’s accident, this provides a proof for psychological interference.更多还原