摘要
目的了解妇科恶性肿瘤住院患者家属的焦虑、抑郁情绪水平，并探讨恶性肿瘤患者家属焦虑、抑郁情绪的相关影响因素。方法选择2015年1—5月间在四川大学华西第二医院住院治疗的妇科恶性肿瘤患者家属350例作为研究对象，同时选择同期住院、年龄相近的非恶性肿瘤住院患者家属294例作为对照，对患者家属进行问卷调查。结果妇科恶性肿瘤患者家属中存在焦虑状态的比例占49．1％，明显高于对照组人群焦虑检出率（29．6％），差异有统计学意义（χ^2=25．403，P〈0.01）；恶性肿瘤家属的焦虑评分明显高于对照组人群（55．66±9．77 vs 45．67±8．76），差异有统计学意义（t=13．545，P〈0.01）。恶性肿瘤家属中存在抑郁状态的比例占36．6％，明显高于对照组人群抑郁检出率（20．4％），差异有统计学意义（χ^2=20．195，P〈0.01）；恶性肿瘤家属的抑郁评分明显高于对照组人群（24．76±9．63 vs 20．57±8．63），差异有统计学意义（t=5．765，P〈0.01）。多因素分析结果显示，性别、文化程度、对疾病的认知程度、医疗费用支付方式是影响恶性肿瘤患者家属焦虑情绪的主要因素；性别和医疗费用支付方式是影响恶性肿瘤患者家属抑郁情绪的主要因素。结论焦虑、抑郁等不良情绪在妇科住院患者家属中普遍存在，而在妇科恶性肿瘤住院患者的家属中表现得尤为突出。性别、文化程度、对疾病的了解情况、医疗费用支付方式等是影响妇科恶性肿瘤住院患者家属焦虑、抑郁情绪产生的主要影响因素。
[Objective]To understand the levels of anxiety and depression among family numbers of inpatients with gynecological malignancy, explore its influencing factors.[nethods]350 family numbers of gynecological malignancy inpatients who were treated in West China Second Hospital of Sichuan University from January to May 2015 were selected as the research objects, and 294 family numbers at same age of non-malignant tumor inpatients were enrolled into the control group in the same period. The questionnaire survey was performed among family members of patients. [Results]49.1% of family numbers of gynecological malignancy inpatients had the anxiety, which was higher than the detection rate of the control group （29.6%）, and the difference was statistically significant （χ^2=25.403, P〈0.01 ）. The anxiety scores in the research group were higher than those in the control group （55.66±9.77 vs 45.67±8.76）, and the difference was statistically significant（t=13.545, P〈0.01）. 36.6% of family numbers of gynecological malignancy inpatients had the depression, which was higher than the detection rate of the control group （χ^2=20.195, P〈0.01 ）. The depression scores in the research group were higher than those in the control group （24.76±9.63 vs 20.57±8.63） and the difference was statistically significant （t=13.545, P〈0.01）. Multi-factor analysis showed that gender, education level, awareness of the disease, and medical expenses payment were the main factors influencing the anxiety emotion among family numbers of gynecological malignancy inpatients, while gender and medical expenses payment were the main factors influencing the depression emotion among family numbers of gynecological malignancy inpatients. [ConclusionlAnxiety and depression are common in family numbers of gynecological inpatients, especially family numbers of inpatients with gynecological malignancy. Gender, education level, awareness of the disease, and medical expenses payment are the main influencing factors of anxiety and depression in family numbers of inpatients with gynecological malignancy.
出处
《职业与健康》
CAS
2016年第6期795-798,共4页
Occupation and Health
关键词
妇科恶性肿瘤
住院患者家属
焦虑
抑郁
影响因素
Gynecological malignancy
Family numbers of inpatients
Anxiety
Depression
Influencing factors
