肺部肿瘤患者术后焦虑及抑郁症状共病及其影响因素

发布时间：2019-07-13 17:41

【摘要】：目的:比较手术治疗的肺部良性肿瘤与早期、中期肺癌患者的焦虑及抑郁症状的检出比率,探讨其影响因素。方法:研究对象为就诊于某三级综合医院的283例接受手术的肺部肿瘤患者,其中肺部良性肿瘤或病变患者107例,早期肺癌患者58例,中期肺癌患者118例。采用自编调查表收集社会人口学及临床相关信息,使用抑郁自评量表(SDS)和焦虑自评量表(SAS)分别评价肿瘤患者抑郁和焦虑症状,SDS标准分53分记为有抑郁症状,SAS标准分50分记为有焦虑症状。结果:肺部良性肿瘤或病变患者无明显焦虑及抑郁症状,早期和中期肺癌患者中53.40%存在焦虑症状,43.44%存在抑郁症状,差异有统计学意义(P0.001)。多重线性回归分析显示,中期肺癌(β=29.70,P0.001)及年龄65岁以上(β=2.58,P=0.018)是发生抑郁症状的危险因素,相对于良性肿瘤及早期肺癌患者,中期肺癌患者焦虑症状更重(β=27.22,P0.001)。结论:中期肺癌较良性肿瘤及早期肺癌更加容易导致患者出现焦虑和抑郁等负面心理应激;且老年肿瘤患者更容易出现抑郁症状。
[Abstract]:Objective: to compare the detection rate of anxiety and depression between benign lung tumors treated by operation and patients with early and middle stage lung cancer, and to explore the influencing factors. Methods: 283 patients with pulmonary tumors, including 107 patients with benign pulmonary tumors or lesions, 58 patients with early lung cancer and 118 patients with middle stage lung cancer, were enrolled in the study. The social demography and clinical information were collected by self-designed questionnaire. The depression and anxiety symptoms of tumor patients were evaluated by self-rating depression scale (SDS) and self-rating anxiety scale (SAS). The standard score of SDS was 53 and the score of SAS was 50. Results: there were no obvious anxiety and depression symptoms in patients with benign pulmonary tumors or lesions. 53.40% of patients with early and middle stage lung cancer had anxiety symptoms and 43.44% had depressive symptoms, the difference was statistically significant (P0.001). Multiple linear regression analysis showed that middle stage lung cancer (尾 = 29.70, P0.001) and over 65 years old (尾 = 2.58, P 鈮，

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