中国男科学杂志
中國男科學雜誌
중국남과학잡지
CHINESE JOURNAL OF ANDROLOGY
2013年
10期
25-29
,共5页
张志强%于德新%杨琳琳%谢栋栋%李光远%施浩强%王毅%张涛%丁德茂%闵捷%陈磊%邹慈%王大明%刘和谦
張誌彊%于德新%楊琳琳%謝棟棟%李光遠%施浩彊%王毅%張濤%丁德茂%閔捷%陳磊%鄒慈%王大明%劉和謙
장지강%우덕신%양림림%사동동%리광원%시호강%왕의%장도%정덕무%민첩%진뢰%추자%왕대명%류화겸
前列腺肿瘤%抑郁%社会支持
前列腺腫瘤%抑鬱%社會支持
전렬선종류%억욱%사회지지
prostatic neoplasms%depression%social Support
目的：调查老年前列腺癌患者抑郁症状的发生状况并探讨相关因素。方法通过老年抑郁量表（GDS）、社会支持量表（SSRS）评估145例老年前列腺癌患者（平均72.9±6.7岁）的抑郁症状及社会支持状况，并调查社会人口学及临床资料，并运用多元回归分析及Logistic回归分析方法分析前列腺癌抑郁症状的影响因素。结果前列腺癌患者GDS得分为（8.69±2.13）分，其中34例（23.5%）患者存在明显的抑郁症状。Logistic回归分析表明教育程度、癌痛、糖尿病、高血压、外科去势是老年前列腺癌患者抑郁症状的重要影响因素。前列腺癌患者社会支持总分为（33.86±7.10）分，客观支持得分为（8.25±2.13）分，主观支持得分为（18.54±3.67）分，支持利用度得分为（7.06±2.12）分，多元回归分析显示社会支持总分、主观支持得分和睾酮是前列腺癌患者抑郁症状重要影响因素。结论抑郁症状是前列腺癌患者常见的情绪障碍，临床医生在临床工作中应注意筛查，其影响因素有教育程度、癌痛、高血压、糖尿病、外科去势、睾酮及社会支持。应加强前列腺癌患者的心理干预及社会支持以减少抑郁症状，提高老年前列腺癌患者的生活质量。
目的：調查老年前列腺癌患者抑鬱癥狀的髮生狀況併探討相關因素。方法通過老年抑鬱量錶（GDS）、社會支持量錶（SSRS）評估145例老年前列腺癌患者（平均72.9±6.7歲）的抑鬱癥狀及社會支持狀況，併調查社會人口學及臨床資料，併運用多元迴歸分析及Logistic迴歸分析方法分析前列腺癌抑鬱癥狀的影響因素。結果前列腺癌患者GDS得分為（8.69±2.13）分，其中34例（23.5%）患者存在明顯的抑鬱癥狀。Logistic迴歸分析錶明教育程度、癌痛、糖尿病、高血壓、外科去勢是老年前列腺癌患者抑鬱癥狀的重要影響因素。前列腺癌患者社會支持總分為（33.86±7.10）分，客觀支持得分為（8.25±2.13）分，主觀支持得分為（18.54±3.67）分，支持利用度得分為（7.06±2.12）分，多元迴歸分析顯示社會支持總分、主觀支持得分和睪酮是前列腺癌患者抑鬱癥狀重要影響因素。結論抑鬱癥狀是前列腺癌患者常見的情緒障礙，臨床醫生在臨床工作中應註意篩查，其影響因素有教育程度、癌痛、高血壓、糖尿病、外科去勢、睪酮及社會支持。應加彊前列腺癌患者的心理榦預及社會支持以減少抑鬱癥狀，提高老年前列腺癌患者的生活質量。
목적：조사노년전렬선암환자억욱증상적발생상황병탐토상관인소。방법통과노년억욱량표（GDS）、사회지지량표（SSRS）평고145례노년전렬선암환자（평균72.9±6.7세）적억욱증상급사회지지상황，병조사사회인구학급림상자료，병운용다원회귀분석급Logistic회귀분석방법분석전렬선암억욱증상적영향인소。결과전렬선암환자GDS득분위（8.69±2.13）분，기중34례（23.5%）환자존재명현적억욱증상。Logistic회귀분석표명교육정도、암통、당뇨병、고혈압、외과거세시노년전렬선암환자억욱증상적중요영향인소。전렬선암환자사회지지총분위（33.86±7.10）분，객관지지득분위（8.25±2.13）분，주관지지득분위（18.54±3.67）분，지지이용도득분위（7.06±2.12）분，다원회귀분석현시사회지지총분、주관지지득분화고동시전렬선암환자억욱증상중요영향인소。결론억욱증상시전렬선암환자상견적정서장애，림상의생재림상공작중응주의사사，기영향인소유교육정도、암통、고혈압、당뇨병、외과거세、고동급사회지지。응가강전렬선암환자적심리간예급사회지지이감소억욱증상，제고노년전렬선암환자적생활질량。
Objective To investigate the status of depressive symptom among elderly prostate cancer and explore its related factors.Methods The Geriatric Depression Scale(GDS)and Social Support Rating Scale were used to evaluate depression and social support in 145 prostate cancer [age (72.9±6.7 ) years ]. Meanwhile, the demographic and clinical data were also investigated. The impact factors of depression for prostate cancer were analyzed by stepwise logistic regression and multiple linear regression.Results The average GDS scores of all subjects were 8.69±2.13, 34 (23.5%)cases suffered from depressive symptom.The multi-factor non-condition logistic regression analysis showed that education status,cancer pain,diabetes mellitus,hypertension and surgical castration were important factors for independently prediction of depressive symptom in prostate cancer patients. The average SSRS scores of all subjects were 33.86±7.10, the average scores of objective support were 8.25±2.13, the average scores of subjective support were 18.54±3.67, the average scores of the utility <br> of social support were 7.06±2.12. The multiple linear regression analysis showed the total score of social support, score of subjective support and testosterone were important related factors for depression symptom of prostate cancer patients. Conclusion Depression is common in prostate cancer patients, More attention should be paid to depression screening in clinical practice.The impact factors of depressive symptom among prostate cancer include education status, cancer pain, diabetes mellitus, hypertension, castration, testosterone and social support. Psychological counseling should be further given to prostate cancer patients to reduce depressive symptom and improve their quality of life.
