CAJ | 학술논문

目的：调查恶性肿瘤住院患者抑郁的发生率，探讨其相关影响因素，同时调查主治医师对患者抑郁情绪的觉察率。方法：对291例恶性肿瘤住院患者，应用汉密尔顿抑郁量表（ hamilton Depression Rating Scale，hAMD）和自编问卷进行抑郁情绪的发生率及其相关因素的调查和分析。结果：①肿瘤患者伴发抑郁情绪的发生率为52.9％，主治医生对患者抑郁情绪的觉察率为18.2％；②与肿瘤患者抑郁情绪密切相关的因素分别为：居住地、家庭经济状况满意度、既往化疗史和住院次数；③以是否抑郁为因变量，对单因素分析筛选出的4个自变量进行Logistic回归分析，居住地、家庭经济状况满意度、既往化疗史3个自变量依次进入回归方程。结论：恶性肿瘤住院患者抑郁情绪发生率较高，应提高肿瘤患者对癌症的认识，减轻化疗的不良反应，从而降低抑郁情绪的发生率。
목적：조사악성종류주원환자억욱적발생솔，탐토기상관영향인소，동시조사주치의사대환자억욱정서적각찰솔。방법：대291례악성종류주원환자，응용한밀이돈억욱량표（ hamilton Depression Rating Scale，hAMD）화자편문권진행억욱정서적발생솔급기상관인소적조사화분석。결과：①종류환자반발억욱정서적발생솔위52.9％，주치의생대환자억욱정서적각찰솔위18.2％；②여종류환자억욱정서밀절상관적인소분별위：거주지、가정경제상황만의도、기왕화료사화주원차수；③이시부억욱위인변량，대단인소분석사선출적4개자변량진행Logistic회귀분석，거주지、가정경제상황만의도、기왕화료사3개자변량의차진입회귀방정。결론：악성종류주원환자억욱정서발생솔교고，응제고종류환자대암증적인식，감경화료적불량반응，종이강저억욱정서적발생솔。
Objective:To investigate the incidence of depression in inpatients with malignant tumor and awareness rate of physicians for patients with depression,and discuss the related factors. Methods:291 cases of inpatients with malignant tumor were surveyed by the hamilton Depression Rating Scale( hAMD)and self-made questionnaire on the incidence of depression and related factors of the investigation and analysis. Results:①The incidence of depression of the inpatients with malignant tumor was 52. 9%;The ratio of the attending doctor perceived patients′depression was 18. 2%.②The re-lated factors included:the place of residence,family economic condition satisfaction,history of chemotherapy and times of hospitalization.③With logistic regression analysis,the place of residence,family economic condition satisfaction and his-tory of chemotherapy were included in the equation. Conclusion:The incidence of depression of inpatients with malignant tumor was high. The understanding of patients with malignant tumor should be improved to reduce the side effects of chem-otherapy and the economic pressures of casual workers and famers,so as to reduce the incidence of depression.