中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
23期
47-50
,共4页
非霍奇金淋巴瘤%主要照顾者%抑郁%影响因素
非霍奇金淋巴瘤%主要照顧者%抑鬱%影響因素
비곽기금림파류%주요조고자%억욱%영향인소
Non-Hodgkin lymphoma patients%Primary caregivers%Depression%Influencing factors
目的：探讨非霍奇金淋巴瘤患者主要照顾者抑郁状况，并分析其影响因素。方法选取2011年6月~2013年12月于浙江省中医院住院治疗的120例非霍奇金淋巴瘤患者的主要照顾者，采用自编一般调查问卷、Zung抑郁自评量表(SDS)对主要照顾者进行问卷调查，并对调查结果进行统计学分析。结果非霍奇金淋巴瘤患者主要照顾者抑郁发生率为40豫(48/120)， SDS得分为(57.59±4.62)分，高于国内常模，差异有高度统计学意义(P<0.01)。单因素分析结果显示，发生抑郁和未发生抑郁照顾者在年龄、家庭收入、文化程度、日均照顾时间、照顾持续时间、与患者的关系、患者病程时间、患者TMN分期、疗效、患者对疾病是否知情方面差异有统计学意义(P<0.05或P<0.01)；多因素Logistic回归分析结果显示照顾持续时间、家庭收入、照顾者文化程度、患者TMN分期、患者病程时间是照顾者抑郁的主要影响因素(OR越1.826、0.603、0.505、1.540、1.343，P<0.05或P<0.01)。结论非霍奇金淋巴瘤患者主要照顾者存在较严重的抑郁情绪，医护人员应重视对非霍奇金淋巴瘤患者主要照顾者进行心理干预。
目的：探討非霍奇金淋巴瘤患者主要照顧者抑鬱狀況，併分析其影響因素。方法選取2011年6月~2013年12月于浙江省中醫院住院治療的120例非霍奇金淋巴瘤患者的主要照顧者，採用自編一般調查問捲、Zung抑鬱自評量錶(SDS)對主要照顧者進行問捲調查，併對調查結果進行統計學分析。結果非霍奇金淋巴瘤患者主要照顧者抑鬱髮生率為40豫(48/120)， SDS得分為(57.59±4.62)分，高于國內常模，差異有高度統計學意義(P<0.01)。單因素分析結果顯示，髮生抑鬱和未髮生抑鬱照顧者在年齡、傢庭收入、文化程度、日均照顧時間、照顧持續時間、與患者的關繫、患者病程時間、患者TMN分期、療效、患者對疾病是否知情方麵差異有統計學意義(P<0.05或P<0.01)；多因素Logistic迴歸分析結果顯示照顧持續時間、傢庭收入、照顧者文化程度、患者TMN分期、患者病程時間是照顧者抑鬱的主要影響因素(OR越1.826、0.603、0.505、1.540、1.343，P<0.05或P<0.01)。結論非霍奇金淋巴瘤患者主要照顧者存在較嚴重的抑鬱情緒，醫護人員應重視對非霍奇金淋巴瘤患者主要照顧者進行心理榦預。
목적：탐토비곽기금림파류환자주요조고자억욱상황，병분석기영향인소。방법선취2011년6월~2013년12월우절강성중의원주원치료적120례비곽기금림파류환자적주요조고자，채용자편일반조사문권、Zung억욱자평량표(SDS)대주요조고자진행문권조사，병대조사결과진행통계학분석。결과비곽기금림파류환자주요조고자억욱발생솔위40예(48/120)， SDS득분위(57.59±4.62)분，고우국내상모，차이유고도통계학의의(P<0.01)。단인소분석결과현시，발생억욱화미발생억욱조고자재년령、가정수입、문화정도、일균조고시간、조고지속시간、여환자적관계、환자병정시간、환자TMN분기、료효、환자대질병시부지정방면차이유통계학의의(P<0.05혹P<0.01)；다인소Logistic회귀분석결과현시조고지속시간、가정수입、조고자문화정도、환자TMN분기、환자병정시간시조고자억욱적주요영향인소(OR월1.826、0.603、0.505、1.540、1.343，P<0.05혹P<0.01)。결론비곽기금림파류환자주요조고자존재교엄중적억욱정서，의호인원응중시대비곽기금림파류환자주요조고자진행심리간예。
Objective To study and explore the depression status of primary caregivers of non-Hodgkin lymphoma pa-tients, and its influencing factors. Methods From June 2011 to December 2013, in Chinese Medicine Hospital of Zhe-jiang Province, 120 primary caregivers of non-Hodgkin lymphoma patients were selected, surveyed by self-designed general information questionnaire, the self rating depressions cale (SDS), and the results were taken statistical analysis. Results The incidence of depression was 40%(48/120), and SDS were (57.59±4.62) scores, which were higher than those of the domestic norms, the differences were statistically significant (P<0.01). The univariate analysis results showed that depression was associated with age, family income level, education level, the average time of daily care, duration of care, relationship with the patients, course of disease, the TNM classification, efficacy of disease, and whether the pa-tients informed the disease, the differences were statistically significant (P<0.05 or P<0.01). Logistic regression results showed that education level, duration of care, family income level, the TNM classification, and the course of disease were the main factors of depression for primary caregivers (OR =1.826, 0.603, 0.505, 1.540, 1.343, P<0.05 or P<0.01). Conclusion The primary caregivers of non-Hodgkin lymphoma patients exist more severe depression, the nursing staff should pay attention to the psychological intervention of primary caregivers of non-Hodgkin lymphoma patients.
