CAJ | 학술논문

[目的]了解恶性肿瘤病人自杀意念的现状，并分析自杀意念的影响因素。[方法]采用一般资料问卷、自杀意念自评量表(SIOSS)、简明健康调查问卷(SF 36)对136例住院恶性肿瘤病人进行问卷调查。按照 SIOSS 评分标准将136例病人分为自杀组(SIOSS≥12分)73例和非自杀组(SIOSS<12分)63例。[结果]恶性肿瘤病人中有自杀意念的病人共有73例(53.7%)，其中男病人24例(32.9%)，女病人49例(67.1%)；自杀组与非自杀组在性别、职业方面差异有统计学意义(P <0.05)；自杀组病人 SF 36中生理机能、生理职能、情感职能、社会功能、精神健康5个因子得分低于非自杀组，差异有统计学意义(P <0.05)；SIOSS 评分与 SF 36量表中一般健康状况、社会功能、精力、精神健康、情感职能、生理职能、生理机能因子评分呈负相关；多元逐步回归分析显示，性别、受教育程度及 SF 36量表中的精神健康、生理职能对恶性肿瘤病人自杀意念具有推测意义。[结论]恶性肿瘤病人自杀意念的发生率较高，其中女性占有比例较大；自杀组病人的生理机能、生理职能、情感职能、社会功能、精神健康等方面评分低于非自杀组；恶性肿瘤病人生活质量越差，自杀风险越大；女性、受教育程度较高、精神健康及生理职能较差的恶性肿瘤病人自杀风险更高。
[목적]료해악성종류병인자살의념적현상，병분석자살의념적영향인소。[방법]채용일반자료문권、자살의념자평량표(SIOSS)、간명건강조사문권(SF 36)대136례주원악성종류병인진행문권조사。안조 SIOSS 평분표준장136례병인분위자살조(SIOSS≥12분)73례화비자살조(SIOSS<12분)63례。[결과]악성종류병인중유자살의념적병인공유73례(53.7%)，기중남병인24례(32.9%)，녀병인49례(67.1%)；자살조여비자살조재성별、직업방면차이유통계학의의(P <0.05)；자살조병인 SF 36중생리궤능、생리직능、정감직능、사회공능、정신건강5개인자득분저우비자살조，차이유통계학의의(P <0.05)；SIOSS 평분여 SF 36량표중일반건강상황、사회공능、정력、정신건강、정감직능、생리직능、생리궤능인자평분정부상관；다원축보회귀분석현시，성별、수교육정도급 SF 36량표중적정신건강、생리직능대악성종류병인자살의념구유추측의의。[결론]악성종류병인자살의념적발생솔교고，기중녀성점유비례교대；자살조병인적생리궤능、생리직능、정감직능、사회공능、정신건강등방면평분저우비자살조；악성종류병인생활질량월차，자살풍험월대；녀성、수교육정도교고、정신건강급생리직능교차적악성종류병인자살풍험경고。
Objective:To investigate the status quo of suicidal ideation of malignant tumor patients and analyze its influencing factors.Methods:A total of 136 malignant tumor in patients were investigated by using General information questionnaire,Self Rating Idea of Suiciale Scale(SIOSS)and Short form 36 Health Survey(SF 36).According to the SIOSS score standard,the patients were divided into suicide group (SIOSS≥12 分)with 73 cases and non suicide group (SIOSS<12)with 63 cases.Results:There were 73 patients (53.7%)with sui-cidal ideation,including 24 male patients (32.9%)and 49 female patients (67.1%);there were statistically sig-nificant differences in gender and occupation aspects between both groups (P <0.05);the 5 factors (physiologi-cal functioning,role physical role emotional,social functioning,mental health)scores of SF 36 in suicide group were lower than those in non suicide group (P <0.05).SIOSS score was negatively related to the scores of general health status,social functioning,energy,mental health,role emotional role physical and physical functioning factors in SF 36 scale.Multivariate stepwise regression analysis showed that gender,education lev-el and mental health and physiological function of SF 36 had the predictive significance for patients with malig-nant tumor.Conclusion:The incidence of suicide ideation in patients with malignant tumor was higher,in which women accounted for a larger proportion;the scores of physical functioning,role physical,role emotional,so-cial function and mental health of patients in suicide group were lower than that in non suicide group.The worse the quality of life of patients with malignant tumor was,the greater the risk of suicide was.Those malignant tumor patients (Women or with higher education level or with poor mental health and physiological functions) had higher risk of suicide.