喉癌患者合并抑郁症影响因素分析及对策

目的:探讨喉癌患者抑郁情绪的现状及其主要影响因素,并提出相应的护理对策。方法:采用抑郁自评量表(SDS)、社会支持评定量表(SSRS)以及自行设计问卷,对96例经治的喉癌患者进行现况调查。采用SPSS13.0软件进行单因素和多因素累积logistic回归分析。结果:本研究实际有效测评96例患者,发现抑郁者54例,占56.25%;本组患者SDS为(37.59±8.74)分,与全国常模SDS(33.46±8.55,n=1340)相比,差异有统计学意义(P<0.05);单因素和多因素累积logistic回归表明性别、文化程度、医疗费用来源、病程、治疗方案及社会支持度与无抑郁症患者相比差异有显著性意义(P<0.05)。结论:喉癌患者抑郁情绪比较严重,护理人员应采取针对性的护理对策,提高患者的心理健康水平,促进躯体疾病康复。

Influencing Factors and Countermeasures of Merge Depression of LaryngealCancer Patients

Objective: To explore the status quo and main influencing factors of laryngeal cancer patients'' depression and to proposenursing countermeasures. Methods: Through using SDS, SSRS and self-designed questionnaires, prevalence survey was done to 96laryngeal cancer patients after treatment. Results: 54 depressives, accounting for 56.25%, are found among 96 patients in effective evaluation.Patients in SDS in the group are (37.59± 8.74) scores. There is statistical meaning(P<0.05) in differences compared with nationalnorm(33.46± 8.55, n=1 340) in SDS. There is remarkable meaning(P<0.05) in differences in gender, education degree, medical expenseresource, course of disease and therapeutic schedule after logistic regression of single and multi factors accumulation. Conclusion: Depressionof laryngeal cancer patients is relatively more serious. Nursing staff should adopt directed nursing countermeasures to improvethe level of mental health, and to promote to cure somatic diseases.