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目的分析随访观察肾肿瘤患者抑郁状况及相关影响因素,为患者及时行心理干预及治疗提供依据。方法对56例随访观察肾肿瘤患者采用抑郁自评量表进行心理调查,对其基本情况,包括性别、年龄、民族、医疗保障进行分析。结果随访观察肾肿瘤患者中33.9%合并不同程度抑郁障碍,缺乏医疗保障的患者85.7%合并不同程度的抑郁,经统计学分析,相比有医疗保障的患者(26.5%)更容易产生抑郁情绪(P<0.05),抑郁患者的肾肿瘤直径与抑郁严重程度存在线性回归关系(P<0.05)。结论应当重视随访观察肾肿瘤患者的心理状况,尤其是对于缺乏医疗保障及肿瘤直径较大的患者,及时发现、诊断和给予心理干预,以求在关注患者身体健康的同时重视患者的心理健康。
Objective To analyze the status of depression and its related factors in follow-up renal cell carcinoma patients, and to provide the basis for timely psychological intervention and treatment. Methods Fifty-six patients with kidney cancer were followed up for psychological investigation by using self-rating depression scale, and their basic conditions including sex, age, ethnicity and medical insurance were analyzed. Results Follow-up was observed in 33.9% of patients with renal tumors with different degrees of depression, 85.7% of patients with no medical insurance had different degrees of depression. Statistics showed that depression was more likely to occur in patients with medical insurance (26.5%) P <0.05). There was a linear regression relationship between the diameter of renal tumors and the severity of depression in depressed patients (P <0.05). Conclusion The follow-up should pay attention to the psychological status of patients with kidney cancer, especially in the absence of medical security and patients with large tumor diameter, timely detection, diagnosis and psychological intervention in order to pay attention to the patient’s health while paying attention to the patient’s mental health.