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目的了解女性乳腺癌患者直系女性家属抑郁水平现状,探讨其影响因素,为今后的防控提供科学的依据。方法采用患者一般资料、家属一般资料、自评抑郁量表(self-rating depression scale,SDS),抽取浙江省肿瘤医院100例女性乳腺癌患者的100名直系女性家属进行问卷调查,采用描述性分析、t检验、χ2检验和Logistic回归分析的方法对收集到的数据进行分析。结果共收集有效问卷100份,女性乳腺癌患者直系女性家属SDS抑郁标准分为44.61±11.29,与国内常模(男女性41.88±10.57或仅女性41.54±10.54)比较差异均有统计学意义(P<0.05),家属发生抑郁20名,发生率为20%;单因素分析显示治疗阶段、家庭角色、年龄均为家属抑郁的影响因素(P<0.05);二元Logistic回归分析显示,家属年龄、患者治疗阶段是家属抑郁的危险因素,可以解释抑郁14.7%的方差变异量。结论女性乳腺癌患者直系女性家属抑郁水平处于较高水平,家属年龄、患者治疗阶段是主要影响因素,护理人员或社区保健人员应提高对此类群体的关注。
Objective To understand the current status of depression in family members of female breast cancer patients and to explore the influencing factors so as to provide a scientific basis for future prevention and control. Methods A total of 100 direct female patients from 100 female breast cancer patients in Zhejiang Cancer Hospital were surveyed by using the general data, family members’ general information and self-rating depression scale (SDS). A descriptive analysis , T-test, χ2 test and logistic regression analysis were used to analyze the collected data. Results A total of 100 valid questionnaires were collected. The SDS standard of depression was 44.61 ± 11.29 in female patients with direct breast cancer, which was significantly different from that of the norm in China (41.88 ± 10.57 for males and 41.54 ± 10.54 for females only) (P (P <0.05). The incidence of depression was 20% in family members. The univariate analysis showed that the treatment stage, family role and age were the influencing factors of depression (P <0.05). Logistic regression analysis showed that family members’ age, The patient’s treatment phase is a risk factor for depression in the family and can explain the variance variance of 14.7% of depression. Conclusion Depression of family members of female breast cancer patients is at a high level. Family age and patient treatment stage are the main influencing factors. Caregivers and community health workers should pay more attention to these groups.