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目的了解乳腺癌患者抑郁状况及影响因素,为制定干预策略提供依据。方法本研究于2009年10—11月对222例乳腺癌患者进行问卷调查,内容包括患者的基本情况、疾病情况、抑郁状况等;计数资料用χ2检验,采用多因素Logistic回归分析乳腺癌患者的影响因素,P<0.05为差异有统计学意义。结果年龄(OR=2.356,95%CI为1.542~3.765)、婚姻状况(OR=6.876,95%CI为3.058~13.457)、文化程度(OR=1.231,95%CI为1.004~2.014)、就业(OR=3.231,95%CI为2.195~5.414)、人均收入(OR=4.984,95%CI为2.557~7.684)、人均居住面积(OR=1.502,95%CI为1.089~2.044)、体育锻炼(OR=1.708,95%CI为1.214~2.542)、家族史(OR=4.452,95%CI为2.751~7.674)、手术程度(OR=3.485,95%CI为2.054~5.451)、术后障碍(OR=4.421,95%CI为2.784~8.014)、门诊费用(OR=3.566,95%CI为1.927~6.471)、住院费用(OR=5.452,95%CI为2.875~9.474)、BMI(OR=2.569,95%CI为1.701~3.987)均为乳腺癌患者抑郁发生的影响因素(均P<0.05)。结论乳腺癌患者应有积极的健康生活方式,社区医生应为患者提供心理康复服务、以降低抑郁发生。
Objective To understand the status and influencing factors of depression in patients with breast cancer and provide basis for making intervention strategies. Methods A total of 222 breast cancer patients were surveyed from October to November in 2009, including the basic condition of patients, disease status and depression status. The count data were analyzed byχ2 test and multivariate Logistic regression analysis of breast cancer patients Influential factors, P <0.05 for the difference was statistically significant. (OR = 1.235, 95% CI: 1.542 ~ 3.765), marital status (OR = 6.876, 95% CI: 3.058-13.457), educational level (OR = 3.231, 95% CI 2.195-5.414), per capita income (OR = 4.984, 95% CI 2.557-7.684), per capita living space (OR = 1.502, 95% CI 1.089-2.044) = 1.708, 95% CI 1.214-2.542), family history (OR = 4.452, 95% CI 2.751-7.674), degree of operation (OR = 3.485, 95% CI 2.054-5.451) (OR = 5.452, 95% CI 2.875-9.474); BMI (OR = 2.569, 95% CI: 2.784-8.014, OR = 3.566,95% CI 1.927-6.471) % CI 1.701 ~ 3.987) were the influencing factors of depression in breast cancer patients (all P <0.05). Conclusion Breast cancer patients should have a positive and healthy lifestyle. Community doctors should provide psychological rehabilitation services to patients in order to reduce depression.