恶性血液疾病患者负性情绪影响因素分析

Analysis of the Influencing Factors of Negative Emotions in Patients with Malignant Hematological Diseases

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(1)
作者
作者单位

河南大学第一附属医院 血液风湿科 ;

摘要
【摘要】探讨恶性血液疾病患者负性情绪的影响因素。方法 选择2020年2月~2022年2月92例恶性血液疾病患者为研究对象,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评估患者抑郁、焦虑情绪,并设为抑郁组(焦虑组)与非抑郁组(非焦虑组)。评估并比较各组患者一般资料以及家庭亲密度与适应性量表(FACES)、卡氏功能状态量表(KPS)等量表评分,并采用二元Logistic回归分析调查抑郁、焦虑影响因素。结果 92例患者合并抑郁40例,合并焦虑48例,抑郁组(焦虑组)年龄、文化程度、是否化疗、婚姻状况、家庭月收入、医保情况、FACES量表亲密度、适应性评分、KPS评分与非抑郁组(非焦虑组)差异具有统计学意义(P<0.05);各组性别、居住地差异无统计学意义(P>0.05);二元Logistic回归分析显示,年龄>70岁、小学及以下文化程度、化疗、家庭月收入<3000元、无医保、FACES量表亲密度、适应性评分、KPS评分是焦虑的影响因素,小学及以下文化程度、化疗、家庭月收入<3000元、无医保、FACES量表亲密度、适应性评分、KPS评分是抑郁的影响因素。结论 恶性血液病焦虑、抑郁等负性情绪较为普遍,年龄、文化程度以及家庭功能与负性情绪的产生关系密切。
Abstract
[Abstract] Objective To explore the influencing factors of negative emotions in patients with malignant hematological diseases. Methods Ninety-two patients with malignant hematological diseases from February 2020 to February 2022 were selected as the research objects, and self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to evaluate the depression and anxiety of the patients, and they were set as the depression group (anxiety group) versus non-depressed group (non-anxiety group). The general data and the Family Intimacy and Adaptability Scale (FACES) and Karnofsky Functional Status Scale (KPS) and other scales of the patients in each group were evaluated and compared, and the influencing factors of depression and anxiety were investigated by binary Logistic regression analysis. Results There were 40 cases of depression and 48 cases of anxiety in the 92 patients. The age, education level, whether chemotherapy, marital status, monthly household income, medical insurance, FACES scale intimacy, adaptability score and KPS score of the depression group (anxiety group) were different from those of the non-depression group (non-anxiety group). Statistical significance (P<0.05). There was no significant difference in gender and residence among the groups (P>0.05). Binary Logistic regression analysis showed that age>70 years old, education level of primary school and below, chemotherapy, family monthly income < 3000 yuan, no medical insurance, FACES scale intimacy, and adaptability scores were the influencing factors of anxiety. Sex score is an influencing factor of depression. Conclusion Negative emotions such as anxiety and depression are common in hematological malignancies. Age, education level and family function are closely related to the generation of negative emotions.
关键词
关键词 恶性血液疾病;焦虑;抑郁;影响因素
KeyWord
Key words Hematological Malignancies; Anxiety; Depression; Influencing Factors
基金项目
页码 108-110
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杨盛茹*. 恶性血液疾病患者负性情绪影响因素分析 [J]. 国际精神病学杂志. 2023; 50; (1). 108 - 110.

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