Ladaninejad Sepideh, Ilali Ehteramsadat, Mousavinasab Nouroeddin, Taraghi Zohreh
Geriatric Nursing Department, Nursing and Midwifery Faculty, Mazandaran University of Medical Sciences, Sari, Iran.
Biostatistics Department, Health Faculty, Mazandaran University of Medical Sciences, Sari, Iran.
Asia Pac J Oncol Nurs. 2019 Oct-Dec;6(4):424-430. doi: 10.4103/apjon.apjon_13_19.
Cancer is one of the most common life-threatening diseases and a great source of stress in patients. The risk factors of depression differ in elder people compared to other age groups. The present study was designed to determine the relationship between depressive symptoms and demographic-medical characteristics among elder people with cancer.
This cross-sectional correlational study recruited 200 elder people with cancer. The eligible patients completed the demographic-medical characteristics questionnaire, the Geriatric Depression Scale, the Abbreviated Mental Test, the Activities of Daily Living Scale, and the Multidimensional Perceived Social Support Scale. The findings were analyzed in SPSS software version 21.0 using the Kruskal-Wallis and Mann-Whitney tests.
A total of 50% of the elder people in this study had mild depression, 18.5% had moderate depression, and 2.5% had severe depression. A significant relationship was observed between depression in the elder people and their marital status ( = 0.025), living arrangement ( = 0.013), and income ( = 0.021). Depression also had a significant relationship with diabetes ( = 0.044) and respiratory diseases ( = 0.040). A significant relationship was also observed between depression and colon cancer ( = 0.007), and the mean depression was lower in the patients with colon cancer compared to those with other cancers. Depression had a significant relationship with complications, including pain ( = 0.001), nausea ( < 0.001), vomiting ( = 0.001), hair loss ( < 0.001), and shortness of breath ( = 0.028).
Given the high prevalence of depression in this age group, screening and counseling-supportive interventions are recommended for helping prevent depression and come to terms with cancer.
癌症是最常见的危及生命的疾病之一，也是患者压力的重要来源。与其他年龄组相比，老年人患抑郁症的风险因素有所不同。本研究旨在确定老年癌症患者抑郁症状与人口统计学 - 医学特征之间的关系。
这项横断面相关性研究招募了200名老年癌症患者。符合条件的患者完成了人口统计学 - 医学特征问卷、老年抑郁量表、简易精神状态检查表、日常生活活动量表和多维感知社会支持量表。使用SPSS 21.0软件，通过Kruskal - Wallis检验和Mann - Whitney检验对研究结果进行分析。
本研究中共有50%的老年人患有轻度抑郁症，18.5%患有中度抑郁症，2.5%患有重度抑郁症。观察到老年人的抑郁与他们的婚姻状况（P = 0.025）、居住安排（P = 0.013）和收入（P = 0.021）之间存在显著关系。抑郁与糖尿病（P = 0.044）和呼吸系统疾病（P = 0.040）也存在显著关系。抑郁与结肠癌之间也观察到显著关系（P = 0.007），与其他癌症患者相比，结肠癌患者的平均抑郁程度较低。抑郁与并发症，包括疼痛（P = 0.001）、恶心（P < 0.001）、呕吐（P = 0.001）、脱发（P < 0.001）和呼吸急促（P = 0.028）之间存在显著关系。
鉴于该年龄组抑郁症的高患病率，建议进行筛查和咨询 - 支持性干预，以帮助预防抑郁症并应对癌症。
