Community Health Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan , Amman, Jordan.
Adult Health Nursing, Faculty of Nursing, Al-AlBayt University , Al-Mafraq, Jordan.
Clin Gerontol. 2021 Mar-Apr;44(2):133-142. doi: 10.1080/07317115.2020.1818660. Epub 2020 Sep 13.
To date, predictive and risk factors for depression among older patients with cancer have not been adequately studied in the Middle Eastern countries including Jordan. Therefore, this study aimed to assess the levels of depressive symptoms, anxiety, and hope among older Jordanian patients with cancer aged 60 years and over who are currently undergoing treatment, and to identify the relationship between selected factors (socio-demographic, treatment, and psychological) and depressive symptoms.
A cross-sectional design was conducted on a convenience sample consisting of 150 patients with cancer from one of the biggest governmental hospitals in Jordan.
The findings revealed that almost 34% and 27% of the patients experienced anxiety and depression and had a moderate level of hope. Correlating factors with depression were age, duration of treatment, hope, anxiety, educational level, and health insurance. However, low duration of treatment, high anxiety, and low hope were the significant predictors of high depression.
Understanding the risk factors correlated with depression could help develop early interventions to enhance the psychological consequences for patients with cancer at risk for depression.
Health-care providers need to develop psychological care for older patients with cancer and interventions directed at minimizing depression. Also, nurses should focus on providing holistic care including physical, social, psychological, and spiritual dimensions. Depression care should be an important part of the comprehensive treatment care plan for older patients undergoing cancer treatment.
迄今为止,包括约旦在内的中东国家尚未充分研究癌症老年患者的抑郁预测因素和风险因素。因此,本研究旨在评估 150 名年龄在 60 岁及以上、正在接受治疗的约旦老年癌症患者的抑郁症状、焦虑和希望水平,并确定选定因素(社会人口统计学、治疗和心理)与抑郁症状之间的关系。
采用横断面设计,对来自约旦最大的政府医院之一的 150 名癌症患者进行了便利抽样。
研究结果表明,近 34%和 27%的患者出现焦虑和抑郁,且希望水平处于中等水平。与抑郁相关的因素包括年龄、治疗持续时间、希望、焦虑、教育水平和健康保险。然而,治疗时间短、焦虑高和希望低是导致高抑郁的显著预测因素。
了解与抑郁相关的风险因素可以帮助开发早期干预措施,以减轻癌症高危患者的心理后果。
医疗保健提供者需要为老年癌症患者制定心理护理和干预措施,以尽量减少抑郁。此外,护士应专注于提供整体护理,包括身体、社会、心理和精神方面。对于接受癌症治疗的老年患者,抑郁护理应成为全面治疗护理计划的重要组成部分。