Department of Oncology, 363 Hospital, Chengdu, China.
Department of Oncology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region (Hospital.C.T), Chengdu, China.
Ann Palliat Med. 2020 Nov;9(6):3776-3784. doi: 10.21037/apm-20-1721. Epub 2020 Nov 17.
The Tibetan population is minority in southwest China, and data on the psychological states of Tibetan cancer inpatients are not available. The study participants included Tibetan and Han cancer inpatients, and their depression and anxiety were investigated and analyzed to understand the psychological states of Tibetan cancer patients. The aim of the present study was to understand the incidence of depression and anxiety among Tibetan cancer inpatients, and the factors affecting their depression and anxiety.
We used questionnaires to investigate the anxiety and depression of Tibetan and Han cancer inpatients. The questionnaires included the Zung Self-Rating Anxiety Scale, Zung Self-Rating Depression Scale, and a general information questionnaire.
The results showed that there were 61 cases (53%) of depression and 43 (37.4%) of anxiety among Tibetan cancer inpatients, and 27 cases (23.5%) and 16 (13.9%) among Han cancer patients. The major factors affecting depression among Tibetan cancer patients were permanent address and type and stage of cancer; the major factors affecting anxiety among Tibetan cancer patients were education level and type and stage of cancer.
The incidence of depression and anxiety among Tibetan cancer inpatients was significantly greater than that of Han cancer inpatients. The major factors affecting the incidence of depression and anxiety were permanent address, education level, and type and stage of cancer. We suggest that further research should be directed at mental health problems among Tibetan cancer patients in order to determine the best possible psychological interventions.
藏族人口在中国西南部属于少数民族，目前尚无藏族癌症住院患者心理状态的相关数据。本研究纳入藏族和汉族癌症住院患者，调查和分析其抑郁和焦虑状况，以了解藏族癌症患者的心理状态。本研究旨在了解藏族癌症住院患者抑郁和焦虑的发生率，以及影响其抑郁和焦虑的因素。
采用问卷调查的方法对藏族和汉族癌症住院患者的焦虑和抑郁状况进行调查，问卷包括zung 焦虑自评量表、zung 抑郁自评量表和一般资料问卷。
结果显示，藏族癌症住院患者中抑郁发生率为 61 例（53%），焦虑发生率为 43 例（37.4%）；汉族癌症住院患者中抑郁发生率为 27 例（23.5%），焦虑发生率为 16 例（13.9%）。影响藏族癌症住院患者抑郁的主要因素为常住地址和癌症类型及分期，影响藏族癌症住院患者焦虑的主要因素为文化程度和癌症类型及分期。
藏族癌症住院患者抑郁和焦虑的发生率显著高于汉族癌症住院患者。影响抑郁和焦虑发生率的主要因素为常住地址、文化程度和癌症类型及分期。建议进一步研究藏族癌症患者的心理健康问题，以确定最佳的心理干预措施。
