癌症姑息治疗患者的焦虑和抑郁程度及其相关因素分析- 来自埃塞俄比亚提克萨医院的研究。
Magnitude of Anxiety and Depression and Associated Factors among Palliative Care Patients with Cancer at Tikur Anbessa Specialized Hospital, Ethiopia.
机构信息
Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
出版信息
Ethiop J Health Sci. 2022 Mar;32(2):331-342. doi: 10.4314/ejhs.v32i2.14.
BACKGROUND
Little is known regarding the severity of anxiety and depression among palliative care patients with cancer. As a result, this study aimed to assess the magnitude of anxiety and depression and its associated factors among palliative care patients with cancer.
METHODS
A cross-sectional study was conducted at the Black Lion Specialized Hospital oncology center on palliative care patients with cancer who had follow up. Interviews and chart reviews were used. Descriptive statistics and Chi-square were done. Multivariate analysis was done.
RESULT
A total of 171 palliative care patients with cancer were involved in the study. The magnitude of anxiety and depression was found at 64.9% and 47.4%, respectively. Those palliative care patients with cancer whose age >64 years (AOR: 7.1; CI: 1.59-68.0; P =0.029), unable to write and read (AOR: 0.2; CI: 0.03-0.73; P = 0.017), secondary school (AOR: 0.3; CI: 0.11-0.83; P = 0.022) were significant factors for anxiety. Breast cancer (AOR: 0.1; CI: 0.01-0.85; P = 0.021), surgery plus radiation (AOR: 0.2; CI: 0.02-0.91: P=0.024) others (radiation and surgery (AOR: 0.1; CI: 0.02-0.8: P = 0.036) were found to be significant factors for depression.
CONCLUSION
The magnitude of anxiety and depression was 64.9% and 47.4%, respectively. Greater than 64-year-old age, unable to write and read secondary school were significant factors for anxiety. Breast cancer, surgery plus radiation, others (radiation and surgery) were found to be significant factors for depression.
背景
对于癌症姑息治疗患者的焦虑和抑郁严重程度知之甚少。因此，本研究旨在评估癌症姑息治疗患者的焦虑和抑郁程度及其相关因素。
方法
在布莱尔雄狮专科医院肿瘤科对接受随访的癌症姑息治疗患者进行了横断面研究。采用访谈和病历回顾的方式。进行描述性统计和卡方检验。进行多变量分析。
结果
共有 171 名癌症姑息治疗患者参与了本研究。焦虑和抑郁的程度分别为 64.9%和 47.4%。年龄>64 岁（OR：7.1；95%CI：1.59-68.0；P=0.029）、不能读写（OR：0.2；95%CI：0.03-0.73；P=0.017）、中学文化程度（OR：0.3；95%CI：0.11-0.83；P=0.022）的姑息治疗患者是焦虑的显著因素。乳腺癌（OR：0.1；95%CI：0.01-0.85；P=0.021）、手术加放疗（OR：0.2；95%CI：0.02-0.91；P=0.024）、其他（放疗和手术（OR：0.1；95%CI：0.02-0.8；P=0.036）是抑郁的显著因素。
结论
焦虑和抑郁的程度分别为 64.9%和 47.4%。年龄>64 岁、不能读写、中学文化程度是焦虑的显著因素。乳腺癌、手术加放疗、其他（放疗和手术）是抑郁的显著因素。
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