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在老年癌症患者中看不见的抗抑郁症和相关因素
Ozlem Dogan1, Hayriye Sahinli2, Dogan Yazilitas2
1Department of Medical Oncology, Adiyaman University Training and Research Hospital, Adıyaman, Türkiye.
抑郁症影响近一半接受化疗的老年人. 女性患者,那些疼痛,失眠和社会支持较弱的女性患者的风险增加. 早期干预是关键的.
科学领域:
- 老年瘤学 老年瘤学
- 精神病学流行病学 精神病学流行病学
- 临床医学 临床医学
背景情况:
- 研究接受化疗的老年患者中抑郁症的患病率和相关性.
- 使用老年抑郁量表 (GDS) 进行评估.
研究的目的:
- 为了确定65岁及以上接受化疗的患者抑郁症的频率.
- 在这个人口群体中确定与抑郁症相关的因素.
主要方法:
- 在安卡拉埃特利克市医院对501名化疗患者 (≥65岁) 的前性研究.
- 排除标准包括只有口服治疗,息治疗,大脑转移或认知障碍.
- 使用15项老年抑郁量表 (GDS) 评估抑郁症,得分≥5表明高症状.
主要成果:
- 42.7%的患者 (214/501) 呈现高抑郁症症状 (GDS ≥5).
- 抑郁症的独立预测因素包括女性性别,BMI≥21,较高的疼痛分数,失眠和社会支持不足.
- 赔率比率 (OR) 从女性性别的1.481到弱社会支持的2.004不等.
结论:
- 在接受化疗的老年癌症患者中,抑郁症状非常普遍.
- 解决疼痛,失眠和社会支持等风险因素对于改善生活质量和治疗坚持至关重要.
- 在这种人群中,早期诊断和抑郁症的管理至关重要.
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