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| Investigation of the depression status of patients with cervical cancer during the radiotherapy and analysis of its influence factors |
| 1.Nantong Tumor Hospital, Nantong, Jiangsu Province, 226361; 2.Affiliated Hospital of Nantong University, Nantong, Jiangsu Province |
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Abstract To understand the depression status of patients with cervical cancer during the radiotherapy from two top three hospitals in Nantong, and to analyze the influencing factors of the depression of the patients, in order to provide the guidance for the accurate prevention of the depression of the patients. Methods: A total of 1623 patients with cervical cancer who wanted the radiotherapy from two top three hospitals in Nantong from March 2019 to May 2023 were selected in this study. During the mid-term of the radiotherapy of the patients, the hospital anxiety and depression scale (HADS) was applied to assess their depression status. The general information, the diagnostic and treatment data, and the social support of the patient were obtained. Univariate analysis was used to analyze the depression status of the patients, and the influencing factors of the depression of the patients were screened by logistic regression. Results: The incidence of the depression of the patients with cervical cancer during their radiotherapy was 29.8% (483/1623). There was significant difference in the incidence of depression among the patients with different educational levels, among the patients with different monthly family income, among the patients with different tumor staging, among the patients with different treatment plans, among the patients with different degree of toxic side effects, and among the patients with different social support (P<0.05). Logistic regression analysis showed that the risk factors of the depression of the patients during radiotherapy mainly included the low education level, the low monthly family income, the advanced tumor, the concurrent radiotherapy and chemotherapy, the moderate or severe toxicity and the moderate or low social support. Conclusion: This survey shows that the patients with cervical cancer have a higher probability of their depression occurrence during radiotherapy. Th low educational level, the low monthly family income, the advanced tumor, the concurrent radiotherapy and chemotherapy, the moderate or severe toxicity and the moderate and the low social support of the patients are the risk factors of their depression occurrence. Therefore, in order to prevent the depression occurrence of the patients with cervical cancer during radiotherapy, it is necessary to take the accurate preventive intervention measures for the patients based on the above risk factors.
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