摘要

【摘要】
目的：探讨社会支持度及心理痛苦对宫颈癌放射治疗患者抑郁状态的影响。

方法： 使用汉密尔顿抑郁量表（Hamilton Depression Scale,HAMD）、心理痛苦温度计（Distress Thermometer,DT）、一般资料调查问卷和社会支持评定量表（Social support Rating Scale,SSRS）对2022年1月-2024年1月间于我院接受影像引导放射治疗的150例宫颈癌患者抑郁、心理痛苦、基础信息和社会支持情况进行评估，以皮尔逊相关性检验抑郁状态和其心理痛苦与社会支持情况间的相关性，应用多元线性回归对抑郁状态的影响因素进行分析。

结果：宫颈癌放射治疗患者HAMD处于中等偏上水平，DT和社会支持利用度整体处于中等水平，不同肿瘤分期、支付方式、家庭月收入和婚姻情况的患者间HAMD得分无统计学意义（P＞0.05），不同转移情况、文化水平和年龄的患者间HAMD得分有统计学差异（P＜0.05），皮尔逊相关性检验得，宫颈癌放射治疗患者心理痛苦与其社会支持情况呈负相关，与其抑郁情况呈正相关，社会支持情况和抑郁情况呈负相关（P＜0.05），多元线性回归分析知，高DT、高年龄、发生转移是其产生抑郁状态的危险因素，而高文化水平和高社会支持是预防抑郁状态的保护因素，（P＜0.05）。

结论：宫颈癌放射治疗患者普遍存在不同程度的抑郁状态，该状态与患者社会支持度和心理痛苦程度等相关，重视心理痛苦的干预，帮助其改善社会支持利用情况将有利于抑郁情况的缓解。

关键词：【关键词】：宫颈癌放射治疗；社会支持度；心理痛苦；抑郁状态

ABSTRACT

Abstract:
Objective: To explore the effects of social support and psychological distress on depression in patients with cervical cancer treated with radiation therapy. How: The Hamilton Depression Scale (HAMD), Distress Thermometer (DT), general information questionnaire and Social support Rating were used Scale (SSRS) evaluated depression, psychological distress, basic information and social support of 150 patients with cervical cancer who received image-guided radiotherapy in our hospital from January 2022 to January 2024. Pearson correlation was used to test the correlation between depression and psychological distress and social support. Multiple linear regression was used to analyze the influencing factors of depression. Result: The HAMD of cervical cancer radiotherapy patients was in the upper medium level, DT and social support availability were in the medium level as a whole, and HAMD scores were not statistically significant among patients with different tumor stages, payment methods, family monthly income and marital status (P > 0.05). There were statistical differences in HAMD scores among patients with different metastasis, education level and age (P < 0.05). Pearson correlation test showed that psychological distress in patients with cervical cancer radiation therapy was negatively correlated with social support, positively correlated with depression, and negatively correlated with social support and depression (P < 0.05). Multiple linear regression analysis showed that, High DT, high age and metastasis were risk factors for depression, while high education level and high social support were protective factors against depression (P < 0.05).

Conclusion  : Patients with cervical cancer undergoing radiation therapy generally have different degrees of depression, which is related to the degree of social support and psychological pain of patients. Paying attention to the intervention of psychological pain and helping them improve the use of social support will be conducive to the alleviation of depression.

Key words: 【 Keywords 】: Radiotherapy for cervical cancer; Social support level; Psychological pain; Depressive state