摘要目的 了解住院癌症患者自杀可能性现状及人口学特征,分析抑郁与自杀可能性的相关性.方法 采用便利抽样法,以2017年6—10月某省2家医院肿瘤科住院的310例患者作为研究对象.采用一般资料调查表、患者健康问卷(PHQ-9)、自杀可能性量表(SPS)对患者进行问卷调查,采用Pearson相关分析抑郁与自杀可能性的关系,比较不同特征人群自杀可能性的差异.结果 310例住院癌症患者PHQ-9量表得分(3.96±3.463)分,抑郁发生率为7.1％(22/310);SPS量表得分为(57.35±8.38)分,自杀意念发生率为11.0％(34/310).患者抑郁与自杀可能性呈正相关(r=0.381,P<0.001).不同性别、年龄、文化程度、婚姻状况、居住状况的住院癌症患者自杀可能性差异具有统计学意义(P<0.05).结论 在评估住院癌症患者自杀可能性时,应针对不同人口社会学特征关注高危人群;临床护理工作者需要关注抑郁症状的患者,并对确诊的抑郁症患者给予及时相应的药物治疗与心理调节.

abstractsObjective To understand the probability of suicide and demographic characteristics of cancer inpatients and to analyze the correlation between depression and probability of suicide.Methods From June to October 2017, we selected 310 inpatients in oncology department of two hospitals in a province as subjects by convenience sampling. The questionnaire survey was carried out in patients with the general information questionnaire, Patient Health Questionnaire-9 (PHQ-9) and Suicide Probability Scale (SPS). Pearson correlation was used to analyze the correlation between depression and probability of suicide. We also compared the differences of probability of suicide among patients with different characteristics.Results Among 310 cancer inpatients, the score of PHQ-9 was (3.96±3.46) with 7.1％ (22/310) for the incidence of depression;the score of SPS was (57.35±8.38) with 11.0％ (34/310) for the incidence of suicide idea. Depression of patients had a positive correlation with the probability of suicide (r=0.381,P<0.001). There were statistical differences in the probability of suicide among cancer inpatients with different sexes, ages, education levels, marital status and living conditions (P<0.05).Conclusions When evaluating the probability of suicide of cancer inpatients, we should pay attention to high-risk population according to different demographic characteristics. Clinical nursing workers should show solicitude for patients with depressive symptoms and provide timely medication and mental regulation for patients diagnosed with depression.