Tỷ lệ biểu hiện trầm cảm ở bệnh nhân bệnh lý nguyên bào nuôi tại Bệnh viện Từ Dũ và các yếu tố liên quan

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Nguyễn Khánh Trang Huỳnh, Quang Thanh Lê, Trung Hiếu Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.186

Bộ sưu tập: Metadata

ID: 361684

Thêm vào giỏ Liên kết toàn văn

- Đặt vấn đề: Bệnh lý nguyên bào nuôi (BLNBN) trong thai kỳ là một nhóm bệnh lý có nguồn gốc bất thường từ bánh nhau. Tần suất mắc bệnh ở Châu Á khoảng 8 - 10/10.000 thai kỳ. Bệnh ảnh hưởng không nhỏ đến sức khỏe, tinh thần của người bệnh, về lâu dài có thể dẫn đến trầm cảm.- Mục tiêu: Xác định tỷ lệ và các yếu tố liên quan biểu hiện trầm cảm ở bệnh nhân bệnh lý nguyên bào nuôi.- Phương pháp nghiên cứu: Nghiên cứu cắt ngang. Dữ liệu được thu thập bằng cách phỏng vấn trực tiếp 334 bệnh nhân thai trứng tại tại khoa Ung bướu phụ khoa bệnh viện Từ Dũ TPHCM từ 01/01/2021 đến 30/06/2021. Thang đánh giá trầm cảm được sử dụng là đánh già PHQ - 9 của Primary Care Evaluation of Mental Disorders với điểm cắt là 10.- Kết quả: Tỷ lệ bệnh nhân biểu hiện trầm cảm là 25,2%. Có 06 yếu tố liên quan gồm: tuổi <
35, sợ trì hoãn có thai/ hiếm muộn, mâu thuẫn gia đình, mong con, điều trị hóa trị, bệnh lý nền.- Kết luận: Biểu hiện trầm cảm ở bệnh nhân BLNBN là thường gặp và cần được được chẩn đoán và điều trị sớm để giảm những tổn thất cho bệnh nhân, gia đình và xã hội.Abstract - Introduction: Gestational trophoblastic neoplasia (GTN) is a group of abnormal trophoblastic diseases originating from placental tissue. The disease’s prevalence in Asia is approximately 8 - 10 per 10,000 pregnancies. GTN significantly affects the physical and mental well-being of patients and may lead to depression in the long term.- Objective: To determine the prevalence and associated factors of depressive symptoms in patients with gestational trophoblastic neoplasia.- Methods: A cross-sectional study was conducted. Data were collected through direct interviews with 334 molar pregnancy patients at the Gynecologic Oncology Department of Tu Du Hospital, Ho Chi Minh City, from January 1st, 2021, to June 30th, 2021. The Patient Health Questionnaire-9 (PHQ-9) was used to assess depressive symptoms, with a cut-off score of 10.- Results: The prevalence of depressive symptoms among GTN patients was 25.2%. Six associated factors were identified: age <
35, anxiety about pregnancy delay/infertility, family conflicts, desire for children, chemotherapy treatment, and underlying medical conditions. - Conclusion: Depressive symptoms in GTN patients are commonly observed, and early diagnosis and treatment are essential to mitigate the adverse impacts on patients, families, and society. DOI: 10.59715/pntjmp.2.4.19

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