妇科恶性肿瘤患者心理状态及相关因素研究与护理

Psychological Status in Women with Gynecologic Malignancies:Nursing and Research of Related Factors

目的探讨妇科恶性肿瘤患者心理状态及影响因素,并制定护理对策.方法采用抑郁自评量表(SDS)和焦虑自评量表(SAS),对妇科恶性肿瘤及良性肿瘤患者各52例进行问卷调查分析.结果妇科恶性肿瘤组抑郁、焦虑指数均高于对照组(P＜0.01).文化程度越高、化疗疗程越长(超过6个疗程)抑郁、焦虑指数越高(P＜0.05);术后6个月内及7～12个月的患者焦虑评分均高于对照组(P＜0.05),且以术后6个月内的增高程度更明显(P＜0.05).术后6个月内抑郁评分高于对照组(P＜0.05).结论妇科恶性肿瘤患者多存在抑郁、焦虑心理,根据其影响因素,采取必要的护理措施,以减轻患者不良的心理状态.

Objective To discuss psychological status and its related factors of women with gynecologic malignant tumors and to establish countermeasures.Methods 52 patients with gynecologic malignant tumors and 52 patients with gynecologic benign tumor were surveyed by Self-rating Depression Scale(SDS) and Self-rating Anxiety Scale(SAS).Results The score of SAS and SDS of the 52 women with gynecologic malignant tumors was higher than the control(P<0.01).The patients with higher culture grade had longer period of treatment of chemotherapy and higher scores of SAS and SDS;The score of SAS of the patients with malignant tumor in 6 months and 7~12 months after operation were higher than comparison(P<0.01);Only the score of SDS of the 6 months after operation showed higher than comparison.Conclusion Most patients with gynecologic malignant tumors present with varying degrees of depression and anxiety.Nurses should address the psychological status,study related factors and pay more attention to psychological intervention in these women.