妇科恶性肿瘤患者焦虑、抑郁状况调查

The Investigation of Anxiety and Depression in Patients with Gynecologic Malignant Tumors

目的:初步调查妇科恶性肿瘤患者抑郁、焦虑状况。方法:选择妇科恶性肿瘤患者108例为恶性肿瘤组,根据年龄,再分为≥55岁亚组(65例),<55岁亚组(43例);根据文化程度,分为<初中亚组(68例),≥初中亚组(40例);根据术后不同时间,分为<6个月亚组(45例),≥6个月亚组(63例)。选择同期住院治疗的妇科良性疾病患者140例为良性疾病组。采用抑郁自评量表(SDS)与焦虑自评量表(SAS),对各组患者进行测评、比较。结果:恶性肿瘤组的抑郁、焦虑发生率及SDS、SAS量表评分均显著高于良性疾病组(P<0.01);≥初中亚组、<55岁亚组的SDS、SAS量表评分高于<初中亚组、≥55岁亚组(P<0.05);≥6个月亚组的SDS量表评分高于<6个月亚组(P<0.05),术后时间长短不同患者的SAS量表评分差异无统计学意义。结论:妇科恶性肿瘤患者抑郁、焦虑发生率较高,其严重程度与文化程度、年龄及术后时间长短有一定的关系。

Objective： To investigate the anxiety and depression of patients with gynecologic malignant tumors.Methods： One hundred and eight patients with gynecologic malignant tumors（tumor group） and 140 patients with benign gynecologic diseases（benign group） were recruited for this study.Patients in the tumor group were further divided into 55 year above sub-group（n=65） and 55 year younger sub-group（n=43）;low-educated sub-group（n=68） and well-educated sub-group（n=40） according to the educational background;〈6 months sub-group（n=45） and ≥6 months sub-group（n=63） according to the duration post operation.Self-rating depression scale（SDS） and self-rating anxiety scale（SAS） were employed to assess the anxiety and depression in the patients.Date of different groups and sub-groups were collected and compared.Results： The incidence rate of anxiety and depression,the scores of SDS and SAS in the tumor group were significantly higher than those in the benign group（P〈0.01）.The younger patients with higher education had higher scores of SDS and SAS（P〈0.05）.Patients with longer duration post operation had higher scores of SDS（P〈0.05）.Conclusion： Patients with gynecologic malignant tumors had a high incidence rate of anxiety and depression.The severity of psychic symptoms had a certain relationship with the level of education,age and duration post operation.