妇科恶性肿瘤病人术前后的生活状况

Investigation on living status of the women with gynecologic malignant tumor after Operation

目的 调查妇科恶性肿瘤妇女手术前后的生活情况。方法 以个别问卷的方式调查随机选取 1994.1～1998.12在我院诊治的 83例妇科恶性肿瘤病人 ,其中卵巢癌患者 5 4例 ,子宫内膜癌患者 19例 ,宫颈癌患者 8例 ,绒癌患者 2例。并将卵巢癌、子宫内膜癌、宫颈癌、绒癌的患者分为四组 ,比较术前、术后生活的情况。结果 5 7.8%的妇科恶性肿瘤妇女存在着长期精神压抑。卵巢癌患者中 5 8.9%的妇女有癌症家族史 ,明显高于其他组。卵巢癌和子宫内膜癌的患者工作压力大、长期心情压抑的比例明显高于宫颈癌患者 ,而以绒癌患者最少 (P <0 .0 5 )。术前 79.5 %妇女认为有权知道病情 ,而实际真正术前了解病情者仅占 43 .4% ,86.7%的患者希望医生关心她们的生活细节 ,88.0 %的妇女需要医生关心性方面的问题 ,几乎所有妇女都希望能有这方面的咨询门诊。结论 相当数量的妇科恶性肿瘤妇女有长期精神压抑历史 ,其中以卵巢癌和子宫内膜癌更为突出 ,医生应重视日常生活中心情因素对肿瘤的影响 ,术前使患者对疾病有一定认识 ,术后关心患者的生活细节 ,包括性生活。有癌家族史者应定期行妇科检查。

? Objective To investigate living status of postoperative women with gynecologic malignant tumor.Methods 83 women with gynecologic malignant tumor treated in our hospital from Jan.,1994 to Dec.1998 were surveyed by individual questionair,of whom there were 54 ovarian cancer,19 endometrial carcinoma,8 cervical carcinoma,and 2 choriocarcinoma.The living status of these four groups of women before and after operation was compared.Results 57.8% of the women with gynecological malignant tumor had been depressive for a long period. 58.9% of ovarian cancer women had cancer history in their family,which was more higher than that in other groups.The rates of patients feeling long term depressing and at working pressure were higher in the women with ovarian cancer and endometrial carcinoma than those in the cervical carcinoma,however the rate was the lowest in choriocarcinoma women(P<0.05).79.5% of the women thought that they had the right to know more information about their disease before operation,but actually only 43.4% of them kenw their condition before operation. 86.7% of the patients hoped doctors to take care of their living in detail,and 88.0% of the patients needed the doctors to notice their sexual problem,and almost all of these patients hoped that there should be advicers on this field in the hospital.Conclusions There are big number of the women with gynecological malignant tumors feeling depressing for a long time,of whom women with ovarian cancer and endometrial carcinoma are more serious.So the doctors should pay more attention to the living status of the patients,informed the patients of the disease before the operation,take care of their living status (including the sexuality) of the patients after the operation,and let the women know that they should go to see the doctor regularly if there is a cancer history in their family. 〔