妇科恶性肿瘤患者主要照顾者心理健康状况的动态研究

A dynamic study on mental health status among primary caregivers of gynecological carcinoma patients

目的调查妇科肿瘤患者主要照顾者心理健康状况,分析主要照顾者心理状况的动态变化与影响因素。方法对101例妇科肿瘤患者主要照顾者于患者手术前一天(T1)、手术后第3天(T2)、第1次化疗后(T3)、第3次化疗后(T4)进行动态调查分析。结果 101名照顾者在患者病情不同阶段症状自评量表(SCL-90)总分和各因子分比较差异有统计学意义(P<0.05);家庭经济和患者疾病程度与SCL-90总分呈正相关,T2时点照顾者文化程度与SCL-90总分呈正相关;各个时点患者疾病程度均进入回归方程,显示与照顾者的心理健康状况独立相关。照顾者文化程度在T2时点进入了回归方程,家庭经济在T4时点进入了回归方程。结论医护人员要重视妇科恶性肿瘤患者主要照顾者的身心健康状况,从影响心理健康水平的各个方面制订针对性措施,促进其身心健康。

Objective To investigate the dynamic changes of mental health status among primary caregivers of gynecological carcinoma patients. Methods The mental health status of the main caregivers of 101 patients with gynecologic tumor was investigated for 4 times( before surgery( T1),after surgery( T2),the first chemotherapy( T3),and the third chemotherapy( T4). Results In different stages the SCL-90 total score and each factor comparison of 101 caregivers in patients had statistical significance( P < 0. 05); the correlation of SCL-90 total score in the four time points with family economy and degree of disease for patients had statistical significance. In T2 point the correlation of SCL-90 total score with caregivers’ culture degree was statistically significant. Each point disease degree of patients entered the regression equation,and the mental health status of the display and caregivers were associated independently. Caregivers’ cultural degree in T2 point entered the regression equation,ans family economy in T4 point entered the regression equation. Conclusion Medical personnel should attach importance to physical and mental health of primary caregivers of gynecological cancer patients,so as to formulate corresponding measures to promote their physical and mental health from all aspects affecting the psychological health level.