宫颈癌患者心理困扰现状及其影响因素

Psychological distress of cervical cancer patients

目的探讨宫颈癌患者心理困扰程度及其影响因素，为宫颈癌患者进行个体化的心理护理提供理论依据。方法采用非实验研究设计的描述性研究，选取2013年1月1日—2015年1月31日本院妇科收治的宫颈癌患者，应用心理困扰影响因素问卷和心理困扰管理量表（DM）对宫颈癌患者进行调查研究。结果共发放问卷200份，有效回收问卷200份，有效率100％。宫颈癌患者均有不同程度的心理困扰，心理困扰程度平均得分为（4．7±2．2）分，中重度心理困扰占81．0％。宫颈癌患者的年龄、文化程度、职业、子女情况、既往史、治疗方式和化疗次数对宫颈癌患者的心理困扰程度有影响。结论宫颈癌患者心理困扰发生率较高，应根据患者心理困扰的影响因素及原因进行个体化的心理干预，降低患者心理困扰程度。

Objective To characterize psychological distress in patients with cervical cancer and to explore influencing factors. Methods Cervical cancer patients admitted to our hospital from January 1, 2013 to January 31, 2015 were included. Psychological distress factors questionnaire and psychological distress management scale （DM） were administered to 200 cases of cervical cancer patients. Results Cervical cancer patients had different degrees of psychological problems, with an average score of psychological distress of （4.7 ± 2.2） points. Of these patients, 81% had moderate to severe degrees of psychological distress. Degree of psychological distress was correlated with age, education, occupation, children, medical history, treatment, and number of chemotherapy. Conclusion Patients with cervical cancer had a higher prevalence of psychological problems, and psychological intervention should be individualized according to the above identified factors.