妇科肿瘤患者手术前后抑郁、焦虑状况及影响因素分析

ANALYSIS OF DEPRESSION AND ANXIETY STATE IN THE PATIENTS WITH GYNECOLOGICAL TUMOR BEFORE AND AFTER OPERATION AND ITS INFLUENCE FACTORS

目的了解和分析妇科肿瘤患者手术前后抑郁和焦虑状况及影响因素。方法应用ZUNG抑郁自评量表和焦虑自评量表,对患者手术前后进行精神状态评定。对象为453例妇科肿瘤住院进行宫颈锥切手术和经腹手术的患者。结果患者手术前抑郁和焦虑水平显著高于术后,经腹恶性肿瘤手术组患者术前抑郁水平显著高于宫颈锥切组和经腹良性肿瘤手术组;农民工组术前、术后抑郁和术后焦虑水平显著高于其他组;低收入组在手术前后抑郁水平和焦虑水平均显著高于其他组。结论妇科肿瘤患者尤其是恶性肿瘤患者,术前存在明显的抑郁状态,更加需要专业的心理辅导和心理治疗。

Objective To explore the prevalence rate of depression and anxiety disorders in women patients with gynecological tumor before and after operation and the influence factors. Methods Zung Self- Rating Depression Scale and Self- Rating Anxiety Scale were used to evaluate the psychological state of women patients with gynecological tumor before and after operation. A total of 453 in- patients with gynecological tumor were included, who were admitted for cervical conization or abdominal gynecological operation. Re- sults The prevalence rates of depression and anxiety disorder before operation were significantly higher than those after operation among all the patients surveyed; pre- operative prevalence rate of depression dis- order in abdominal surgery group of women with malignant gynecological tumor was significantly higher than that of women receiving cervical conization and abdominal surgery group of women with benign gyne- cological tumor; pre- operative prevalence rate of anxiety disorder among women over 50 years of age was significantly lower; both pre - operative and post - operative prevalence rate of depression disorder and post - operative prevalence rate of anxiety disorder among jobless women patients were significantly higher than that of other groups of women patients; pre- operative and post- operative prevalence rate of depression disorder and anxiety disorder among women patients with low income were significantly higher than those of other groups of women patients. Conclusion Depression disorder is obviously seen in women patients with gynecological tumor before operation, particularly among those with malignant gynecological tumor. Sophisticated psychological counseling and psychological treatment are needed for those patients.