宫颈上皮内瘤变筛检阳性患者负性情绪及影响因素

Negative Emotion and Influencing Factors of Patients With Positive Results of Disease Screening for Cervical Intraepithelial Neoplasia

目的探究宫颈上皮内瘤变患者治疗过程中心理焦虑抑郁等负性情绪发生状况,并探讨焦虑与抑郁的影响因素。方法选取2016年1—12月于我院接受治疗的86例宫颈上皮内瘤变患者为研究对象。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者的焦虑和抑郁情况进行评定,其中SAS/SDS低于50分为非焦虑/抑郁组;SAS/SDS高于50分为焦虑/抑郁组,采用患者心理障碍因素调查表对观察组患者影响负性情绪发生的原因进行调查并加以分析。结果对焦虑和抑郁程度进行单独评定,结果发现焦虑组SAS为(49.89±5.17)分、非焦虑组组SAS为(11.82±4.47)分,抑郁组SDS为(54.48±5.02)分,非抑郁组SDS为(10.08±3.98)分,两组数据比较差异具有统计学意义(P<0.05)。对观察组患者进行心理障碍因素调查,发现患者发生负性情绪的主要原因包括担心癌变(55例,63.9%)、担心疾病复发(49例,56.9%)、害怕手术(48例,55.8%)、担心手术不成功(48例,55.8%)、担心医疗费用(34例,39.5%),其他原因包括担心影响工作、担心疼痛、担心夫妻感情、担心性生活受影响、担心影响生育等。结论宫颈上皮内瘤变患者在治疗过程中容易出现负性情绪和消极心理,其中以心理焦虑和心理抑郁最为明显,患者心理变化受到多种因素影响。

Objective To explore the occurrence of negative emotions, such as psychological anxiety and depression in patients with cervical epithelial carcinoma during treatment process, and to analyze the causes of psychological anxiety and depression. Methods From January 2016 to December 2016, 86 cases of cervical epithelial carcinoma patients treated in our hospital were selected as the research object. The Self Rating Anxiety Scale （SAS）, Self Rating Depression Scale （SDS） were used to evaluate the anxiety and depression in patients; the patient whose SAS/SDS score were lower than 50 points were regarded as non- anxiety and depression group, the patient whose SAS/SDS score were above 50 points were regarded as anxiety and depression group, a psychiatric disorders questionnaire was conducted to investigate the cause of negative emotions. Results The degree of anxiety and depression was evaluated respectively, the SAS score was estimated to be （49.89~5.17） in the anxiety group, （11.82±4.47） in the non-anxiety group, the SDS score was （54.48±5.02） in the depression group, （10.08±3.98） in the non-depression group, the difference between the two groups was statistically significant （P〈0.05）. The main causes of negative emotion were worried about canceration （55 cases, 63.9%）, worried about the recurrence of disease （49 cases, 56.9%）, fear of surgery （48 cases, 55.8%）, fear of the failure of surgery （48 cases, 55.8% ）, fear of medical expenses （34 cases, 39.5%）, other reasons include fear of the influence on work, worry about pain, worry about husband and wife feelings, fear of sexual life being affected, worried about fertility. Conclusion Negative emotions and negative psychological are prone to cervical intraepithelial neoplasia patients in the treatment process, the psychological anxiety and depression are the most obvious, the psychological changes of patients are affected by multiple factors, but they can be controlled to improve mood of patients.