新疆维吾尔族农村妇女宫颈癌患者前期病变及心理高危因素研究

Precancerosis and psychological risk factors in Uyghur women with cervical cancer in rural Xinjiang

目的探讨影响新疆维吾尔族农村妇女宫颈癌患者社会心理健康的高危因素。方法选取2014年3月至2016年12月间新疆维吾尔自治区人民医院收治的300例南疆地区癌前期病变及宫颈癌患者为观察组,另选取同期300例健康体检妇女为对照组,通过调查资料及病例总结,对比两组人员心理健康状况及高危因素。结果观察组患者高中及大专、大学学历比例较对照组低,初中及以下学历比例高;脑力劳动及轻体力劳动人员比例较低,重体力劳动人员比例较高,两组比较,差异均有统计学意义(均P<0.05)。观察组患者躯体化、强迫、人际关系、抑郁、焦虑、恐惧、敌对、偏执、精神病性及其他评分均较对照组高,差异均有统计学意义(均P<0.05)。观察组患者多位性伴侣、多子女数、早产、早孕人员较对照组比例高,主观支持、客观支持和支持利用度低,差异均有统计学意义(均P<0.05)。劳动程度、学历、多位性伴侣、多子女数、早产、早孕、主观支持、客观支持和支持利用度均为影响宫颈癌患者的社会心理健康因素。结论新疆维吾尔族农村妇女宫颈癌患者社会心理健康情况较差,受多种因素的影响。临床工作者需加强对宫颈癌患者有效的心理疏导,改善患者的社会心理健康状况。

Objective To explore and analyze precancerosis and psychological risk factors in Uyghur women with cervical cancer in rural Xinjiang. Methods To select 300 patients with precancerous lesions and cervical cancer who lived in southern Xinjiang and were treated at People＇s Hospital of Xinjiang Uygur Autonomous Region from March 2014 to December 2016 as the observation group. Another 300 women who had a physical examination at the same period were selected as the control group. Results The proportion of high school,college or university degree was lower and the proportion of junior high school degree was higher in the observation group than in the control group and the observation group had lower proportion of light mental labor and physical labor and higher proportion of heavy manual labor than the control group（ all P〈0. 05）. The levels of somatization,obsessive-compulsive disorder,interpersonal relationship,depression,anxiety,fear,hostility,paranoia,psychosis and other score were higher in the observation group than in the control group（ all P〈0. 05）. The rate of multiple sexual partners,more children,premature birth and early pregnancy was higher in the observation group than in the control group and the degree of objective support,subjective support and support availability was lower in the observation group than in the control group（ all P〈0. 05）. Degree of labor,education,number of sexual partners,number of children,premature birth status,early pregnancy status,subjective support,objective support and support availability degree were factors influencing the social-mental health of patients with cervical cancer. Conclusion The mental health was poor in patients with cervical cancer in rural Xinjiang,which is influenced by many factors. Clinicians need to strengthen the psychological counseling for patients with cervical cancer to improve patients＇ mental health.