膀胱癌造口患者心理健康状况和生存质量的关系

Relationship of Mental Health and Quality of Life on Hospitalized Bladder Carcinoma Patients with a Stoma

目的：分析膀胱癌造口患者术后心理健康、生存质量现状,探讨二者之间的关系。方法：选取膀胱癌造口手术患者90例和与之匹配的正常人90例,采用世界卫生组织生存质量测定量表（WHOQOL-100）、症状自评量表（SCL-90）,分别测评患者的生存质量状况和心理健康状况。结果：（1）膀胱癌造口组患者术后生活质量总分低于正常人组（t=-4.073,P=0.000）,在生存质量生理、心理、独立性、精神/宗教信仰维度上,膀胱癌造口组低于正常人组（t=-4.641,-3.337,-3.933,-2.536;P〈0.01）,差异有统计学意义;（2）SCL-90总分为181.036分,高于正常人组132.885（t=11.030,P=0.000）,患者在焦虑、躯体化、人际关系敏感、抑郁、强迫症状因子得分的平均分均较高（〉2分）;（3）SCL-90总分与生存质量生理、心理、社会关系、环境领域得分总分呈负相关（r=-0.403,-0.399,-0.330,-0.288,-0.247,-0.357;P〈0.01）。结论：膀胱癌造口术患者术后存在一定的心理健康问题,生存质量有一定程度的下降。健康的心理状况与患者膀胱癌造口术后生存质量水平存在相关。

Objective：To investigate the characteristics of mental health and quality of life on hospitalized bladder carcinoma patients with a stoma,and to study their relationship.Methods：Ninety hospitalized bladder carcinoma patients with a stoma and ninety matched normal persons were investigated to finish a series of questionnaires,including aquestionnaire about general situation,the quality of life questionnaires（WHOQOL-100）and symptom self rating scale（SCL-90）.Results：（1）The overall quality of life scores of the group of the patients were lower than that of the group of the normal persons（t=-4.073,P〈0.001）.At the fields of physiological,psychological,independence,spiritual/religious,statistical significant differences were found between the two groups（t=-4.641,-3.337,-3.933,-2.536,P〈0.01）.（2）The average score of SCL-90 in the patients with stoma bladder cancer was higher than the normal persons＇ points（t=11.030,P〈0.001）.Factor＇s scores of the anxiety,somatization,interpersonal tensions,depression,obsessive-compulsive symptoms were higher than 2 points.（3）The mental health status of bladder cancer patients with a stoma was negatively correlated with overall quality of life scores,physiological field,psychological field,social relations,environmental field（r=-0.403,-0.399,-0.330,-0.288,-0.247,-0.357,P〈0.01）.Conclusion：There are some mental health problems in patients with a stoma bladder cancer.Healthy psychological status is related with the quality of life of patients with bladder cancer after stoma.