宫颈癌术后患者心理状态与家庭功能的相关性研究

Post-operative psychological status of patients of cervical cancer and their family function: a correlative analysis

目的了解宫颈癌术后患者心理状态与患者本人及其丈夫的家庭功能相关性,为宫颈癌患者预后提供数据支持。方法选取宁波大学医学院附属医院收治的76例宫颈癌手术治疗患者作为研究对象,采用SAS评分及SDS评分评估入选患者的心理状态,采用FAD评分评估患者本人及其丈夫的家庭功能。结果 76例宫颈癌术后患者重度焦虑发生率为3.95%,中度为26.32%,轻度为40.79%;重度抑郁发生率为1.32%,中度为13.16%,轻度19.74%,患者SAS评分、SDS评分均高于我国常模且差异具有统计学意义(P<0.05)。患者家庭功能良好的为39.47%,不健康的为32.90%,中等障碍的为18.42%,严重障碍的为9.21%,患者FAD评分中患者本人在沟通、情感反应、情感介入、行为控制的超临界值比例高于其丈夫且差异具有统计学意义(P<0.01)。患者及其丈夫的FAD评分中七个维度与SAS评分及SDS评分呈正相关(P<0.05)。结论宫颈癌术后患者心理状态差,患者及其丈夫的家庭功能适应性较低且均与患者抑郁、焦虑程度相关。

Objective To understand the correlation between the post-operative psychological status of patients of cervical cancer and the level of family function in the patients and their spouses so as for the patients to be scientifically informed of the prognosis. Methods Firstly, 76 patients of cervical cancer admitted to the Affiliated Hospital of Ningbo University Medical College for treatment with surgery were chosen as the subjects of study. Secondly, SAS score and SDS score were used to assess the psychological status of the subjects. FAD score was used to evaluate the levels of family function of the patients and their spouses. Results Of the 76 subjects, the rate of incidence of severe anxiety was 3.95%. The rate of incidence of moderate level of anxiety was 26.32%, and the rate of incidence of mild level of anxiety was 40.79%. The rates of incidence of severe degreee of depression, moderate degree of depression, mild degree of depression were 1.32%, 13.16%, and 19.74%, respectively. The SAS score and SDS score of patients were higher than those of Chinese norms(P<0.05). The differences were statistically significant(P<0.05). Among them, 39.47% of the patients showed good family function and 32.90% of the patients were unhealthy. 18.42% had moderate disorder and 9.21% had severe disorder. The proportion of supercritical value of communication, emotional response, emotional intervention and behavior control in patients ’FAD score was higher than that of their husbands(P<0.01). Seven dimensions of FAD score of the patients and their husbands were positively correlated to SAS score and SDS score(P<0.05). Conclusions The post-operative psychological status of the patients of cervical cancer tends to be negative. The patients as well as their husbands have lower adaptability to family function, which is correlated the degree of depression and anxiety they are likely to experience.