宫颈癌中晚期患者心理痛苦程度现状及影响因素分析

Analysis of the current status and influencing factors of the psychological distress of patients with cervical cancer

目的了解宫颈癌中晚期患者的心理痛苦程度现状,并分析其相关影响因素。方法选择海南省海口市妇幼保健院2019年1月至2020年1月就诊并确诊的宫颈癌中晚期患者350例,采用一般资料调查表、心理痛苦调查工具、广泛焦虑量表以及患者健康问卷调查量表对纳入患者进行描述性及分析性研究。结果本调查共发放350份问卷,实际回收328份。心理痛苦程度得分为(4.37±1.62)分,处于中度痛苦。不同年龄、学历、子女情况、月均收入以及治疗方式宫颈癌中晚期患者心理痛苦程度评分比较,差异有统计学意义(P<0.05)。经Pearson相关分析显示,宫颈癌中晚期患者焦虑、抑郁得分与心理痛苦程度呈正相关(r=0.417、0.560,P<0.05)。多重线性回归分析显示,年龄、子女情况、月均收入、焦虑及抑郁是其心理痛苦程度的影响因素(P<0.05)。结论年龄低、子女情况较少、月均收入较低以及焦虑、抑郁评分较高是影响宫颈癌中晚期患者心理痛苦程度的相关因素,医护人员须加强对上述患者的安抚及关怀,制订积极的干预措施,有效降低患者心理痛苦程度,保持患者身心健康。

Objective To understand the current status of the psychological distress of patients with advanced cervical cancer and to analyze its related influencing factors.Methods A total of 350 patients with advanced cervical cancer who were diagnosed and treated in Haikou City Maternity and Child Health Hospital from January 2019 to January 2020 were selected,and general information questionnaires,psychological distress survey tools,general anxiety scales and patient health questionnaires were used to describe and analysis.Results A total of 350 questionnaires were distributed in this survey,and 328 were returned.The psychological distress score was(4.37±1.62)points,which was in moderate distress.There were statistical differences in the psychological distress scores of patients with different ages,education backgrounds,children’s conditions,average monthly income and treatment methods(P<0.05).Pearson correlation analysis showed that the anxiety and depression scores of patients with advanced cervical cancer were positively correlated with the degree of psychological pain(r=0.417,0.56,P<0.05).Multiple linear regression analysis showed that age,children’s condition,average monthly income,anxiety and depression were the influencing factors of their psychological distress(P<0.05).Conclusion Lower age,fewer children,lower average monthly income,higher anxiety and depression scores are related factors affecting the psychological distress of patients with advanced cervical cancer.Medical staff must strengthen comfort and care for these patients,and formulate positive intervention measures can effectively reduce the psychological pain of patients and maintain their physical and mental health.