接受子宫全切术的巨大子宫肌瘤患者创伤后应激障碍与乐观倾向的关系

Relationship Between Post-traumatic Stress Disorder and Optimism Tendency in Patients with Giant Uterine Leiomyoma Undergoing Total Hysterectomy

目的观察接受子宫全切术(TH)的巨大子宫肌瘤(GUF)患者创伤后应激障碍(PTSD)与乐观倾向情况,并分析二者的关系。方法选取2017年11月至2021年12月信阳市第三人民医院收治的93例GUF患者作为研究对象。患者接受子宫全切术治疗,于患者出院时,采用创伤后应激障碍平民版量表(PCL-C)评估患者PTSD情况,采用生活定向测验修订版(LOR-R)评估患者乐观倾向,分析PTSD与乐观倾向的关系。结果93例GUF患者PCL-C总分为(40.34±1.58)分,LOR-R得分为(14.83±1.48)分;经Pearson相关性分析检验结果显示,GUF患者TH后PCL-C总分与各维度评分与LOR-R总分呈负相关(r<0,P<0.05)。结论GUF患者TH后具有一定程度的PTSD症状,且PTSD与乐观倾向呈负相关。

Objective To observe the post-traumatic stress disorder(PTSD)and optimistic tendency of patients with giant uterine leiomyoma(GUF)undergoing total hysterectomy(TH),and analyze the relationship between them.Methods A total of 93 GUF patients admitted to the third people’s Hospital of Xinyang City from November 2017 to December 2021 were selected as the study subjects.All patients underwent total hysterectomy.At the time of discharge,PTSD of patients was assessed by the PTSD checklist-civilian version(PCL-C),and the revised life orientation test(LOR-R)was used to evaluate the optimistic tendency of patients,the relationship between PTSD and optimism in patients with GUF after TH was analyzed.Results The total PCL-C score and LOR-R score of 93 patients with GUF were(40.34±1.58)and(14.83±1.48)points,respectively.Through Pearson linear correlation test,the results showed that,there was a negative correlation between the total score of PCL-C and the score of each dimension and the total score of LOR-R in patients with GUF after TH(r<0,P<0.05).Conclusion Patients with GUF have PTSD symptoms after TH,and PTSD is negatively correlated with optimism.