新疆宫颈癌患者心理健康调查及社会心理高危因素研究

目的 探究与分析新疆宫颈癌患者心理健康状况及社会心理高危因素.方法 选取新疆维吾尔自治区人民医院自2014年5月至2016年5月收治的150例新疆宫颈癌患者作为观察组,另选择来我院体检的150例健康成年妇女作为对照组,对比两组Zung抑郁及焦虑自评量表、汉密尔顿抑郁量表(HAMA)、汉密尔顿焦虑量表(HAMD)、90项症状自评量表SCL-90、艾森克EPQ-人格测试量表、社会支持量表(SSRS).结果 观察组焦虑量表(SAS)及抑郁自评量表(SDS)评分高于对照组,差异有统计学意义(t值分别为5.56、5.90,均P<0.05);观察组HAMA量表及HAMD量表评分高于对照组,差异统计学意义(t值分别为5.98、5.54,均P<0.05);观察组躯体化、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高于对照组,差异具有统计学意义(t=5.23~7.56,均P<0.05).观察组精神质(P)维度、内-外向(E)维度、神经质(N)维度、掩饰(L)维度评分高于对照组,主观支持、客观支持、支持利用度低于对照组,差异均有统计学意义(t=5.46~8.12,均P<0.05).新疆地区宫颈癌患者焦虑、抑郁得分与人格中各维度均具有明显的正相关性(r=0.363~0.466,均P<0.05).新疆地区宫颈癌患者焦虑、抑郁得分与社会支持水平中各维度均具有明显的负相关性(r=-0.526~-0.287,均P<0.05).结论 新疆宫颈癌患者的心理健康较健康成年女性差,存在诸多因素对其心理状态造成影响,临床医生需要针对此类状态给予积极的缓解,促进改善患者的生存质量.

Psychological health survey and social psychological risk factors of cervical cancer patients in Xinjiang

Objective To explore and analyze the psychological health status and social psychological risk factors of cervical cancer patients in Xinjiang.Methods A total of 150 cervical cancer patients from Xinjiang admitted in the People's Hospital of Xinjiang Uygur Autonomous Region from May 2014 to May 2016 were selected in observation group,and another 150 healthy adult women receiving physical check in the hospital were selected in control group.Zung depression and anxiety self-rating scale,Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA),symptom checklist 90(SCL-90),Eysenck personality questionnaire(EPQ)and social support rating scale(SSRS)were compared between two groups.Results Scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were higher than those in the control group, and differences were statistically significant(t value was 5.56 and 5.90,respectively,both P< 0.05).Scores of HAMA and HAMD scales in the observation group were higher than those in the control group,and differences had statistical significance(t value was 5.98 and 5.54,respectively,both P<0.05).Somatization,compulsion,interpersonal relationship,depression,anxiety, fear,hostility,paranoia,psychosis and other scores in the observation group were higher than those in the control group with significant differences(t value ranged 5.23-7.56,all P< 0.05).Psychoticism(P)dimension,introversion-extroversion(E) dimension,neuroticism(N)dimension and lie(L)dimension scores in the observation group were higher than those in the control group,but subjective support,objective support and support application scores were lower with significant differences(t value ranged 5.46-8.12,all P< 0.05).Anxiety and depression scores of cervical cancer patients in Xinjiang region were positively correlated with every personality dimension score(r value ranged 0.363-0.466,all P<0.05).There was a significant negative correlation between anxiety and depression scores of cervical cancer patients in Xinjiang region and every dimension of social support(r value ranged-0.526--0.287,all P<0.05).Conclusion Psychological health of cervical cancer patients in Xinjiang is poorer than that of healthy adult women.There are many factors influencing patient's psychological status,so clinicians should positively relieve such status and help to improve patient's quality of life.