妇科恶性肿瘤患者心理状态及影响因素分析与对策

目的评估妇科恶性肿瘤患者心理状态及影响因素,并制定护理对策。方法采用抑郁自评量表(SDS)和焦虑自评量表(SAS),对妇科恶性肿瘤及良性肿瘤患者各70例进行问卷调查。结果妇科恶性肿瘤组抑郁、焦虑指数均高于对照组(P<0.01)。中青年人抑郁、焦虑指数高于老年人(P<0.05),文化程度越高、化疗疗程越长(超过6个)者抑郁、焦虑指数越高(P<0.05);妇科恶性肿瘤组术后6个月内及7~12个月的患者焦虑评分均高于对照组(P<0.05),且以术后6个月内的增高程度更明显(P<0.05)。妇科恶性肿瘤组术后6个月内抑郁评分高于对照组(P<0.05)。结论妇科恶性肿瘤患者多存在抑郁、焦虑心理,了解其影响因素,为患者提供有针对性的护理,可减轻患者不良的心理状态。

Countermeasures and analysis of psychological status and its related factors of women with gynecologic malignant tumor

Objective To discuss psychological status and its related factors of women with gynecologic malignant tumor,and to establish natural countermeasure.Methods 70 cases of women with gynecologic malignant tumor and 70 cases of women with gynecologic benign tumor were surveyed by Self-Rating Depression Scale(SDS) and Self-Rating Anxiety Scale(SAS).Results The score of SAS and SDS of 70 cases of women with gynecologic malignant tumor was higher than the control(P<0.01);The depression and anxiety index of middle-aged and young people was higher than that of the old people(P<0.05).The higher culture degree and the course of chemotherapy were,the higher the scores of SAS and SDS were.The score of SAS of the group which had be operated within 6 months and the group which had be operated within 7-12 months were higher than the control(P<0.05);Only the score of SDS of the group which had be operated within 6 months was higher than the control.Conclusions The different levels of depression and anxiety were found in most women with gynecologic malignant tumor;Nurses should research psychological status and its related factors of women with gynecologic malignant tumor and pay more attention to the psychological intervention of these women.Then patients depression and anxiety should be lighten.