膀胱癌根治术患者不同治疗阶段负性心理与生活质量的关系

目的探讨膀胱癌根治术患者不同治疗阶段负性心理与生存质量的关系。方法选取2017年1月-2018年5月在我院治疗的膀胱癌患者84例,采用癌症患者生活质量量表(European organization for research and treatment of cance quality of life questionnaire-core 30,EORTC QLQ-C30)、抑郁自评量表(self-rating depression scale,SDS)和焦虑自评量表(self-rating anxiety scale,SAS)评估患者不同治疗阶段的生活质量、抑郁和焦虑情况。结果术前、术后3个月和术后6个月SDS、SAS评分比较,差异均有统计学意义(F=28.644,P<0.001;F=29.501,P<0.001);术前、术后3个月及术后6个月总体生活质量评分比较,差异有统计学意义(F=33.033,P<0.001);且SAS、SDS评分与总体生活质量评分均呈负相关(r=-0.380,P<0.001;r=-0.315,P<0.001)。结论膀胱癌患者术后抑郁、焦虑和生存质量均较术前改善,且抑郁、焦虑评分与患者生活质量呈负相关,应针对患者不同治疗阶段的心理特点给予有针对性的干预,以提高其生活质量。

Relationship between the negative psychology and life quality of patients undergoing radical bladder cancer surgery at different treating stages

Objective To explore the relationship between negative psychology and life quality of patients undergoing radical surgery for bladder cancer at different stages of treatment. Methods Totally 84 bladder cancer patients treated in our hospital between January 2017 and May 2018 were selected, and evaluated the life quality, depression and anxiety before and after operation using the European organization for research and treatment of cancer QLQ-C30 (EORTC QLQ-C30) scale, self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Results Significant differences were observed in the SDS and SAS scores, and the total life quality score before as well as 3 and 6 months after the operation (F=28.644, P<0.001; F=29.501, P<0.001; F=33.033, P<0.001). Moreover, the SDS and SAS scores were negatively correlated to the total life quality score (r=-0.380,P<0.001;r=-0.315,P<0.001). Conclusion The postoperative depression, anxiety and life quality of patients with bladder cancer improve compared with before the operation, and the depression and anxiety are negetively related to the life quality. Therefore, targeted psychological intervention should be provided at different stages to improve their life quality.