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妇科恶性肿瘤患者心理状态与影响生存质量相关因素研究
引用本文:郑冬燕,李丽,徐振兴.妇科恶性肿瘤患者心理状态与影响生存质量相关因素研究[J].护士进修杂志,2009,24(18):1639-1642.
作者姓名:郑冬燕  李丽  徐振兴
作者单位:解放军总医院第二附属医院妇产科,北京,100091;解放军总医院第二附属医院妇产科,北京,100091;解放军总医院第二附属医院妇产科,北京,100091
基金项目:解放军总医院第二附属医院课题;课题 
摘    要:目的探讨妇科恶性肿瘤患者心理状态及影响生存质量的相关因素。方法采用抑郁白评量表(SDS)和焦虑自评量表(SAS);生存质量测定量表(WHOQOL-100);自行设计妇科恶性肿瘤患者术后性心理及性生活情况问卷表,对妇科恶性肿瘤及良性肿瘤患者各95例,分别于患者手术前、术后1个月、3个月、6个月、12个月进行问卷调查分析。结果妇科恶性肿瘤组抑郁、焦虑指数均高于对照组(P〈0.05);两组患者生存质量存在明显的差异,妇科恶性肿瘤组显著低于对照组(P〈0.05);妇科恶性肿瘤患者不同年龄、文化程度的性关注程度与性生活比较,差异有显著意义(P〈0.05)。结论妇科恶性肿瘤患者多存在抑郁、焦虑心理,研究影响生存质量的相关因素,采取必要的护理措施,以减轻患者不良的心理状态,提高患者的生存质量。

关 键 词:妇科恶性肿瘤  抑郁  焦虑  生存质量

Study for the correlative factors related to mental status and living quality for patients with gynecology cancer
Zheng Dongyan,Li Li,Xu Zhenxing.Study for the correlative factors related to mental status and living quality for patients with gynecology cancer[J].Journal of Nurses Training,2009,24(18):1639-1642.
Authors:Zheng Dongyan  Li Li  Xu Zhenxing
Institution:(The Second Affiliated Hospital, Chinese People's Liberation Army General Hospital, Beijing 100091)
Abstract:Objective To study the correlative factors related to mental status and living quality for patients with gynecology cancer. Method Three self-rating scales: WHOQOL-100 scales, self-rating depression scale(SDS) and self-rating anxiety scale (SAS) were used for evaluating 95 patients with gynecology cancer in intervention group, and 95 patients with gynecology carcinoma in control group for 1 month, 3 months, 6 months an 12 months after operation. Result Compared with control group, the anxiety factor score and depression factor score of intervention group were higher than in control group P〈0.05). There were significant difference in living quality between inter- vention group and control group(P〈0. 05) ; There were significant difference in sexual preoccupation and sex life in patients of different education background and age (P〈0.05). Conclusion Most patients with gynecology cancer suffer from anxiety and depression. We should study the correlation factors related to their living quality and take nursing measures if necessary to improve their living quality.
Keywords:Gynecology cancer  Anxiety  Depression  Living quality
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