早期宫颈癌患者术后情绪障碍及其生命质量的短期追踪调查

目的:调查早期宫颈癌患者术后初期及术后半年焦虑、抑郁情绪和生命质量变化。方法:采用SAS、SDS、CARES-SF、Cantril阶梯量表对125例行宫颈癌根治术后半年内早期宫颈癌患者的情绪特征和生命质量进行了6个月的追踪调查。结果:125例患者中,111例(88.8%)完成了调查,结果显示术后初期患者的生命质量为中等,焦虑情况和生命质量在半年后的得分较稳定,而6个月后的抑郁程度加重,生命质量中的婚姻关系和性关系得分下降。结论:宫颈癌根治术后的早期宫颈癌患者存在明显的焦虑和抑郁情绪,应重视患者生活质量,应对患者进行必要的心理疏导,帮助患者协调婚姻关系,这将有利于宫颈癌患者的身体和心理的共同康复。

Short term follow-up study on emotional disorders and quality of life in women with early stage cervical cancer undergoing gynecologic surgery

Objective：To investigate the emotion disorders and quality of life in women with early stage cervical cancer （ESCC） that newly undergoing radical hysterectomy with a follow-up period of 6 months. Methods：One hun- dred and twenty five patients with ESCC newly after radical hysterectomy and bilateralpelvic lymph node dissection were accessed with SAS, SDS, CARES-SF and Cantril to investigate the emotion disorders and quality of life. Re- sults：One hundred and eleven patients completed six months of investigation, and the quality of life in the patients newly after operation was in the moderate level. The scores of anxiety and life quality were stable over 6 months, but they were more depressed and had poorer marital and sexual relationship during the follow-up period. Conclusion： Pa- tients with ESCC newly undergoing gynecologic surgery had obvious disorders of anxiety and depression. Medical staff should pay attention to the quality of life of patients,and should make the necessary psychological counseling to help patients coordinate the marital relationship,which will benefit the patients with the common physical and psy chological rehabilitation.