妇科肿瘤患者心理状况及护理对策

目的 了解妇科肿瘤患者的心理状况,为采取有针对性的护理措施提供依据.方法 2012年6-9月,采用自行设计的一般资料调查表、Zung抑郁自评量表（self-rating depression scale,SDS）、焦虑自评量表（self-rating anxiety scale,SAS）及艾森克人格问卷（eysenck personality questionnaire,EPQ）对镇江第四人民医院（镇江市妇幼保健院）和江苏大学附属医院收治住院的74例妇科肿瘤患者进行调查.结果 妇科肿瘤患者的SDS、SAS评分均高于常模,差异有统计学意义（均P＜0.01）;不同肿瘤类型妇科肿瘤患者的SDS、SAS评分差异均无统计学意义（均P＞0.05）;妇科肿瘤患者的EPQ问卷评分中内外向维度（E）的评分高于常模（P＜0.01）,其他3个维度的评分与常模的差异均无统计学意义（均P＞0.05）;妇科肿瘤患者SDS、SAS评分均与EPQ人格问卷评分中的神经质（N）维度的评分存在相关性（P＜0.01）.结论 妇科肿瘤患者存在焦虑、抑郁情绪,在临床护理中应重视患者的心理状态,开展针对性的护理.

Psychological Status and Nursing Strategies for Patients with Gynaecological Tumors

Objective To investigate the psychological health status and to provide the basis for targeted nursing measures. Methods A total of 74 patients with gynaecological tumors were surveyed with self-de- signed the general information questionnaire, Self-rating Depression Scale （SDS）, Self-rating Anxiety Scale （SAS） and Eysenck Personality Questionnaire （EPQ） before and after operation. Results The scores on SDS and SAS were significantly higher than the Chinese norms （P〈0.01）. There was no significant differ- ence in the scores on SDS and SAS among different types of gynaecological tumors. The E score of EPQ of patients was significantly higher than the Chinese norms （P〈0.05）, while the difference between the other three dimension scores and the norm had no statistical significance（P〉0.05）. The scores of SDS and SAS were significantly associated with the N score of EPQ （P〈0.01）. Conclusion The symptoms of depression and anxiety are present in patients with gynaecologieal tumors. Attention should be paid to the mental state of the patients and the targeted nursing is needed.