心理干预改善45岁以下子宫全切术患者的生活质量研究  

The study of psychological intervention for improvement of quality of life among women post-total hysterectomy

作　　者：周争立[1] 徐琳[2] 单朝屏[2] 杨映芳[2] 

机构地区：[1]云南省第一人民医院妇科,650032 [2]昆明医学院第一附属医院妇产科

出　　处：《中国妇产科临床杂志》2003年第6期416-420,共5页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的　研究心理干预对子宫全切术患者的生活质量影响 ,以评估心理干预的疗效。方法　将符合入组条件的 90例患者分为心理干预组 4 6例 ,对照组 4 4例。干预组除行腹式子宫全切术外 ,在围手术期行心理干预 ,即 :支持性心理治疗、健康教育、个别深入的心理治疗、家庭和社会支持治疗等 ;对照组则仅采取手术治疗。两组患者皆于入院时、术后半年填写WHO -QOL - 1 0 0 ,观察两组在手术前、后的生活质量变化。结果　 4 5岁以下的子宫肌瘤患者术后半年时性生活、人际关系等方面明显恶化 ,生活质量下降。心理干预能明显改善焦虑、抑郁情绪 ;明显提高性生活质量及性生活的满意程度 ;明显改善自尊、体象感、人际关系、社会支持、总的健康状况等方面的生活质量。结论　应重视并了解子宫肌瘤患者对子宫全切术存在的不良心理 ,积极进行心理干预 ,重点放在性生活、体象感、自尊、社会支持、人际关系等方面 。Objective To investigate the effect of psychological intervention on quality of life among patients who were younger than 45 years old and underwent total hysterectomy for uterine leiomyoma. Methods According to the selective standard, 90 women were randomly divided into the psychological intervention group (46) and the control group (44). The intervention group received both total hysterectomy and psychological intervention including supportive therapy, health education, individual psychotherapy, and family and social supportive therapy during hospitalization. The control group only received total hysterectomy. All women were evaluated by WHO-QOL-100 on the first day of hospitalization and in half a year after operation. Variations in quality of life were observed for both groups. Results Obvious mood disturbances were found among patients who were younger than 45 years old and underwent total hysterectomy for uterine leiomyomas. Half a year after operation, some facets in quality of life, sex, human relations, etc. got worse. Psychological intervention can ameliorate women's anxiety and depression significantly, improve the quality and satisfaction of sex markedly, and other facets in quality of life, e.g. self-esteem, bodily appearance, human relations, social support, and overall health status. Conclusions It is important for gynecologists to realize and find out patient's psychiatric disorders associated with hysterectomy for uterine leiomyomas. Psychological intervention is needed in the clinical gynecology to improve patient's quality of life.

关 键 词：子宫肌瘤 子宫全切术 心理干预 生活质量 

分 类 号：R395.1[哲学宗教—心理学]