女性生殖器官肿瘤患者的心身健康状况(英文)  

Physical and mental health of female patients with carcinomas of reproductive organs

作　　者：成敬[1] 曾利红[1] 程自立[1] 王高华[1] 

机构地区：[1]武汉大学人民医院精神科,湖北省武汉市430060

出　　处：《中国临床康复》2004年第36期8390-8391,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:女性生殖器官良、恶性肿瘤是严重影响女性生活质量的妇科疾病,其对患者社会心理影响如何?目的:分析女性生殖器官肿瘤患者的心身健康状况,为制定切实有效、有针对性的心理干预措施提供参考。设计:以诊断为依据,病例对照研究。单位:武汉大学人民医院精神科。对象:武汉大学人民医院和中南医院妇产科、肿瘤科病房及放疗门诊的77例女性生殖器官恶性肿瘤患者(宫颈癌38例,卵巢癌30例,子宫内膜癌9例)、40例良性肿瘤患者和40例健康对照者。干预:所有研究对象均按指导语填写临床症状自评量表(SCL-90),评定近1周来患者的心身健康状况。文化程度低,填写困难者由研究者按统一标准代为填写,所有研究病例均在入院后1～3d完成以上量表的评定。主要观察指标:SCL-90的总分、阳性项目数、阳性项目均分、及各因子分(包括躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性及其他等)。结果:恶性肿瘤组除恐怖、敌对因子分与健康对照组无差异外,其余各项指标均极显著高于健康对照组,差异均有显著性意义(q=4.279～9.936,P均<0.01)。与良性肿瘤组相比除焦虑、敌对、恐怖和阳性项目数差异无显著性外,其余各项因子分亦显著较高(q=3.128～4.825,P<0.05～0.01)。良性肿瘤组SCL-90总分、阳性项目数。BACKGROUND:Benign and malignant tumors of female reproductive organs are gynaecological diseases that seriously affect female quality of life.However,how are socio psychological impacts on patients? <OBJECTIVE:To analyze the physical and mental health of female patients with carcinomas of reproductive organs for the establishment of effective and pertinent mental invention. <DESIGN:A case controlled study based on the diagnosis.<SETTING:Department of Psychiatry of the Renmin Hospital of Wuhan University.<PARTICIPANTS:Totally 77 female cases of malignant tumors of the female reproductive organs including 38 cases of cervical carcinoma,30 cases of ovarian carcinoma and 9 cases of carcinoma of the endometrium,40 cases of benign tumour and 40 healthy subjects were selected from the department of gynecology,department of oncology and outpatient department of radiotherapy of the Renmin Hospital of Wuhan University and Zhongnan Hospital.<INTERVENTIONS:SCL 90 was filled by all the subjects with instructive language to evaluate the physical and mental health of the patient within one week.SCL 90 was filled by the researchers for those patients with low education background and difficulty in writing with standard criteria.The above evaluations were completed within 1 to 3 days after admissions of all subjects. MAIN OUTCOME MEASURES:Total scores of SCL 90, positive item numbers,average score of positive items,and the scores of each factor(including somatization,compulsion,sensitive human relationship,depression,anxiety,hostility,phobia,crankiness,lunacy and others).<RESULTS:Scores of each indicator of malignant tumour group except the scores of phobia and hostility were significantly higher than that of healthy control group(q=4.279 to 9.936,P< 0.01). Scores of each indicator of malignant tumour group except the scores of anxiety,hostility,phobia and positive item numbers were significantly higher than that of benign tumour group(q=3.128 to 4.825,P< 0.05 to 0.01). The SCL 90 total score,positive item numbers,a

关 键 词：生殖器官肿瘤 女性/心理学 心理学 社会 精神状态检查表 

分 类 号：R737.3[医药卫生—肿瘤]