腹腔镜和开腹术后宫颈癌患者的心理状况及影响因素的研究  

Studies on psychological state and its related factors of post-laparoscopy and post-laparotomy in patients with cervical carcinoma

作　　者：袁丽佳[1] 梁志清[1] 胡华[2] 

机构地区：[1]第三军医大学附属西南医院妇产科,重庆400038 [2]第三军医大学基础部心理健康教育中心,重庆400038

出　　处：《中国内镜杂志》2006年第1期31-34,共4页China Journal of Endoscopy

摘　　要：目的调查宫颈癌患者腹腔镜术后和开腹术后的心理状况及其影响因素。方法运用症状自评量表(SCL-90)评定两种不同手术方法组患者的心理状况并通过自行设计的多项目调查表综合分析其影响因素。结果宫颈癌患者SCL-90躯体化,强迫,抑郁,焦虑,恐惧,偏执,精神病性因子7个明显高于全国女性常模(P<0.01),腔镜组患者与开腹组患者相比较躯体化,焦虑,人际关系和抑郁因子差异有显著性(P<0.05)。结论宫颈癌术后群体有比较明显的心理问题,其中腹腔镜组患者较开腹组患者的心理健康状态好。术后患者的心理状况低下与家庭关系,手术方式,临床分期有关。[ Objective] To study psychological state and its related factors of post-laparoscopy and post-laparotomy in patients with celvical carcinoma. [Methods] Symptom check list （SCL-90） was investigated and analyzed by self-developing questionnaires. [Results] In SCL-90, the scores of the somatization, obsessive-compulsive, depression and anxiety phobicanxiety, paranoid, psychofism were significantly different with that of the Chinese female normal（P 〈0.01）. There were heavy psychological factors of laparotomy patients, the scores of the somatization, anxiety, depression, interpersonal sensitivity were different with that of the laparoscopy patients （P 〈0.05）, riaged but not pregnant, lower income, worse family relationshi somatization p, worse curative effect and so on. [Conclusion ] The psychological state of patients with cervical carcinoma after operation is poor, especially the case in laparotomy group. There are heavy psychological factors of cervical carcinoma patients related to operation method, relation in family and clinical staging.

关 键 词：腹腔镜 宫颈癌 心理状况 

分 类 号：R737.33[医药卫生—肿瘤]