宫颈癌根治术后并发下肢淋巴水肿患者的心理困扰和自我表露现状及影响因素  

Status and factors influencing psychological distress and self-disclosure in patients with lymphedema in the lower extremities after radical cervical cancer resection

作　　者：吴乐旭 王春兰[1,2] 王薇 汪瑶[1,2] 黄珍珍[1,2] WU Lexu;WANG Chunlan;WANG Wei;WANG Yao;HUANG Zhenzhen(Department of Gynecology and Oncology,Zhejiang Cancer Hospital,Hangzhou 310022,China;Hangzhou Institute of Medicine,Chinese Academy of Sciences,Hangzhou 310022,China)

机构地区：[1]浙江省肿瘤医院妇瘤科,浙江杭州310022 [2]中国科学院杭州医学研究所,浙江杭州310022

出　　处：《健康研究》2023年第6期660-665,共6页Health Research

基　　金：浙江省医药卫生科技计划项目(2022KY659)。

摘　　要：目的调查宫颈癌根治术后并发下肢淋巴水肿患者的心理困扰及自我表露现况,分析其影响因素,为制定有效的心理干预措施提供参考。方法应用一般资料问卷、心理困扰温度计(distress thermometer,DT)和中文版痛苦表露指数量表,对138例宫颈癌根治术后并发下肢淋巴水肿的患者进行调查;采用Logistic回归,分析影响患者心理困扰及自我表露的因素。结果138例患者DT平均得分(3.69±2.48)分,74例(53.6%)患者存在显著心理困扰(DT≥4分);50例(36.2%)处于自我表露低水平,57例(41.3%)处于自我表露中等水平,31例(22.5%)处于自我表露高水平。Logistic回归分析结果显示,性格、职业状态、年龄、疾病分期是患者心理困扰的影响因素,职业状态、家庭人均月收入是患者自我表露水平的影响因素,均P<0.05。结论宫颈癌根治术后并发下肢淋巴水肿患者心理困扰检出率较高,自我表露处于中低水平。内向、职业状态为其他、年龄较小、疾病分期≥Ⅱ期的患者发生心理困扰的概率更高,在职或离职的职业状态、家庭人均月收入不固定或2000~3000元的患者自我表露水平较低。临床应针对不同患者采取相应干预措施,以提高其自我表露水平,改善其心理困扰状况。Objective To investigate the psychological distress and self-expression status of patients with lower limb lymphedema after radical cervical cancer surgery,analyze the influencing factors,and provide reference for formulating effective psychological intervention measures.Method A survey was conducted on 138 patients who had experienced lower limb lymphoedema after radical cervical cancer surgery.The survey included a questionnaire on general information,a distress thermometer(DT)and a Chinese translation of the pain exposure index scale.The study's objective was to identify the factors contributing to psychological distress and self-disclosure among patients.Logistic regression was employed to analyze the data.Results Out of 138 patients,74 individuals(53.6%)encountered notable psychological distress(DT≥4 points),with an average DT score of(3.69±2.48)points.In addition,50 cases(36.2%)exhibited low levels of self-expression,57 cases(41.3%)reflected moderate levels of self-expression,while 31 cases(22.5%)demonstrated high levels of self-expression.The Logistic regression analysis outcomes reveal that patients'psychological distress is influenced by personality traits,occupational status,age,and disease stage.Additionally,the patients'self-expression level is affected by occupational status and per capita family income,all with statistical significance of P<0.05.Conclusions Patients who have developed lower limb lymphoedema following radical cervical cancer surgery had a high rate of psychological distress detection.Self-representation levels were found to be low to moderate.The likelihood of experiencing psychological distress was greater in patients who displayed introverted traits,had an occupational status classified as“other”,were younger in age,and were at a disease stage≥stageⅡ.In addition,patients who were either employed or separated from the workforce and had an irregular monthly family income of 2000-3000 RMB had lower levels of self-expression.Clinical interventions should be customized to ind

关 键 词：宫颈癌 下肢淋巴水肿 自我表露 心理困扰 

分 类 号：R-1[医药卫生]