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目的分析妇科肿瘤伴情绪焦虑患者术后生活质量调查结果及其影响因素。方法选取该院妇科2013年1月-2014年12月收治的80例肿瘤患者作为观察组,选择同期行健康体检的60例女性作为对照组,通过症状自评量表(SCL-90)、健康调查简表(SF-36)对两组女性心理状态、生活质量进行调查。同时收集患者病历资料,包括患者年龄、文化程度、心理状态、婚姻状况、病理分期、治疗情况等,单因素及Logistic多因素回归分析影响妇科肿瘤患者术后生活质量相关因素。结果观察组躯体化、人际关系敏感、抑郁、焦虑、精神病性评分均明显高于对照组,躯体状况、心理健康、情绪角色功能、躯体疼痛、社会功能、精力评分及平均分均明显低于对照组,差异均有统计学意义(P<0.01)。单因素及多因素Logistic回归分析显示,患者术后生活质量独立影响因素包括保乳手术、病理分期、焦虑抑郁、辅助化疗。结论妇科肿瘤患者容易出现焦虑、抑郁的情绪,术后生活质量较差,除了与患者焦虑抑郁的情绪有关外,还与病理分期、治疗等有关,据此针对性的提出预防干预,以期改善其生活质量。
Objective To analyze the postoperative quality of life of gynecologic oncology patients with emotional anxiety and its influencing factors. Methods Totally 80 female cancer patients admitted to our hospital from January 2013 to December 2014 were selected as the observation group. Sixty female women who underwent physical examination in the same period were selected as the control group and were assessed by the Symptom Checklist 90 (SCL-90) Survey Profile (SF-36) Two groups of female psychological status, quality of life were investigated. At the same time, the patients’ medical records were collected, including the patient’s age, educational level, psychological status, marital status, pathological staging, treatment status and so on. Single factor and Logistic multivariate regression analysis were used to analyze the influencing factors of postoperative quality of life of gynecologic oncology patients. Results The somatization, interpersonal sensitivity, depression, anxiety and psychotic scores in the observation group were significantly higher than those in the control group. The physical status, mental health, emotional role, body pain, social function, energy score and average score were significantly lower than the control group Group, the differences were statistically significant (P <0.01). Univariate and multivariate Logistic regression analysis showed that independent factors of postoperative quality of life including breast conserving surgery, pathological staging, anxiety and depression, adjuvant chemotherapy. Conclusions Gynecologic oncology patients are prone to anxiety and depression, and have poor postoperative quality of life. In addition to the anxiety and depression related to patients ’emotions, they are also related to the pathological staging and treatment. Therefore, preventive interventions are proposed in order to improve the patients’ Quality of Life.