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目的 :了解妇科恶性肿瘤病人术后的心理状况。方法 :选取 1994年 1月～ 1998年 12月诊治的80例妇科恶性肿瘤病人 ,利用抑郁自评量表 (SDS)和焦虑自评量表 (SAS)进行调查。结果 :80例妇科恶性肿瘤病人的SAS评分为 33 39± 6 14,明显高于健康人 (P <0 0 1) ;SDS评分为 34 2 4± 7 83,与正常人比较无统计学差异 (P >0 0 5)。卵巢癌、子宫内膜癌的SAS评分明显高于正常人 ( 33 18± 5 91,33 95± 6 39,P <0 0 5) ,而宫颈癌无明显增高 ;这三种肿瘤的SDS评分均与健康人群差异无显著性 (P>0 0 5)。术后 6个月和术后 7～ 36个月的SAS评分分别为 35 13± 7 12、33 2 8± 5 88,高于正常人 (P<0 0 5) ,且以术后 6个月内的增高程度明显 ;SDS评分中只有术后 6个月内高于正常 ( 36 97± 8 54,P<0 0 5)。结论 :80例妇科恶性肿瘤病人的心理状况以焦虑为主 ,而以术后半年内最重 ,且术后半年内还常有抑郁心态。医生应重视这些病人的心理状况 ,及时进行心理治疗 ,提高病人的生存质量
Objective: To understand the psychological status of patients with gynecologic malignancy. Methods: Eighty patients with gynecological malignancies who were diagnosed and treated from January 1994 to December 1998 were selected for the survey using the Self-rating Depression Scale (SDS) and the Self-rating Anxiety Scale (SAS). Results: The SAS score of 33 patients with gynecologic malignancy was 33 39 ± 6 14. It was significantly higher than that of healthy subjects (P <0 01). The SDS score was 34 2 4 ± 7 83. There was no statistical difference between normal subjects and SAS patients. P >0 0 5). The SAS scores of ovarian cancer and endometrial cancer were significantly higher than those of normal people (33 18±5 91, 33 95±6 39, P <0 05), but no significant increase in cervical cancer; the SDS scores of these three tumors were There was no significant difference with healthy people (P > 0.05). The SAS scores at 6 months and 7 to 36 months after operation were 35 13± 7 12 and 33 2 8± 5 88, respectively, which were higher than those of normal subjects (P<0.05) and were 6 months after operation. The degree of increase was significant; the SDS score was higher than normal only within 6 months after operation (36 97± 8 54 P<0 05). Conclusion: The psychological status of 80 cases of gynecologic malignancy patients was mainly anxiety, and the most serious in half a year after operation. Depression psychology was often observed within half a year after surgery. Doctors should pay attention to the psychological status of these patients, perform psychotherapy in time, and improve the quality of life of patients.