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目的了解影响某院妇科肿瘤患者发生焦虑的影响因素,为进一步采取相应的预防干预手段提供依据。方法将2011年5月-2013年5月于该院住院的妇科肿瘤患者143例纳入,作为本次调查的研究对象,在患者入院后接受手术治疗前采用焦虑自评量表(Self-rating Anxiety Scale,SAS)对入组的143名患者进行评估,根据SAS标准分对患者进行分组,≥50分者判定为有焦虑症状,作为焦虑组,SAS<50分者作为对照组。比较焦虑组及对照组在年龄、文化程度、疾病类型、手术方式、经济水平等几方面的差异。结果焦虑组患者SAS评分为(61.3±7.5)分,对照组为(40.6±5.7)分,2组患者得分差异有统计学意义(t=15.95,P<0.001)。焦虑组与对照组相比,2组患者间疾病类型、手术方式、家庭人均年收入水平的差异有统计学意义(P<0.05),焦虑组恶性肿瘤者所占比例高于对照组,根治手术者所占比例较高,家庭人均年收入<1万元者所占比例较高。结论患病的严重程度、是否采取保守治疗以及患者治疗的经济负担是造成妇科肿瘤患者焦虑的影响因素,今后临床工作中,应针对以上因素对患者进行相应的心理疏导。
Objective To understand the influencing factors of anxiety in patients with gynecologic oncology in a hospital and provide evidence for further preventive measures. Methods A total of 143 gynecologic oncology patients hospitalized in our hospital from May 2011 to May 2013 were included in this study. Before the patients were admitted to hospital, the self-rating Anxiety Scale, SAS) 143 patients were enrolled in the study. Patients were divided into groups according to the SAS criteria. Patients with ≥50 points were judged as having anxiety symptoms. As anxiety group, SAS <50 points were used as control group. The anxiety group and the control group were compared in terms of age, educational level, disease type, operation method and economic level. Results The SAS score was (61.3 ± 7.5) in the anxiety group and (40.6 ± 5.7) in the control group. There was significant difference between the two groups (t = 15.95, P <0.001). Compared with the control group, there was significant difference in the type of disease, operation method and per capita annual income among the two groups (P <0.05), and the proportion of the malignant tumors in the anxiety group was higher than that in the control group The proportion is higher, the per capita annual income of families <10,000 yuan a higher proportion. Conclusion The severity of illness, whether to adopt conservative treatment and the economic burden of patient treatment are the influencing factors of anxiety in gynecologic oncology patients. In the future clinical work, the corresponding psychological counseling should be conducted according to the above factors.