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目的探究与分析新疆宫颈癌患者心理健康状况及社会心理高危因素。方法选取新疆维吾尔自治区人民医院自2014年5月至2016年5月收治的150例新疆宫颈癌患者作为观察组,另选择来我院体检的150例健康成年妇女作为对照组,对比两组Zung抑郁及焦虑自评量表、汉密尔顿抑郁量表(HAMA)、汉密尔顿焦虑量表(HAMD)、90项症状自评量表SCL-90、艾森克EPQ-人格测试量表、社会支持量表(SSRS)。结果观察组焦虑量表(SAS)及抑郁自评量表(SDS)评分高于对照组,差异有统计学意义(t值分别为5.56、5.90,均P<0.05);观察组HAMA量表及HAMD量表评分高于对照组,差异统计学意义(t值分别为5.98、5.54,均P<0.05);观察组躯体化、强迫、人际关系、抑郁、焦虑、恐惧、敌对、偏执、精神病性及其他评分均高于对照组,差异具有统计学意义(t=5.23~7.56,均P<0.05)。观察组精神质(P)维度、内-外向(E)维度、神经质(N)维度、掩饰(L)维度评分高于对照组,主观支持、客观支持、支持利用度低于对照组,差异均有统计学意义(t=5.46~8.12,均P<0.05)。新疆地区宫颈癌患者焦虑、抑郁得分与人格中各维度均具有明显的正相关性(r=0.363~0.466,均P<0.05)。新疆地区宫颈癌患者焦虑、抑郁得分与社会支持水平中各维度均具有明显的负相关性(r=-0.526~-0.287,均P<0.05)。结论新疆宫颈癌患者的心理健康较健康成年女性差,存在诸多因素对其心理状态造成影响,临床医生需要针对此类状态给予积极的缓解,促进改善患者的生存质量。
Objective To explore and analyze the mental health status and psychosocial risk factors in patients with cervical cancer in Xinjiang. Methods 150 cases of cervical cancer from Xinjiang People’s Hospital from May 2014 to May 2016 were selected as the observation group and another 150 healthy adult women were selected as the control group. , HAMA, SCL-90, EPQ-personality test scale, social support scale (SSRS), anxiety self-rating scale, Hamilton Depression Rating Scale (HAMA), Hamilton Anxiety Scale (HAMD) ). Results The SAS and SDS scores in the observation group were higher than those in the control group (t = 5.56 and 5.90, respectively, P <0.05). The scores of HAMA in the observation group and HAMD scale score higher than the control group, the difference was statistically significant (t values were 5.98,5.54, all P <0.05); observation group somatization, coercion, interpersonal relationship, depression, anxiety, fear, hostility, paranoid, psychotic And other scores were higher than the control group, the difference was statistically significant (t = 5.23 ~ 7.56, both P <0.05). The P value, E dimension, N dimension and L dimension of the observation group were higher than those of the control group, subjective support, objective support and supportive utilization were lower than those of the control group There was statistical significance (t = 5.46 ~ 8.12, all P <0.05). There was a significant positive correlation between anxiety and depression scores in cervical cancer patients and all dimensions of personality in Xinjiang (r = 0.363-0.466, all P <0.05). There was a significant negative correlation between the scores of anxiety and depression and the level of social support in Xinjiang cervical cancer patients (r = -0.526 ~ -0.287, all P <0.05). Conclusions The mental health of patients with cervical cancer in Xinjiang is worse than that of healthy adult women. There are many factors that affect the mental status of patients with cervical cancer. Clinicians need to take active measures to alleviate these conditions and improve their quality of life.