摘要
目的：调查掌握我国育龄期宫颈癌患者生活质量的影响因素，探索心理干预对育龄期宫颈癌患者生活质量的改善有无明显调适作用，对临床治疗效果有无协调作用。方法：对Ⅰa～Ⅱb早期宫颈癌行广泛子宫切除术的62例患者分为心理干预组32例，对照组30例。干预组在术前与术后进行支持性心理治疗和认知行为疗法；对照组在术前与术后不进行心理干预治疗。两组患者皆于术前、术后6个月接受WHO—QOL-100量表调查，从生理、心理、独立性、社会关系、环境及宗教6大领域24个方面全面评价我国育龄期宫颈癌患者生活质量情况。结果：育龄期宫颈癌患者术后6个月生理领域、心理领域、独立性领域、社会关系领域、环境领域明显恶化，生活质量下降。干预组术前与术后6个月比较，除宗教领域外，余五大领域及生活质量比较得分均有统计学意义（P〈0．01）。结论：对干预组患者进行干预治疗后，其生活质量的生理领域、心理领域、独立性领域、社会关系领域、环境领域有明显改善，说明支持性心理治疗和认知行为疗法在育龄期宫颈癌患者临床治疗中起协助治疗作用。在临床中应重视并了解宫颈癌患者生活质量的影响因素，积极进行心理干预，有助于改善其生活质量。
Objective：To investigate the influential factors of reproductive cervical cancer patients life qualities in our country, in order to find whether mental intervention affects the improvement of the life qualities and clinical treatments. Methods：A total of 62 patients who are undergoing radical hysterectomy in Ⅰa-Ⅱb stage of cervical carcinoma,answered WHO-QOL-100 scale excel what could evaluate the patients from 24 aspects in physiology,psychology, independence, social interaction,environment and religion. 32 cases received supportive psychological intervention and cognitive behavior treatment before and after undergoing cervical cancer surgery divided as psychological intervention group. 30 cases did not received psychological intervention treatment as control group. Results ：The levels of physiology ,psychology ,independence ,social interaction and environment become deteriorated ,and there are statistical differences in those aspects of psychological intervention group before and after undergoing cervical cancer surgery （P〈0. 01）. Conclusion：The supportive psychological intervention and cognitive behavior treatment can help clinical treatment for reproductive cervical cancer patients. If we could pay more attention to the influential factors of reproductive cervical cancer patients life qualities,and give psychological intervention treatment,that can improve the life qualities.
出处
《临床医药实践》
2009年第7期536-538,共3页
Proceeding of Clinical Medicine
基金
深圳市科技局科研项目(项目编号:200603102)
关键词
宫颈癌
生活质量
心理干预
cervical carcinoma
life quality
psychological intervention
