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背景:女性生殖器官良、恶性肿瘤是严重影响女性生活质量的妇科疾病,其对患者社会心理影响如何?目的:分析女性生殖器官肿瘤患者的心身健康状况,为制定切实有效、有针对性的心理干预措施提供参考。设计:以诊断为依据,病例对照研究。单位:武汉大学人民医院精神科。对象:武汉大学人民医院和中南医院妇产科、肿瘤科病房及放疗门诊的77例女性生殖器官恶性肿瘤患者(宫颈癌38例,卵巢癌30例,子宫内膜癌9例)、40例良性肿瘤患者和40例健康对照者。干预:所有研究对象均按指导语填写临床症状自评量表(SCL-90),评定近1周来患者的心身健康状况。文化程度低,填写困难者由研究者按统一标准代为填写,所有研究病例均在入院后1～3d完成以上量表的评定。主要观察指标:SCL-90的总分、阳性项目数、阳性项目均分、及各因子分(包括躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性及其他等)。结果:恶性肿瘤组除恐怖、敌对因子分与健康对照组无差异外,其余各项指标均极显著高于健康对照组,差异均有显著性意义(q=4.279～9.936,P均<0.01)。与良性肿瘤组相比除焦虑、敌对、恐怖和阳性项目数差异无显著性外,其余各项因子分亦显著较高(q=3.128～4.825,P<0.05～0.01)。良性肿瘤组SCL-90总分、阳性项目数、阳性项目均
BACKGROUND: Good and malignant tumors of female genital organs are gynecological diseases that seriously affect the quality of life of women and have a negative impact on their social and psychosocial status. OBJECTIVE: To analyze the psychosomatic status of female genital mutilation patients in order to draw up an effective and targeted psychology Interventions provide a reference. Design: Based on diagnosis, case-control study. Unit: People’s Hospital of Wuhan University Psychiatry. PARTICIPANTS: A total of 77 female patients with genital malignancies (38 with cervical cancer, 30 with ovarian cancer and 9 with endometrial cancer) from Department of Obstetrics and Gynecology, Central South Hospital, Wuhan University People’s Hospital and Zhongnan Hospital were enrolled. Forty patients Tumor patients and 40 healthy controls. Intervention: All subjects were instructed to fill in the Clinical Symptom Checklist 90 (SCL-90) to assess the patient’s physical and psychological health status in the recent 1 week. Low level of education, those who fill in by the researchers according to uniform standards on behalf of fill, all study cases were completed 1 ~ 3d after admission the above rating scale. MAIN OUTCOME MEASURES: The total score of SCL-90, the number of positive items, the positive items and the scores of each factor (including somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoid, psychosis and others ). Results: There was no significant difference between the malignant tumor group and the healthy control group except for the horror and hostile factors, the other indicators were significantly higher than those in the healthy control group (q = 4.279-9.936, P <0.01) . Compared with the benign tumor group, there was no significant difference in the number of anxiety, hostility, horror and positive items among other factors (q = 3.128-4.825, P <0.05-0.01). The total score of SCL-90 in benign tumor group, the number of positive items and the positive items were all higher