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目的探讨膀胱癌术后灌注患者的心理健康状况、社会支持情况及生存质量。方法用症状自评量表(SCL-90)、社会支持评定量表(SSRS)及世界卫生组织生存质量量表简表(WHOQOL-BREF)对82例膀胱癌术后灌注患者(灌注组)进行调查分析,并与泌尿科普通就诊患者(普通组)进行比较分析。结果①灌注组在SCL-90中的躯体化、人际关系敏感、焦虑、抑郁、恐怖因子显著高于普通组(P<0.01);②灌注组在SSRS中的社会支持总分、客观支持、社会支持的利用度评分显著低于普通组(P<0.01);③灌注组在WHOQOL-BREF中的总体评价、生理领域、心理领域、社会关系评分显著低于普通组(P<0.01)。结论膀胱癌术后灌注患者存在有明显的躯体化、人际敏感、抑郁、焦虑、恐怖等不良心理健康状况,在社会中所获得的支持程度和对支持的利用度均较低,生存质量较差。
Objective To investigate the mental health, social support and quality of life of postoperative patients with bladder cancer. Methods 82 patients with postoperative bladder cancer (perfusion group) were treated with SCL-90, SSRS and WHOQOL-BREF Investigation and analysis, and urinary general treatment of patients (general group) for comparative analysis. Results ① The somatosensory, interpersonal sensitivity, anxiety, depression and terrorist factors of SCL-90 in perfusion group were significantly higher than those in normal group (P <0.01). ② The total score of social support, objective support, social support (P <0.01); ③The overall evaluation of perfusion group in WHOQOL-BREF was significantly lower than that in the general group in physiological field, psychological field and social relation score (P <0.01). Conclusion Postoperative patients with bladder cancer have significant postoperative physical, interpersonal sensitivity, depression, anxiety, horror and other unhealthy mental health conditions. The degree of support and availability of support in society is low, and the quality of life is poor .