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目的为子宫切除患者心理干预提供依据。方法选取子宫切除病例125例,采用焦虑自评量表(SAS)[1]、抑郁自评量表(SDS)[2]、简易应对方式量表(SCSQ)[3]于手术前后进行心理状态评定。结果SAS评分术前为43.51±10.25分,术后1周为42.33±10.47分,术后1月为40.50±7.33分;SDS评分为术前为44.17±8.44分,术后1周为40.50±10.86分,术后1月为45.72±9.03分。SDS术后与常模比较差异显著(P<0.01),SAS手术前后与常模比较均差异显著(P<0.01)。术后1月与术前相比SAS分数显著下降(P<0.01)。焦虑状态各类专业、技术人员和国家机关、党群组织、企事业单位负责人明显低于其他职业人群,抑郁倾向也明显低于农林牧渔劳动者、生产工人、运输工人和无业人员。手术前后心理焦虑状态和抑郁倾向与文化、积极心理应对方式有较强负相关(r<-0.3)。结论子宫切除术患者围手术期及围手术期后存在焦虑状态和抑郁倾向,需要心理干预;健康教育、积极的应对方式有助于缓解患者的心理压力。
Objective To provide basis for psychological intervention in patients with hysterectomy. Methods A total of 125 cases of hysterectomy were selected. The anxiety self-rating scale (SAS) [1], the depression self-rating scale (SDS) [2] and the simple coping style scale (SCSQ) [3] assessment. Results The score of SAS was 43.51 ± 10.25 before surgery, 42.33 ± 10.47 at 1 week after surgery and 40.50 ± 7.33 at 1 month after surgery. The SDS score was 44.17 ± 8.44 before surgery and 40.50 ± 10.86 at 1 week after surgery Points, after January 45.72 ± 9.03 points. There was significant difference between normal operation and postoperative SDS (P <0.01). There was significant difference between before and after operation of SAS and normal operation (P <0.01). The SAS score at 1 month after operation was significantly lower than that before operation (P <0.01). Anxiety state of various professional, technical personnel and state organs, party organizations, enterprises and institutions responsible person was significantly lower than other occupational groups, depression is also significantly lower than the forestry, animal husbandry and fishery workers, production workers, transport workers and unemployed. There was a strong negative correlation between psychological anxiety and depression tendency before and after surgery and culture and positive coping style (r <-0.3). Conclusions There is anxiety and depressive tendency after perioperative and perioperative period in hysterectomy patients. Psychological intervention is needed for the patients with hysterectomy. The health education and the positive coping styles may help to alleviate the psychological pressure of the patients.