CAJ | 학술논문

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.
목적:조사장악아국육령기궁경암환자생활질량적영향인소,탐색심리간예대육령기궁경암환자생활질량적개선유무명현조괄작용,대림상치료효과유무협조작용.방법:대Ⅰa～Ⅱb조기궁경암행엄범자궁절제술적62 례환자분위심리간예조32 례,대조조30 례.간예조재술전여술후진행지지성심리치료화인지행위요법;대조조재술전여술후불진행심리간예치료.량조환자개우술전、술후6개월접수WHO-QOL-100량표조사,종생리、심리、독립성、사회관계、배경급종교6대영역24개방면전면평개아국육령기궁경암환자생활질량정황.결과:육령기궁경암환자술후6개월생리영역、심리영역、독립성영역、사회관계영역、배경영역명현악화,생활질량하강.간예조술전여술후6개월비교,제종교영역외,여오대영역급생활질량비교득분균유통계학의의(P＜0.01).결론:대간예조환자진행간예치료후,기생활질량적생리영역、심리영역、독립성영역、사회관계영역、배경영역유명현개선,설명지지성심리치료화인지행위요법재육령기궁경암환자림상치료중기협조치료작용.재림상중응중시병료해궁경암환자생활질량적영향인소,적겁진행심리간예,유조우개선기생활질량.
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.