CAJ | 학술논문

目的:调查子宫肌瘤患者腹腔镜术后和开腹术后的心理状况及其影响因素.方法:运用症状自评量表(SCL-90)评定两种不同手术方法组患者的心理状况,并对术后出现心理问题患者进行单因素和多因素分析.结果:腹腔镜组患者与开腹组患者相比较,躯体化、焦虑、抑郁、偏执因子差异有显著性(P<0.05).单因素分析家庭关系、文化程度、月收入、手术方式,两组间差异有统计学意义(P<0.05).多因素回归分析显示家庭关系(OR=1.856;95% CI:1.247～2.653)、教育程度(OR=2.3631;95% CI:1.465～3.574)和手术方式(OR=1.672;95% CI:1.119～2.362)是术后心理问题发生的独立影响因素.结论:子宫肌瘤术后群体有比较明显的心理问题,但其中腹腔镜组患者较开腹组患者的心理健康状态好.术后患者的心理状况低下与家庭关系、文化程度和手术方式有关.
목적:조사자궁기류환자복강경술후화개복술후적심리상황급기영향인소.방법:운용증상자평량표(SCL-90)평정량충불동수술방법조환자적심리상황,병대술후출현심리문제환자진행단인소화다인소분석.결과:복강경조환자여개복조환자상비교,구체화、초필、억욱、편집인자차이유현저성(P<0.05).단인소분석가정관계、문화정도、월수입、수술방식,량조간차이유통계학의의(P<0.05).다인소회귀분석현시가정관계(OR=1.856;95% CI:1.247～2.653)、교육정도(OR=2.3631;95% CI:1.465～3.574)화수술방식(OR=1.672;95% CI:1.119～2.362)시술후심리문제발생적독립영향인소.결론:자궁기류술후군체유비교명현적심리문제,단기중복강경조환자교개복조환자적심리건강상태호.술후환자적심리상황저하여가정관계、문화정도화수술방식유관.
Objective:To investigate and analyze psychological state and its related factors of post-laparoscopy and post-laparotomy in patients with uterus myoma.Methods:Symptom check list(SCL-90)was investigated and analyzed by self-developing questionnaires. Both univariate and multivariate logistic regression analyses were performed to the patients with mental disorders.Results:In SCL-90,the scores of the somatization,depression and anxiety phobicanxiety,paranoid,psychotism in laparoscopy group were significantly lower than those in laparotomy group(P<0.05).According to the univariate analysis,there was significant difference in family relation, level of education, monthly income and operation method(P<0.05).Based on the multivariate analysis, the significant risk factors for patients with mental disorders included family relation(OR=1.856;95% CI:1.247～2.653), level of education (OR=2.3631;95% CI:1.465～3.574)and operation method (OR=1.672;95%CI:1.119～2.362).Conclusion:The psychological state of patients with uterus myoma after operation is poor, especially in the case of laparotomy group. The poor psychological state of uterus myoma patients is related with family relation, level of education and operation method.