CAJ | 학술논문

目的：纵向调查妇科恶性肿瘤术后化疗患者不同时间点的生存质量、心理健康状况变化及其影响因素。方法采用便利抽样法,选取2013年5－11月山东省某三级甲等医院妇科恶性肿瘤术后化疗患者35例,分别于术后1周及术后1、3、6个月利用欧洲生存质量量表(EuroQol-5D questionnaire,EQ-5D)与凯斯勒心理疾患量表(Kessler 10)对其身心健康状况进行纵向评价。结果妇科恶性肿瘤术后化疗患者不同时间点的心理健康状况(F＝2．90,P＜0．05)及自评健康状况(F＝6．88, P＜0．01)差异均有统计学意义；多因素分析显示,教育程度、职业类型及自评健康得分是妇科恶性肿瘤术后化疗患者心理健康状况的独立影响因素,而术后时间、婚姻状况及 Kessler 10得分是患者生存质量的独立影响因素。结论妇科恶性肿瘤术后化疗患者的生存质量和心理健康状况呈动态变化,且受多种因素的影响；医护人员在临床治疗及出院后延续护理中应针对风险因素,并根据患者所处的心理阶段采取积极有效的干预措施,使患者处于最佳身心状态,提高治愈率和生存质量。
목적：종향조사부과악성종류술후화료환자불동시간점적생존질량、심리건강상황변화급기영향인소。방법채용편리추양법,선취2013년5－11월산동성모삼급갑등의원부과악성종류술후화료환자35례,분별우술후1주급술후1、3、6개월이용구주생존질량량표(EuroQol-5D questionnaire,EQ-5D)여개사륵심리질환량표(Kessler 10)대기신심건강상황진행종향평개。결과부과악성종류술후화료환자불동시간점적심리건강상황(F＝2．90,P＜0．05)급자평건강상황(F＝6．88, P＜0．01)차이균유통계학의의；다인소분석현시,교육정도、직업류형급자평건강득분시부과악성종류술후화료환자심리건강상황적독립영향인소,이술후시간、혼인상황급 Kessler 10득분시환자생존질량적독립영향인소。결론부과악성종류술후화료환자적생존질량화심리건강상황정동태변화,차수다충인소적영향；의호인원재림상치료급출원후연속호리중응침대풍험인소,병근거환자소처적심리계단채취적겁유효적간예조시,사환자처우최가신심상태,제고치유솔화생존질량。
Objective To investigate the quality of life and mental health of malignant gynecologic oncology patients with postoperative chemotherapy in different time points,and to find out factors affecting patients’quality of life and mental health.Methods By using convenience sampling method,3 5 patients were selected and investigated by using EQ-5D and Kessler10 scales in a 1 week,1st,3rd and 6th months after surgery.Results The mental health of patients in different time points had significant differences (F=2.90,P<0.05),as well as self-evaluate health status(F=6.88,P<0.01).Multiple factors analysis showed that the education background,occupational type and self-evaluate health status were the independent influencing factors of mental health,while the time after operation,marital status and Kessler 10 score were the independent influencing factors on quality of life.Conclusion Patient’s quality of life and mental health show the dynamic changes,and were influenced by multiple factors.Medical staffs should take targeted measures in the clinical treatment and extend care after discharge based on their own psychological phases in order to improve patients’recovery rate and quality of life.