CAJ | 학술논문

目的：调查妇科肿瘤患者主要照顾者心理健康状况,分析主要照顾者心理状况的动态变化与影响因素。方法对101例妇科肿瘤患者主要照顾者于患者手术前一天(T1)、手术后第3天(T2)、第1次化疗后(T3)、第3次化疗后(T4)进行动态调查分析。结果101名照顾者在患者病情不同阶段症状自评量表( SCL-90)总分和各因子分比较差异有统计学意义( P<0．05)；家庭经济和患者疾病程度与SCL-90总分呈正相关,T2时点照顾者文化程度与SCL-90总分呈正相关；各个时点患者疾病程度均进入回归方程,显示与照顾者的心理健康状况独立相关。照顾者文化程度在T2时点进入了回归方程,家庭经济在T4时点进入了回归方程。结论医护人员要重视妇科恶性肿瘤患者主要照顾者的身心健康状况,从影响心理健康水平的各个方面制订针对性措施,促进其身心健康。
목적：조사부과종류환자주요조고자심리건강상황,분석주요조고자심리상황적동태변화여영향인소。방법대101례부과종류환자주요조고자우환자수술전일천(T1)、수술후제3천(T2)、제1차화료후(T3)、제3차화료후(T4)진행동태조사분석。결과101명조고자재환자병정불동계단증상자평량표( SCL-90)총분화각인자분비교차이유통계학의의( P<0．05)；가정경제화환자질병정도여SCL-90총분정정상관,T2시점조고자문화정도여SCL-90총분정정상관；각개시점환자질병정도균진입회귀방정,현시여조고자적심리건강상황독립상관。조고자문화정도재T2시점진입료회귀방정,가정경제재T4시점진입료회귀방정。결론의호인원요중시부과악성종류환자주요조고자적신심건강상황,종영향심리건강수평적각개방면제정침대성조시,촉진기신심건강。
Objective To investigate the dynamic changes of mental health status among primary caregivers of gynecological carcino-ma patients. Methods The mental health status of the main caregivers of 101 patients with gynecologic tumor was investigated for 4 times (before surgery (T1), after surgery (T2), the first chemotherapy (T3), and the third chemotherapy (T4). Results In different stages the SCL-90 total score and each factor comparison of 101 caregivers in patients had statistical significance (P<0. 05);the correlation of SCL-90 total score in the four time points with family economy and degree of disease for patients had statistical significance. In T2 point the correla-tion of SCL-90 total score with caregivers' culture degree was statistically significant. Each point disease degree of patients entered the regres-sion equation, and the mental health status of the display and caregivers were associated independently. Caregivers′ cultural degree in T2 point entered the regression equation, ans family economy in T4 point entered the regression equation. Conclusion Medical personnel should attach importance to physical and mental health of primary caregivers of gynecological cancer patients, so as to formulate corresponding measures to promote their physical and mental health from all aspects affecting the psychological health level.