摘要
目的妇科癌症患者不仅本人承受着躯体的病痛,而且其配偶也承受着巨大压力。本研究对妇科癌症患者配偶心理健康状况进行调查,提出积极医学应对能力引导的对策。方法选取2017-11-06-2019-10-10内蒙古自治区人民医院住院治疗的210名妇科癌症患者配偶作为研究对象,采用简明心境量表(profile of mood states-short form,POMS-SF)及医学应对问卷(中文版)进行问卷调查,根据调查结果采取配偶同步积极医学应对能力的引导性干预,对干预前后的效果进行比较。结果妇科癌症患者配偶POMS-SF量表中抑郁-沮丧得分为(4.64±2.57)分,高于国内常模的(3.50±2.52)分,t=4.708,P=0.015;疲乏-迟钝得分为(5.79±3.61)分,高于国内常模的(2.97±3.59)分,t=12.269,P<0.001;迷惑-混乱得分为(4.31±3.51)分,高于国内常模的(2.23±2.41)分,t=6.617,P<0.001;精力-活力得分为(8.63±3.55)分,高于国内常模的(6.83±3.51)分,t=4.093,P=0.012;POMS-SF量表总分为(30.35±12.51)分,高于国内常模的(22.07±10.07)分,t=7.019,P<0.001。干预后POMS-SF总评分为(25.19±12.54)分,低于干预前的(30.35±12.51)分,t=8.098,P<0.001;面对应对分为(19.95±6.07)分,高于干预前的(18.15±5.25)分,t=3.521,P=0.003;回避应对分为(14.42±6.30)分,低于干预前的(17.55±6.28)分,t=4.719,P=0.016;屈服应对分为(8.10±4.61)分,低于干预前的(9.07±4.03)分,t=5.886,P=0.001。结论妇科癌症患者配偶的心理健康状况下降明显,临床应从医学应对能力培养角度给予相应干预,使配偶心理健康状况得到改善,从而有利于发挥家庭支持功能,为满足妇科癌症患者治疗需求提供帮助。
OBJECTIVE Patients with gynecological malignancies are not only suffering from physical pain,but the spouse who bears the main care responsibilities is also under tremendous pressure.This study investigates the mental health status of spouses of patients with gynecological cancer,and proposes countermeasures guided by active medical response.METHODS A total of 210 spouses of gynecological cancer patients who were hospitalized in our hospital from November 6,2017 to October 10,2019 were selected as the research subjects.The Profile of Mood States(POMS-SF)and Medical Response Questionnaire Version conducted a questionnaire survey,and based on the results of the survey,a spouse-synchronized active medical coping ability guided intervention was conducted to compare the effects before and after the intervention.RESULTS The depression-depression score on the POMS-SF scale for spouses of gynecological cancer patients was(4.64±2.57)points,which was higher than the domestic norm(3.50±2.52)points,t=4.708,P=0.015.Fatigue-dullness score was(5.79±3.61)points,higher than the domestic norm(2.97±3.59)points,t=12.269,P<0.001.The confusion-chaos score is(4.31±3.51)points,higher than the domestic norm(2.23±2.41)points,t=6.617,P<0.001,The energy-vigor score is(8.63±3.55)points,which is higher than the domestic norm(6.83±3.51)points,t=4.093,P=0.012.The total score of the POMS-SF scale(30.35±12.51)points,higher than the domestic norm(22.07±10.07)points,t=7.019,P<0.001.The total POMS-SF score after the intervention was(25.19±12.54)points,which was lower than the(30.35±12.51)points before the intervention,t=8.098,P<0.001.Face to face response was divided into(19.95±6.07)points,which was higher than the(18.15±5.25)points before the intervention,t=3.521,P=0.003.The avoidance response was divided into(14.42±6.30)points,which was lower than the(17.55±6.28)points before the intervention,t=4.719,P=0.016.Yield response was divided into(8.10±4.61)points,which was lower than the(9.07±4.03)points before intervention,t=5.886,P=0.001.CONCLUSIONS The mental health status of spouses of gynecological cancer patients has decreased significantly,and appropriate interventions should be given from the perspective of medical coping skills to improve the mental health status of spouses,which is conducive to the family support function and help to meet the treatment needs of gynecological cancer patients.
作者
韩瑞利
张婷
HAN Rui-li;ZHANG Ting(Department of Gynecology,People's Hospital of Inner Mongolia Autonomous Region,Hohhot 010050,P.R.China)
出处
《社区医学杂志》
2020年第7期482-485,共4页
Journal Of Community Medicine
关键词
妇科癌症
配偶
心理健康
应对能力
gynecological cancer
spouse
mental health
coping ability
