摘要
目的探讨腹腔镜与开腹手术下卵巢癌妇女的负性情绪发生情况和生存质量状况。方法选取2015年6月~2018年9月宁波市医疗中心李惠利医院接受治疗的II期卵巢癌患者128例,观察组(66例)行腹腔镜根治术,对照组(62例)行开腹根治术,采用焦虑自评量表、抑郁自评量表以及生存质量自评量表为两组患者进行比较和评估。结果观察组焦虑评分(52.14±6.43)分,低于对照组(56.77±9.25)分,差异有统计学意义(t=2.241,P=0.032,P<0.05);观察组的轻度焦虑为37.88%(25/66)、中度焦虑发生率42.42%(28/66),对照组轻度焦虑43.55(27/62),中度焦虑51.61%(32/62),差异有统计学意义(χ~2=4.876,P<0.05)。观察组抑郁评分(57.42±6.95)分,低于对照组(64.23±8.29)分,差异有统计学意义(P<0.05);观察组的轻度抑郁为36.36%、中度抑郁发生率为34.85%低于对照组,差异有统计学意义(P<0.05)。观察组的生理状况(14.96±2.15)分、社会/家庭状况(11.23±2.55)分、情感状况(12.61±1.74)分、功能状况评分(13.14±2.36)分均显著高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜卵巢根治术相对传统开腹手术有微创、疼痛轻、无痕及恢复快等特点,能够减缓患者的负性情绪,降低患者的焦虑和抑郁发生率,提高了患者的康复质量,改善患者预后。
Objective To compare the negative emotions and quality of life of women with ovarian cancer underwent laparoscopic and open surgery.Methods 128 patients with stage II ovarian cancer underwent laparoscopic radical surgery(n-66)and open surgery(n=62)in our hospital from June 2015 to September 2018 were enrolled.Self-rating anxiety scale,self-rating depression scale and the quality of life self-assessment sale were used in the study to evaluate the the negative emotions of patients.Results The anxiety score of the observation group was significantly lower than that of the control group(52.14±6.43 vs 56.77±9.25;P<0.05).The percentages of patients with mild anxiety and moderate anxiety in the observation group were significantly lower than those in the control group(37.88%vs 43.55%,42.42%vs 51.61%;χ~2=4.214,4.538,P<0.05).The depression score of the observation group was significantly lower than that of the control group(57.42±6.95 vs 64.23±8.29;P<0.05).The percentages of patients with mild and moderate depression were 36.36%and 34.85%in the observation group,which were significantly lower than those in the control group(P<0.05).The scores of physiological status(14.96±2.15),social/family status(11.23±2.55),emotional status(12.61±1.74)and functional status(13.14±2.36)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusions Laparoscopic ovarian radical surgery is characterized by minimally invasive,less painful and rapid recovery compared with traditional open surgery.It can significantly relieve negative emotions by reducing anxiety and depression and improving the life quality of patients.
作者
沈琛
杨玲玲
王静
谢晓华
徐萍
SHEN Chen;YANG Ling-ling;WANG Jing;XIE Xiao-hua;XU Ping(Lihuili Hospital,Ningpo Medical Center,Ningbo,Zhejiang 315040,China)
出处
《中国预防医学杂志》
CAS
CSCD
2020年第9期1022-1025,共4页
Chinese Preventive Medicine
基金
宁波市科技发展计划基金资助项目(2682928)
关键词
腹腔镜
开腹手术
卵巢癌
负性情绪
Laparoscopy
Open surgery
Ovarian cancer
Negative emotion
