李　丹　张美英　王春兰　闻　强　邵株燕浙江省肿瘤医院妇放科，浙江杭州　310022

妇科肿瘤患者社会支持状况分析

李丹张美英王春兰闻强邵株燕▲
浙江省肿瘤医院妇放科，浙江杭州310022

目的调查分析妇科肿瘤患者的社会支持状况，为临床支持干预提供依据。方法采用社会支持评定量表等调查工具对66例妇科良恶性肿瘤患者进行调查，并分析影响社会支持的相关因素。结果妇科肿瘤患者的社会支持总分（41.0±8.0）分；其中客观支持（8.7±1.3）分，主观支持（25.0±4.9）分，对支持的利用度（7.2±2.3）分。患者主观支持较客观支持相对较好，对支持利用度相对较差；中年组较青年组、老年组的主观支持更好（P＜0.05），而务工、务农的社会底层工作者、低收入人群的客观支持更差（P＜0.05），低文化程度患者的客观支持与支持的利用度更差（P＜0.05）。结论妇科肿瘤患者社会支持的整体状况较好，医护工作中需要充分利用患者的社会支持，并根据不同人群的特点提供更全面的支持促进患者的身心健康。

社会支持；社会支持评定量表；妇科肿瘤；身心健康

［Abstract］Objective To study and analyze the social support status of the patients with gynecological oncology and provide evidence for clinical support intervention.M ethods 66 patientswith gynecological benign and malignant tumor were studies by survey instruments like social support revalued scale and the relative factors that influenced the social supportwere analyzed.Results The total social support score of patientswith gynecological tumor was（41.0±8.0），and among the score，the objective supportwas（8.7±1.3），the subjective supportwas（25.0±4.9）and the utility rate of the supportwas（7.2±2.3）.The patients had better subjective support compared with the objective support and bad support utility rate；the patients in middle-age group had better subjective support than young and old group（P＜0.05）and people in the social bottom like workers and farmers as well as people with low incomes had worse subjective support （P＜0.05）；patients with low cultural degree had worst objective support and support utility rate（P＜0.05）.Conclusion The overall situation of social support of patients with gynecological oncology was good.Social support should be utilized in the treatment and care and comprehensive support should be provided based on the different features of different populations in order to improve the physical and psychological health of the tumor patients.

［Key words］Social support；Social support revalued scale；Gynecological oncology；Physical and psychological health

妇科恶性肿瘤主要包括宫颈癌、子宫内膜癌、卵巢癌、绒毛膜上皮癌等，是一类严重威胁广大妇女健康和生命的疾病的总称［1］。常见的妇女疾病，其中良性肿瘤患者需要接受手术治疗，然而恶性肿瘤患者面临手术和（或）放化疗等多途径的综合治疗［2］。由于肿瘤发生于女性特有的生殖器官，疾病与治疗对患者身体与心理上的损伤必将影响患者的生存质量。相关研究表明，癌症会影响患者的生活质量和幸福感［3］，作为情感较为脆弱的女性患者很难独自面对肿瘤诊治，只有在家人、朋友、同事及妇联等相关团体的支持和帮助下，才能取得良好的治疗效果。……