摘要

【摘要】
目的 调查宫颈癌患者创伤后应激障碍（Post-traumatic stress disorder，PTSD）现状，并分析其影响因素。

方法 回顾性分析2022年1月至2024年1月在我院接受诊治的110例宫颈癌患者的临床资料，依据PTSD检查量表平民版（PTSD Check List-Civilian Version，PCL-C）将宫颈癌患者分为PTSD组（总分≥50分，n=26）和非PTSD组（总分＜50分，n=84）。比较两组患者相关基线资料、国际妇产科联盟（International Federation of Gynecology and Obstetrics，FIGO）分期、抑郁自评量表（Self-rating depression Scale，SDS）、焦虑自评量表（Self-rating anxiety scale，SAS）评分及特质应对方式问卷评分，通过多因素分析宫颈癌患者PTSD的危险因素。

结果 PTSD组FIGO分期为Ⅱ期患者占比及SDS评分、SAS评分、消极应对评分高于非PTSD组（P＜0.05）。经多因素分析显示，FIGO分期为Ⅱ期、SDS评分升高、SAS评分升高、消极应对评分升高是宫颈癌患者PTSD的危险因素，均有P＜0.05。

结论 宫颈癌患者易发生PTSD，且FIGO分期为Ⅱ期、SDS评分、SAS评分、消极应对评分是宫颈癌患者PTSD的影响因素，临床上应引起足够重视。

关键词：【关键词】宫颈癌；创伤后应激障碍；影响因素；应对方式

ABSTRACT

【Abstract】
Objective To investigate the status of Post-traumatic stress disorder (PTSD) in patients with cervical cancer and analyze its influencing factors.

Methods Clinical data of 110 patients with cervical cancer treated in our hospital from January 2022 to January 2024 were retrospectively analyzed. Cervical cancer patients were divided into PTSD group (total score ≥50, n=26) and non-PTSD group (total score < 50, n=84) according to PTSD Check List-Civilian Version (PCL-C). Relevant baseline data, International Federation of Gynecology and Obstetrics (FIGO) staging, Self-rating depression Scale (SDS), Self-rating anxiety scale (SAS) and Trait Coping Style questionnaire scores were compared between the two groups. The risk factors of PTSD in patients with cervical cancer were analyzed by multiple factors.

Results The proportion of patients with FIGO stage Ⅱ, SDS score, SAS score and negative coping score in PTSD group were higher than those in non-PTSD group (P＜0.05). Multivariate analysis showed that FIGO stage Ⅱ, SDS score, SAS score and negative coping score were risk factors for PTSD in cervical cancer patients, all with P＜0.05.

Conclusion   Patients with cervical cancer are prone to PTSD, and FIGO stage Ⅱ, SDS score, SAS score and negative coping score are influential factors for PTSD in patients with cervical cancer, which should be paid sufficient attention to clinically.

Key words: 【Key words】 Cervical cancer; Post-traumatic stress disorder; Influencing factors; Coping style