健康教育对女性不孕不育患者知识认知、行为及心理的影响

发布时间：2019-04-20 07:48

【摘要】：目的探究健康教育对女性不孕不育患者知识认知、行为及心理的影响,以提高治疗有效性。方法回顾性分析2015年6月—2016年3月承德市中心医院生殖医学科接诊的女性不孕不育患者180例,随机分为试验组和对照组各90例。在常规不孕不育治疗的基础上,对照组进行常规健康宣教,试验组进行针对性多元化健康教育,分别对2组患者不孕不育知识认知、行为依从性及心理状况进行调查。结果 2组患者不孕不育知识知晓率比较:干预后,试验组对生殖解剖结构(75.56%vs 34.44%)、生殖生理功能(80.00%vs 34.44%)、不孕不育的基本定义(88.89%vs 38.89%)、病因(51.11%vs 28.89%)、诊断标准(55.56%vs 14.44%)、受孕条件(65.56%vs 28.89%)、治疗方法 (81.11%vs 23.33%)、预防措施(76.67%vs 24.44%)等各项知识的知晓率均明显高于对照组(P0.05)。2组患者行为依从性比较:干预后,试验组按时服药(82.22%vs 64.44%)、按时复诊(73.33%vs 55.56%)、排卵监测(55.56%vs 14.44%)、规律作息(88.89%vs 38.89%)、戒烟戒酒(96.67%vs 86.67%)、健康饮食(65.56%vs 28.89%)、洁净性生活(81.11%vs 23.33%)等各项行为依从性均明显高于对照组(P0.05)。2组患者SCL-90量表得分及高频症状阳性率比较:干预后,试验组人际关系敏感、抑郁、焦虑、恐怖、精神病性5个因子得分及阳性项目数、总症状指数、总分均低于对照组(P0.05),SCL-90高频症状阳性率均明显低于对照组(P0.05)。结论对女性不孕不育患者进行健康教育能够有效提高患者对疾病知识的认知,增强行为依从性,同时进一步缓解患者对来自于自身疾病、家庭、社会舆论等多方面的心理压力,全面改善患者的身心健康状态。
[Abstract]:Objective to explore the effect of health education on knowledge cognition behavior and psychology of infertile women in order to improve the effectiveness of treatment. Methods from June 2015 to March 2016, 180 cases of female infertility in reproductive medicine department of Chengde Central Hospital were analyzed retrospectively. They were randomly divided into two groups: test group (n = 90) and control group (n = 90). On the basis of routine infertility treatment, routine health education was carried out in the control group, and multiple health education was carried out in the test group. The cognition of infertility knowledge, behavior compliance and psychological status of the two groups were investigated respectively. Results the understanding rate of infertility knowledge was compared between the two groups: after intervention, the reproductive anatomical structure (75.56%vs 34.44%) and reproductive physiological function (80.00%vs 34.44%) were observed in the experimental group. The basic definition of infertility (88.89%vs 38.89%), etiology (51.11%vs 28.89%), diagnostic criteria (55.56%vs 14.44%), pregnancy conditions (65.56%vs 28.89%), The knowledge rate of treatment methods (81.11%vs 23.33%) and preventive measures (76.67%vs 24.44%) were significantly higher than those of the control group (P0.05) .Behavioral compliance of the two groups: after intervention, the rate of knowledge was significantly higher than that of the control group (P0.05). In the test group, 82.22%vs was 64.44%, 73.33%vs 55.56%, 55.56%vs 14.44%, 88.89%vs 38.89%. Smoking and abstinence (96.67%vs 86.67%), healthy diet (65.56%vs 28.89%), The compliance of clean life (81.11%vs 23.33%) and other behaviors was significantly higher than that of the control group (P0.05). The scores of SCL- 90 and the positive rate of high frequency symptoms in the two groups were compared: after intervention, the interpersonal relationship and depression in the experimental group were sensitive and depressed. The scores of anxiety, phobia and psychosis, the number of positive items, the total symptom index and total score were all lower than those of the control group (P0.05), and the positive rate of high frequency symptom of SCL-90 was significantly lower than that of the control group (P0.05). Conclusion Health education for female infertility patients can effectively improve patients' cognition of disease knowledge, enhance their behavior compliance, and further relieve the psychological pressure of patients from their own disease, family, public opinion, and so on. All-round improvement of patients' physical and mental health status.
【作者单位】：河北省承德市中心医院生殖医学科;
【分类号】：R473.71

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