未婚人工流产者心理健康状况分析

发布时间：2018-04-17 06:42

本文选题：未婚人工流产 + SCL-90　；参考：《大连医科大学》2007年硕士论文

【摘要】： 目的探讨人工流产者心理健康状况。对象方法对象随机抽取2006年9月到2007年3月间来源于大连市第二人民医院、第三人民医院、第五人民医院和中心医院的人工流产者共89例,分为未婚组和已婚组(n=33,n=56)。方法由经过心理学培训的临床医生对患者进行问卷调查,医生一致性检验结果揭示kapa在0.78-0.89。人工流产手术前所有的人流者接受了一般情况调查、明尼苏达多相个性测查表(MMPI)、父母教养方式评价、领悟社会支持、特质应对方式问卷、症状自评量表(SCL-90)的调查。统计学建立数据库,采用SPSS 10.0统计软件包,对数据库进行分析。采用了样本与总体均数的t检验(One-sample t Test),协方差检验(Univariate Analysis of Variance),多元线性回归(Multiple Linear regression)分析。结果①心理健康状况分析(SCL-90)人工流产者与常模之间除强迫、人际关系、偏执因子外,其他因子均具有统计学意义(P0.05);未婚组与已婚组之间,其中躯体化、抑郁、焦虑、敌对、恐怖因子具有统计学意义(P0.05)②人格分析人工流产者明尼苏达多项个性测查表(MMPI附加项目)与常模之间,社会内相(SI)、自我力量(Es)、依赖性(Dy)、支配性(Do)、社会责任感(Re)具有统计学意义(t1=-24.66,t2=-50.73,t3=3.201,t4=-2.58,t5=-2.006, P0.05);未婚组与已婚组之间,社会责任感(Re)因子具有统计学意义(P0.05)③应对方式分析人工流产者与正常人群特质应对方式,消极应对(NC)评分与常模(t=14.075,P0.001)比较具有统计学意义,而积极应对(PC)评分与常模比较差异无统计学意义;未婚组与已婚组特质应对方式的比较,均无统计学意义。④领悟社会支持分析未婚组与已婚组在领悟家庭内支持方面比较,均无统计学意义。⑤父母教养方式分析未婚组与已婚组父母教养方式的比较,均无统计学意义。⑥未婚人工流产者心理健康多因素分析对未婚组采用多元线性回归(Backward) :以SCL-90总均分为因变量,进入线性回归方程的因素是,SI、MAS、DY、DO、RE、年龄、初孕年龄、初恋年龄、NC、PC、家庭内、父温暖、父严厉、父干涉、父偏爱、父拒绝、父保护、母温暖、母干涉、母拒绝、母严厉、母偏爱(P0.05)。结论 1.人工流产者在手术前与正常人群相比较,心理健康状况差。 2.未婚人工流产者心理健康差于已婚组。 3.未婚人工流产者在人格附加项目的社会责任感方面,与对照组比较差。 4.未婚人工流产者心理健康状况差,受自身的社会人格、年龄、初孕年龄、初恋年龄、对事件的应对方式、领悟家庭内支持、父母教养方式影响。
[Abstract]:Objective to investigate the mental health status of induced abortion patients.Methods from September 2006 to March 2007, 89 patients with induced abortion from the second people's Hospital, the third people's Hospital, the Fifth people's Hospital and the Central Hospital of Dalian were randomly selected and divided into unmarried group and married group.Methods Clinical doctors trained in psychology were investigated by questionnaire, and the results of doctor consistency test revealed that kapa was 0.78-0.89.All the abortion participants were investigated by general condition survey, MMPI, MMPI, perceived social support, trait coping style questionnaire, symptom Checklist 90 (SCL-90).The database was established by statistics, and the database was analyzed by SPSS 10.0 software package.One-sample t test, covariance Analysis of variation and multivariate Linear regression were used.Results (1) there were significant differences in mental health status between induced abortion and norm except compulsion, interpersonal relationship and paranoid ideation, among which somatization, depression, anxiety and hostility were found between unmarried group and married group.Phobic factors were statistically significant in personality analysis of patients with induced abortion (MMPI additional items) and norm.There was statistical significance between unmarried group and married group, between unmarried group and married group, between unmarried group and married group, and had statistical significance (P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P = 0. 05), significant difference was found between unmarried group and married group (P < 0. 05), and there were significant differences between unmarried group and married group.The coping style of induced abortion and normal population was statistically significant (P 0.05), and the score of negative coping (NCC) was significantly higher than that of norm (14.075% P 0.001).However, there was no significant difference between positive coping score and norm, and there was no significant difference in trait coping styles between unmarried group and married group. 4. There was no significant difference between unmarried group and married group in understanding family support.There was no significant difference in parental rearing style between unmarried group and married group.There was no statistical significance in multivariate analysis of mental health of unmarried induced abortion patients. Multivariate linear regression analysis was used to analyze the mental health of unmarried patients. According to the total number of dependent variables of SCL-90, the factors that entered the linear regression equation were SIMAS-DYDORER, age, age, age of first pregnancy.In the family, the father is warm, the father is severe, the father interferes, the father favors, the father refuses, the father protects, the mother is warm, the mother interferes, the mother refuses, the mother is strict, the mother prefers to be P0.05.Conclusion1.The patients with induced abortion were in poor mental health status compared with the normal population before operation.2.The mental health of unmarried patients with induced abortion was worse than that of married women.3.The social responsibility of the unmarried induced abortion was worse than that of the control group.4.The mental health status of unmarried induced abortion patients was affected by their social personality, age, age of first pregnancy, age of first love, coping style of events, understanding of family support and parental rearing style.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R169.4;R395

【引证文献】