HPV携带者焦虑现状及其影响因素调查

发布时间：2018-07-21 18:46

【摘要】：目的调查HPV携带者的焦虑状态及影响因素,找到有焦虑高危因素的HPV携带者,对其进行针对性的心理干预。为临床诊疗及心理疏导工作提供指导。方法通过Zung氏焦虑自评量表(SAS)和自制的患者一般资料问卷对2016年6月至2017年2月于山东大学附属千佛山医院妇科门诊就诊的100名HPV携带者(试验组)及同期于山东大学附属千佛山医院查体中心行健康体检的经检测HPV阴性的200名健康女性(对照组)进行焦虑状态测评和相关情况调查。利用SPSS 18.0统计软件,根据数据资料类型,采用χ2检验比较定性资料与HPV携带者焦虑发生率的关系。采用t检验、F检验比较定量资料与HPV携带者焦虑程度的关系。采用Logistic多元回归分析的方法分析各因素对HPV携带者焦虑情绪的影响。结果1.试验组的SAS平均得分(43.71±10.28)高于对照组(35.24±7.63),两者均高于中国常规模型(29.78±0.46)。2.试验组的焦虑发生率(26.0%)高于对照组(7.0%)。3.影响HPV携带者焦虑情绪的主要因素有:感染持续时间、HPV亚型、职业、家庭人均月收入、治疗费用、宗教信仰。4.Logistic回归分析的结果显示高危型HPV感染、低收入、治疗费用3000元、无医保是焦虑发生的危险因素。5.48%的HPV携带者表示性生活受影响,主要表现为:性生活满意度下降、性生活频次下降及对性生活产生恐惧、厌恶心理。结论1.HPV感染导致或加重焦虑情绪。2.影响HPV携带者焦虑状态的因素是多方面的。3.HPV对其携带者的性生活有负性影响。4.临床工作中应重视HPV携带者的心理问题,做好相关知识宣教及心理疏导,依据指南规范的筛查和治疗HPV感染。
[Abstract]:Objective to investigate the anxiety state and influencing factors of HPV carriers and to find out HPV carriers with high risk factors of anxiety and carry out psychological intervention. To provide guidance for clinical diagnosis and treatment and psychological counseling. Methods from June 2016 to February 2017, 100 HPV-carriers (trial group) and the same period were enrolled in the gynecological clinic of Qianfoshan Hospital affiliated to Shandong University by using Zung's Self-Rating anxiety scale (SAS) and self-made general data questionnaire of patients. The anxiety status of 200 HPV-negative healthy women (control group) who were examined by physical examination center of Qianfoshan Hospital affiliated to East University were investigated. Using SPSS 18.0 statistical software, according to the data type, 蠂 2 test was used to compare the relationship between the qualitative data and the incidence of anxiety in HPV carriers. T test F test was used to compare the relationship between the quantitative data and the anxiety degree of HPV carriers. Logistic multiple regression analysis was used to analyze the influence of various factors on the anxiety of HPV carriers. Result 1. The average SAS score of the trial group (43.71 卤10.28) was higher than that of the control group (35.24 卤7.63), both of which were higher than that of the Chinese conventional model (29.78 卤0.46) .2. The incidence of anxiety in the trial group (26.0%) was higher than that in the control group (7.0%). The main factors influencing the anxiety of HPV-carriers were as follows: duration of infection, occupation, average monthly income of family, cost of treatment, logistic regression analysis of religious belief showed that high risk type of HPV infection, low income, and cost of treatment were 3000 yuan. 5.48% of HPV carriers indicated that their sexual life was affected by the risk factor of anxiety. The main manifestations were the decrease of sexual satisfaction, the decrease of frequency of sexual life, the fear of sexual life and the aversion to sexual life. HPV infection caused or aggravated anxiety. 2. The factors that affect the anxiety state of HPV carriers are many aspects. 3. HPV has a negative effect on the sex life of HPV carriers. In clinical work, we should pay attention to the psychological problems of HPV carriers, do a good job of knowledge education and psychological counseling, according to the guidelines for screening and treatment of HPV infection.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R737.33;R749.72

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