心理干预对生殖道支原体、衣原体感染患者临床疗效的影响

发布时间：2018-01-12 02:22

本文关键词：心理干预对生殖道支原体、衣原体感染患者临床疗效的影响　出处：《南昌大学》2010年硕士论文　论文类型：学位论文

【摘要】： 目的: 探索生殖道支原体、衣原体感染对患者心理状况的影响;研究不同因素对生殖道支原体、衣原体感染患者心理障碍的影响;初步探讨心理干预对生殖道支原体、衣原体感染患者疗效的影响。方法: 对2008年9月~2010年2月来我院皮肤性病科就诊的731名确诊为生殖道支原体、衣原体感染的患者采用Zung抑郁自评量表(SDS)及焦虑自评量表(SAS)进行评估,将其所得标准分与中国人抑郁和焦虑常模标准分进行比较。记录患者的性别、年龄、住址、文化程度、病程、婚否、是否有不洁性接触史、是否有症状、是否生育、经济收入、初诊是否规范等相关信息,分析以上因素与生殖道支原体、衣原体感染患者抑郁、焦虑情绪的关系。选择SDS、SAS标准分均大于50分的120名参与者进行试验,随机分配参与者进入干预组和非干预组,干预组进行常规治疗及心理干预治疗,非干预组进行常规治疗,疗程2周,停药1周后进行复查,复查SDS、SAS得分及生殖道支原体、衣原体感染检查,收集相关资料。结果: 生殖道支原体、衣原体感染患者抑郁、焦虑发生率分别为18.2%(133/731)和25.3%(185/731)。生殖道支原体、衣原体感染患者SDS标准分、SAS标准分高于中国人抑郁和焦虑常模标准分,差异有统计学意义(p0.05);年龄大小对生殖道支原体、衣原体感染患者SDS标准分、SAS标准分的影响较小,差异无统计学意义(p0.05);性别、文化程度、婚否、是否有不洁性接触史、是否有症状、是否生育、经济收入、初诊是否规范对生殖道支原体、衣原体感染患者SDS标准分、SAS标准分有影响(p0.05)。心理干预治疗后患者SDS标准分、SAS标准分与初诊时相比明显降低,差异有统计学意义(p0.05);生殖道支原体、衣原体感染患者疗效观察显示,干预组疗效优于非干预组,差异有统计学意义(p0.05)。结论: 1、生殖道支原体、衣原体感染患者普遍存在心理障碍,本次调查的731例生殖道支原体、衣原体感染患者中抑郁、焦虑症状发生率分别为18.2%和25.3%;SDS、SAS标准分高于中国人抑郁和焦虑常模标准分。 2、不同因素对生殖道支原体、衣原体感染患者心理障碍的影响。年龄大小对抑郁、焦虑症状影响不大;性别、文化程度高低、婚否、是否有不洁性接触史、是否有症状、是否生育、经济收入水平、初诊是否规范等因素与抑郁、焦虑症状密切相关。 3、支持心理疗法、认知疗法、行为指导疗法等心理干预方法可以改善生殖道支原体、衣原体感染患者抑郁、焦虑症状,提高生殖道支原体、衣原体感染患者治疗的疗效。
[Abstract]:Objective: To explore the influence of mycoplasma and chlamydia infection on the psychological status of patients. To study the influence of different factors on mental disorders of patients with genital tract mycoplasma and chlamydia infection. To explore the effect of psychological intervention on mycoplasma and chlamydia infection. Methods: From September 2008 to February 2010, 731 cases of Mycoplasma genitalis were diagnosed in our department of dermatology and venereal diseases. Patients with chlamydia infection were assessed with Zung self-rating depression scale (SDS) and self-rating anxiety scale (SAS). The standard scores were compared with the Chinese norm of depression and anxiety. The patients' sex, age, address, education, course of disease, marital status, history of unclean contact and symptoms were recorded. To analyze the relationship between the above factors and the depression and anxiety of patients with genital tract mycoplasma and chlamydia infection. Choose SDS. 120 participants whose SAS standard scores were more than 50 were randomly assigned to the intervention group and the non-intervention group. The intervention group received routine treatment and psychological intervention. The patients in the non-intervention group were treated with routine therapy for 2 weeks. After one week of withdrawal, the SAS scores of SDSN and the detection of mycoplasma and chlamydia infection in the genital tract were re-examined and the relevant data were collected. Results: The incidence of depression and anxiety in patients with genital tract mycoplasma and chlamydia infection were 18.213 / 731 and 25.30.185 / 731respectively. The SDS standard score of chlamydia infection patients was higher than that of the Chinese norm of depression and anxiety, and the difference was statistically significant (P 0.05). Age had little effect on the SDS standard score of mycoplasma and chlamydia infection patients, but the difference was not significant (P 0.05). Sex, education, marital status, whether there is a history of unclean sexual contact, whether there are symptoms, whether fertility, economic income, whether the first diagnosis of Mycoplasma genitalia, Chlamydia infection patients SDS standard score. The standard score of SAS was significantly lower after psychological intervention than that at first visit, and the difference was statistically significant (P 0.05). The observation of the curative effect of mycoplasma and chlamydia infection showed that the curative effect of the intervention group was better than that of the non-intervention group, and the difference was statistically significant (p 0.05). Conclusion: 1.Mycoplasma genitalis, chlamydia infection patients generally have psychological disorders, this survey of 731 cases of genital mycoplasma, chlamydia infection patients depression. The incidence of anxiety symptoms was 18.2% and 25.3 respectively. The standard score of SDS SAS was higher than that of Chinese norm of depression and anxiety. 2, the influence of different factors on the mental disorders of patients with genital tract mycoplasma and chlamydia infection. Gender, education level, marriage, whether there is a history of unclean sexual contact, whether there are symptoms, whether fertility, economic income level, first visit whether the norms and other factors are closely related to depression, anxiety symptoms. 3, support psychotherapy, cognitive therapy, behavioral guidance therapy and other psychological intervention methods can improve the genital tract mycoplasma, chlamydia infection patients depression, anxiety symptoms, improve the genital tract mycoplasma. Efficacy of treatment in patients with chlamydia infection.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R395.5

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