不育患者心理需求分析及干预探讨

发布时间：2018-01-15 07:17

本文关键词：不育患者心理需求分析及干预探讨　出处：《山西医科大学》2009年硕士论文　论文类型：学位论文

【摘要】： 目的: 研究不育患者的心理状态及其心理状态的影响因素,主要从焦虑,抑郁两方面评估,以及不育患者的信息需求,为今后男性不育治疗干预提供一点依据。研究对象: 实验组130例按照随机取样的原则来自2008年11月～2009年1月我院门诊就诊不育男性;对照组130例按随机及均衡原则选自同期我院已生育子女的健康男性;实验组,对照组,既往均无精神病史,无严重疾病伴发。方法: 实验组与对照组进行SAS焦虑量表,SDS抑郁量表评定,并做讨论分析;实验组心理状态的影响因素调查:重点调查患者年龄、文化程度、经济状况、病程长短、对疾病的认知、配偶既往妊娠史等相关因素;实验组行自行设定的需求等问卷调查;量表得分均以均数±标准差(x±s)表示;计量资料采用t检验,计数资料采用卡方检验,P＜0.05为差异有显著意义;需求等问卷调查以百分率表示。结果用统计软件SPSS13.0分析。结果: 1本研究的结果显示本组不育症患者焦虑抑郁发生率分别为68.54%、42.51%,而正常人群中,5%有焦虑情绪变化,5%～10%有抑郁发生;本组不育症患者焦虑抑郁评分分别为42.14±18.15 49.29±19.36,而全国常模正常人群中焦虑抑郁评分分别20.12±7.01,21.03±8.21。 2本研究分析了不育症患者产生焦虑抑郁情绪的相关因素,结果表明不育症患者焦虑抑郁情绪与患者年龄、既往就诊,病程、疾病认知程度,以及费用支付能力等因素关系密切。 3不育患者的信息需求分析不育症患者对医生的要求以讲解治疗方法最多,占81%;患者知识需求:病因、检查、费用,注意事项的需求均在82%以上;患者获得方法以医院咨询最多,占91%。结论: 1不育症患者焦虑抑郁发生率明显高于对照组。 2在对不育患者治疗过程中应当重视心理健康问题,医生应从心理干预、宣教疾病知识等多方面进行干预。
[Abstract]:Objective:
To study the psychological state of infertility patients and the influencing factors of their psychological state, mainly from the two aspects of anxiety and depression, and the information needs of infertile patients, so as to provide a basis for the intervention of male infertility in the future.
Object of study:
The experimental group of 130 cases according to the principle of random sampling from November 2008 to January 2009 in our hospital outpatient infertility; 130 patients in control group were randomly selected from our hospital during the same period and balance principle have children healthy men; the experimental group, the control group, there was no previous history of mental illness, no serious diseases.
Method:
The experimental group and control group for the SAS anxiety scale, SDS depression scale, and discuss the effect of the experimental group survey analysis; psychological factors: focus on the investigation of patients' age, education level, economic status, disease duration, disease cognition, spouse, previous pregnancy history and other related factors; the experimental group set demand questionnaire; scores are mean standard deviation (x + s); measurement data using t test, count data using chi square test, P < 0.05, there was a significant difference between the demand survey; expressed as a percentage. The analysis results with statistical software SPSS13.0.
Result:
1 the results of this study showed that patients with anxiety and depression in this group of infertility rates were 68.54%, 42.51%, and 5% normal people, anxiety mood changes, from 5% to 10% with depression; the anxiety depression score in patients with infertility were 42.14 + 18.15 and 49.29 + 19.36, and the anxiety and depression score in the national norm of normal people 20.12 + 7.01,21.03 + 8.21. respectively.
2, the related factors of anxiety and depression in infertility patients were analyzed. The results showed that anxiety and depression in infertile patients were closely related to age, past treatment, course of disease, cognition of disease, and payment ability.
Analysis of information requirement of 3 infertile patients
The most common treatment for infertile patients is 81%, and the demand for knowledge, etiology, examination, expenses and precautions is over 82%. The most common way for patients is hospital consultation, accounting for 91%..
Conclusion:
1 the incidence of anxiety and depression in patients with infertility was significantly higher than that in the control group.
2 attention should be paid to mental health problems during the treatment of infertile patients. Doctors should intervene in many aspects, such as psychological intervention, education of disease, and so on.

【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R698.2;R395.5

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