绝育术后人群心理卫生状况调查

发布时间：2018-05-09 15:52

本文选题：心理卫生 + 绝育术　；参考：《精神医学杂志》2010年03期

【摘要】：目的调查绝育术(包括输精管结扎术和输卵管结扎术)后人群的心理卫生状况,为预防绝育术后心身反应提供临床依据。方法对141名输卵管结扎术受术者和109名输精管结扎术受术者进行面访调查,填写自编一般资料问卷、症状自评量表(SCL-90)、艾森克人格问卷(EPQ)。结果绝育术后3月有49.5%的男性和66.7%的女性出现心身症状。男性SCL-90的焦虑、人际关系因子分与全国常模有显著性差异(t焦=1.996,t人=2.130,P0.05),而女性的躯体化、抑郁、焦虑因子分与全国常模有显著性差异(t躯=4.264,t抑=4.419,t焦=8.537,P0.001),男女受术者之间躯体化、抑郁、焦虑因子分均有显著性差异(t躯=2.216,t抑=2.381,t焦=3.306,P0.05)。女性心身症状的发生率比男性高(χ2=7.465,P=0.006)。无生育男孩受术者的SCL-90各因子分和心身症状的发生率均高于有生育男孩的受术者(χ2=36.076,P0.001)。EPQ情绪稳定类型不同的受术者心身症状的发生率有显著性差异(χ2=45.897,P0.001)。结论绝育术后部分受术者会出现心身症状。对高危人群如女性、未生育男孩或情绪不稳定型人格的受术者,应注意做好解释安抚工作,必要时请心理卫生专业人员心理辅导,以减少绝育术后心身症状的发生。
[Abstract]:Objective to investigate the mental health status after sterilization (including vasectomy and tubal ligation) in order to provide clinical basis for preventing psychosomatic reaction after sterilization. Methods 141 cases of oviduct ligation and 109 cases of vasectomy were interviewed, and self-made general information questionnaire, symptom checklist (SCL-90), Eysenck personality questionnaire (EPQ) were completed. Results 49.5% males and 66.7% females developed psychosomatic symptoms 3 months after sterilization. There was significant difference in anxiety, interpersonal relationship factor score between male SCL-90 and national norm. There was significant difference between male and female in somatization, depression, anxiety factor score and national norm. There was a significant difference between male and female in somatization, depression, anxiety factor score and 4.419t / 4.419t scorching 8.537t / P0.001t, somatization between male and female, and somatization between male and female. There was significant difference in the scores of depression and anxiety factors. The incidence of psychosomatic symptoms in females was higher than that in males (蠂 2 = 7.465, P = 0.006). The incidence of SCL-90 factor scores and psychosomatic symptoms in infertile boys was significantly higher than that in fertile boys (蠂 ~ 2 / 36.076 / P 0.001N. EPQ). There was significant difference in the incidence of psychosomatic symptoms in patients with different emotional stability types (蠂 ~ 2 / 45.897 / P 0.001). Conclusion psychosomatic symptoms may occur in some patients after sterilization. In order to reduce the occurrence of psychosomatic symptoms after sterilization, we should pay attention to explain and appease the high risk group such as female, childless boy or emotional unstable personality. If necessary, we should ask psychological counseling of mental health professionals to reduce the occurrence of psychosomatic symptoms after sterilization.
【作者单位】：广州医学院附属精神病医院;广州医学院;广东省计划生育科学技术研究所;
【基金】：广东省人口和计划生育委员会科研项目(编号2008032)
【分类号】：R395.6

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