未婚先孕人工流产青少年围手术期综合心理干预研究

发布时间：2018-05-20 03:10

本文选题：青少年 + 未婚先孕　；参考：《山西医科大学》2012年硕士论文

【摘要】：目的 1、通过对来院就诊并同意进行调查研究的200例未婚先孕人工流产青少年的焦虑状况调查,探讨该人群不良心理特征,并分析产生问题的原因。 2、通过对未婚先孕人工流产青少年进行围手术期综合心理干预,探讨通过降低未婚先孕人工流产青少年围手术期焦虑情绪,进一步完善未婚先孕青少年人工流产过程的医疗模式。方法： 1、基线研究：以2010年09月～2012年1月在吉林长春丽人医院妇产科人流室就诊并同意进行调查研究的200例14-24岁未婚先孕人工流产青少年为研究对象,进行一般资料、焦虑自评量表(SAS)、人格问卷测量表(EPQ)、社会支持评定表(SSRS)调查及生理指标测定。 2、心理干预研究：将基线调查中存在焦虑情绪的未婚先孕人工流产青少年随机分为两组,分别为对照组和心理干预组,并通过对十预组研究对象进行围手术期综合心理十预：时间为术前一小时、术中、术后一小时,内容包括环境设置、认知疗法、支持疗法(语言疏导、家庭关怀、人文关怀、放松辅导、音乐放松)；对照组无心理干预的对照研究方法。结果： 1、200例未娇先孕人工流产青少年的基线调查中：有焦虑情绪者占76%,其中轻度焦虑者占47%.中毒焦虑者占15.5%,重度焦虑者占13.5%。 2、影响未婚先孕人工流产青少年焦虑情绪的因素有：社会支持、人格内向、孕天数、经济收入状况、年龄。 3、对干预组和对照组未婚先孕人工流产青少年围手术期血压、脉搏、术中疼痛程度评价表、人工流产综合症发生率、术后1小时阴道总出血量、术后一小的焦虑自评量表(SAS)均进行比较.结果标明：术中疼痛程度评价表、人流综合症发生率、术后一小的焦虑自评量表(SAS)两组间有显著性差异,干预组明显低于对照组；血压组明显低于对照组；血压、脉搏、术后1小时内阴道总出血量量组间均无显著性差异。 1、影响未婚先孕人工流产青少年围手术期心理干预效果的因素有：有无心理干预、文化程度、主观支持、经济收入状况、年龄。 ,结论： 1、未婚先孕人工流产青少年存在焦虑情绪的发病率高,应引起重视。 2、未婚先孕人工流产青少年焦虑情绪受社会支持、人格内向、经济收入状况、孕天数、年龄影响。 3、围手术期综合心理干预有助于减轻未婚先孕人工流产青少年的焦虑情绪、减轻术中疼痛程度、降低人工流产流综合症的发生率。 4、影响未婚先孕人工流产青少年焦虑情绪变化的因素有：有无心理干预、文化程度、主观支持、经济收入状况、年龄。
[Abstract]:Purpose 1. By investigating the anxiety status of 200 unmarried pregnant adolescents who came to the hospital and agreed to carry out an investigation, we discussed the bad psychological characteristics of this group and analyzed the causes of the problems. 2. Through comprehensive psychological intervention in the perioperative period for adolescents with unmarried abortion, this paper discusses how to reduce the anxiety in the perioperative period of the adolescents with unwed induced abortion. Further improve the medical model of abortion process for unmarried first pregnant adolescents. Methods: 1. Baseline study: from September 2010 to January 2012, 200 pregnant adolescents aged 14-24 years old who were admitted to the Department of Obstetrics and Gynecology and Obstetrics, Changchun Liren Hospital, Jilin Province, were selected for general data. Self-rating anxiety scale (SAS), personality questionnaire (EPQ), social support scale (SSRS) and physiological indexes were investigated. 2. Psychological intervention study: the adolescents who had anxiety in baseline survey were randomly divided into two groups: the control group and the psychological intervention group. In addition, the subjects of the 10 preoperation group were given a comprehensive psychological pre-operation period: one hour before operation, one hour during operation and one hour after operation. The contents included environment setting, cognitive therapy, support therapy (language dredging, family care, humanistic care). Relaxation counseling, music relaxation, control group without psychological intervention control study method. Results: In the baseline survey of 1200 uninduced abortion adolescents, 76 were anxious, and 47 were mild anxiety. Toxic anxiety accounted for 15. 5%, severe anxiety accounted for 13. 5%. 2. The factors influencing anxiety of premarital induced abortion adolescents were: social support, introverted personality, pregnancy days, income status, age. 3. The perioperative blood pressure, pulse, intraoperative pain degree, incidence rate of induced abortion syndrome, total vaginal bleeding amount 1 hour after operation were measured in the intervention group and control group. A small anxiety scale (SAS) was compared after operation. The results showed that there were significant differences between the two groups in the evaluation of intraoperative pain degree, incidence of induced abortion syndrome, and a small anxiety scale (SAS) after operation, which were significantly lower in the intervention group than in the control group, and the blood pressure, pulse, blood pressure and pulse were significantly lower in the intervention group than in the control group. There was no significant difference in total vaginal bleeding within 1 hour after operation between the two groups. 1. The factors influencing the effect of psychological intervention during perioperative period were as follows: psychological intervention, education level, subjective support, income status, age. , conclusion: 1. The incidence of anxiety is high among the adolescents who have induced abortion before pregnancy, which should be paid more attention to. 2. Anxiety of adolescents with induced abortion was influenced by social support, personality introversion, income status, pregnancy days and age. 3. The comprehensive psychological intervention during perioperative period is helpful to alleviate anxiety, relieve the degree of intraoperative pain and reduce the incidence of abortion flow syndrome. 4. The factors that influence the anxiety of the premarital induced abortion adolescents are as follows: psychological intervention, education, subjective support, income status, age.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R169.4

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