门诊无痛人工流产女性心理特征及相关影响因素探讨

发布时间：2018-05-29 14:49

本文选题：无痛人工流产 + 心理特征　；参考：《中国计划生育学杂志》2016年01期

【摘要】：目的:探讨行无痛人工流产女性的心理特征及相关影响因素。方法:选取2010年12月~2014年6月本院妇科门诊中实施人工流产妇女670例,根据其意愿按人工流产方式分为无痛人工流产组(无痛组)及普通人工流产组(传统组)各364例和306例。全部观察对象于术前按统一指导语填写调查问卷、症状自测量表(SCL-90)及社会支持评定量表,30min内完成问卷,对收集资料进行多元逐步回归线性分析。结果:无痛组与传统组比较,恐惧因子得分明显降低(t=2.324,P=0.020),SCL-90总分、焦虑、躯体化、抑郁及偏执等因子分数无差异(P均0.05),但均高于常模组(t=4.280、4.280、2.325、2.951,P0.05);进行多元线性回归分析显示,婚姻状况、生育状况、社会支持总分是影响调查对象自测量表得分的主要因素(P0.05)。结论:实施无痛人工流产可明显减轻受术者术中的恐惧心理,但仍会出现焦虑、抑郁等负性心理,其发生与婚姻、生育情况以及社会支持等因素密切相关。应针对育龄妇女相关心理问题进行性和生殖健康宣传教育,人工流产手术时加强对妇女的有效保护措施,避免意外妊娠造成心理伤害。
[Abstract]:Objective: to explore the psychological characteristics and related factors of painless induced abortion women. Methods: from December 2010 to June 2014, 670 women with induced abortion were divided into painless induced abortion group (painless group) and common abortion group (traditional group) 364 cases and 306 cases respectively according to their wishes. All the subjects completed the questionnaire according to the unified guidance language before operation, SCL-90) and social support rating scale completed the questionnaire within 30 minutes. The collected data were analyzed by multivariate stepwise regression linear analysis. Results: compared with the traditional group, the scores of fear factor in the painless group were significantly lower than those in the traditional group. The total score of SCL-90, anxiety, somatization, depression and paranoid ideation were significantly lower in the painless group than those in the normal model group (P < 0.05), but were higher than those in the normal model group (P < 0.05). The total score of social support was the main factor influencing the score of self-test scale (P 0. 05). Conclusion: painless artificial abortion can significantly alleviate the fear of the patients during the operation, but there will still be anxiety, depression and other negative psychology, which is closely related to marriage, fertility and social support factors. In order to avoid psychological injury caused by accidental pregnancy, propaganda and education on sexual and reproductive health should be carried out for women of childbearing age, and effective measures should be taken to protect women during induced abortion.
【作者单位】：浙江省绿城心血管病医院妇科;浙江省湖州市计划生育宣传技术指导站;
【分类号】：R169.42

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