子宫广泛切除术患者焦虑、抑郁情绪调查及健康教育的干预作用  

Investigation of anxiety and depression in patients with uterectomy and intervention of health education

作　　者：王金道[1] 赵美玉 

机构地区：[1]焦作师范高等专科学校教育科学系,河南省焦作市454001 [2]焦作职工医学院临床部,河南省焦作市454150

出　　处：《中国临床康复》2004年第21期4172-4173,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:对子宫广泛切除术患者手术前后分别进行焦虑、抑郁情绪及影响因素调查,研究制订并实施相应的健康教育措施的有效性。方法:采用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行调查,确定影响子宫广泛切除术患者焦虑抑郁情绪发生的主要因素;同时采用诺丁汉健康量表,了解患者的生活质量。进行健康教育并对健康教育前后的结果进行对比。结果:子宫广泛切除术患者焦虑、抑郁的发生与职业、文化程度、家庭关系及经济条件、疾病的严重程度有明显的关系(χ2=4.45～10.79,P均<0.05);健康教育可明显缓解患者的焦虑,抑郁情绪,与干预前比较,差异有显著性意义(χ2=91.76,P<0.05)。健康干预使患者的生活质量也有明显的改善(P<0.05)。结论:各种因素可导致子宫广泛切除术患者发生焦虑、抑郁情绪,健康教育可有效地提高患者的生活质量。AIM:To investigate the anxiety,depression and the influencing factors in patients before and after uterectomy,so as to study the effectiveness of making and practicing the corresponding measures of the healthy education. METHODS:Patients with uterectomy were investigated by self rating anxiety scale(SAS) and self rating depression scale(SDS),and the main influencing factors of the patient's anxiety and depression were defined;their quality of life were evaluated by using the Nottingham healthy profile (NHP),and the results before and after health education were compared. RESULTS:The occurrence of anxiety and depression in patients with uterectomy was obviously related with their profession,education level, family relation,economic condition and severity of the disease(χ2=4.45-10.79,P< 0.05).Health education could obviously relieve their anxiety and depression,there was significant difference before and after health education(χ2=91.76,P< 0.05),and health education also obviously improved their living condition(P< 0.05). CONCLUSION:Various factors can lead to anxiety and depression in patients with uterectonmy,and health education can improve their quality of life effectively.

关 键 词：子宫广泛切除术 焦虑 抑郁 健康教育 干预作用 影响因素 

分 类 号：R713.42[医药卫生—妇产科学] R473.71[医药卫生—临床医学]