不孕症妇女心理状态调查以及护理干预  

Clinical survey on the mental state of infertile women

作　　者：杨小娟[1] 高翠萍[1] 

机构地区：[1]西安市第一医院妇产科,西安710002

出　　处：《中国性科学》2013年第4期83-86,共4页Chinese Journal of Human Sexuality

摘　　要：目的:调查不孕症妇女心理状态并探讨其护理干预措施。方法:选取我院诊治的113例不孕症妇女为观察组,另选113例在我院接受体检的正常育龄期妇女为对照组。所有研究对象均填写焦虑自评量表(SAS)和抑郁自评量表(SDS)评估其心理状态,同时对不孕症妇女进行心理疏导、建立良好的医患关系、积极进行健康宣教、提供辅助生殖技术信息、鼓励夫妻同治、构建和谐人际关系及指导健康生活习惯等心理护理干预,比较护理前后评分变化。结果:观察组患者焦虑评分(60.7±3.8)及抑郁评分(61.5±4.9)均显著高于对照组(P<0.01);113例不孕症妇女中,有83.2%(94例)处于焦虑状态,有81.4%(92例)处于抑郁状态,且焦虑、抑郁程度随患者年龄、不孕时间、治疗周期、经济收入的增加和受教育程度的降低而增加,家庭不和睦患者焦虑及抑郁状态比家庭和睦患者严重(P<0.05);经心理护理干预后,观察组患者焦虑及抑郁评分均显著下降(P<0.01)。结论:临床诊疗中应重视不孕症患者心理健康问题并采取相应心理护理措施。Objectives： To investigate infertile women＇ s psychological status and to provide proper practical care interven- tions for them. Methods： 113 cases of infertile women were selected as the observation group, another 113 normal women of childbearing age as the control group. Patients from both groups filled in anxiety self - rating scale （SAS） and Self - Rating De- pression Scale （SDS） to get their mental state assessed. Psychological nursing interventions were given to infertile women at the same time and score changes before and after care were evaluated. Results： The observation group with an anxiety score of （60. 7 ± 3.8 ） and a depression scores of （61.5 ± 4.9 ） were significantly higher than those in the control group （P 〈 0.01 ） ; among 113 cases of infertile women, 83.2% （94 patients） were in the anxiety state, 81.4% （92 eases） in a state of depression and anxiety. Meanwhile, the degree of depression increases when the patient＇ s age, infertility treatment cycle and income increase and when their education level decreases. Patients in discord families were with more anxiety and depression than patients in har- monious families, presenting a significant difference （ P 〈 0.05 ） ; the scores of patients with anxiety and depression in observation group were significantly lower （ P 〈 0.01 ） after psychological nursing intervention. Conclusion： Nursing intervention is necessary for infertile patients with mental problems in the process of clinical diagnosis and treatment.

关 键 词：不孕症 焦虑 抑郁 护理 

分 类 号：R473.72[医药卫生—护理学]