卵巢子宫内膜异位症患者焦虑抑郁情绪影响因素调查分析  

The influential factors investigation on anxiety and depression in ovarian endometriosis patients

作　　者：胡峥[1] 齐国华[1] 余常红[2] 吴燕华[1] 

机构地区：[1]广东省深圳市蛇口人民医院妇产科,广东深圳518067 [2]深圳市康宁医院心理科,广东深圳518020

出　　处：《中国现代医学杂志》2013年第28期87-91,共5页China Journal of Modern Medicine

摘　　要：摘要：目的探究并分析卵巢子宫内膜异位症患者焦虑抑郁情绪影响因素调查分析，为采取针对性的干预措施提供参考依据。方法采用自行制定的自编问卷、抑郁自评量表（SDS）、焦虑自评量表（SAS）、匹兹堡睡眠质量指数问卷（PSQI）、社会支持评定量表（SSRS）调查我院妇科2010年3月～2012年3月住院治疗的50例卵巢子宫内膜异位症患者，利用SPSS19．0对收集到的数据进行描述性分析和二分类Logistic回归分析以找出卵巢子宫内膜异位症焦虑抑郁情绪影响因素。结果患者焦虑平均标准分和抑郁平均标准分分别为（54．26±4．87）分和（55．24±5．38）分，20人有焦虑情绪，占40．00％，15例轻度焦虑，占75．00％，4例中度焦虑，占20．00％，1例重度焦虑，占5．00％；22例有抑郁情绪，占44．00％，16例轻度抑郁，占72．73％，4例中度抑郁，占18．18％，2例重度抑郁，占9．09％。文化程度高（p=-1．981，P=0000）、患者充分了解该疾病（p=-2．080，P=0．000）和生育过（B=-2．053，P=0．000）是卵巢子宫内膜异位症患者出现焦虑情绪的保护因素，复发（B=2．205，P=0．000）和有睡眠问题（B=2．160，P=0．000）是卵巢子宫内膜异位症患者出现焦虑情绪的危险因素，患者充分了解该疾病（B=-2．025，P=0．000）、社会支持评定量表总分高（B=-3．504，P=0．000）和生育过（B=-1．450，P=0．000）是卵巢子宫内膜异位症患者出现抑郁情绪的保护因素，复发（B=1．709，P=0．000）是卵巢子宫内膜异位症患者出现抑郁情绪的危险因素。结论卵巢子宫内膜异位症患者焦虑抑郁情绪发生率较高，受多方面因素影响，我们应该采取针对性的干预措施措施来降低卵巢子宫内膜异位症患者焦虑抑郁情绪的发生。[Objective] To investigate the influential factors on anxiety and depression in ovarian endometriosis patients in order to provide the reference for the targeted intervention measures. [Methods] Fifty ovarian en- dometriosis patients who weretreated in the obstetrical department of our hospital from March 2010 to March 2012, they were assessed by the self-assessment,self-rating anxiety scale, self-rating depression scale before, Pittsburgh Sleep Quality Index （PSQI） and social support rating scale （SSRS）, the collected data was analyzed by descriptive analysis and the and binary classification logistic regression analysis by using SPSS 19.0 to find out the influential factors of anxiety and depression in ovarian endometriosis patients. [ Results ] The anxiety and depression average norm scores of patients were （54.26~4.87） and （55.24~5.38）, respectively. Twenty people had anxiety, accounting for 40.00%, fifteen cases were mild anxiety, accounting for 75.00%, four cases were moderate anxiety, accounting for 20.00%, one was severe anxiety, accounting for 5.00% ;twenty-two people had depressed mood, accounting for44.00%, sixteen cases were mild depression, accounting for 72.73%, four cases were moderate depression, . account- ing for 18.18%, two cases were severe depression, accounting for 9.09%. High degree culture （13=1.981, P =0.000）, fully understanding the disease patients （[3=2.080, P =0.000） and reproductive （[3=2.053, P =0.000） had protective effect on anxiety of the ovarian endometriosis patients. Recurrence （13=2.205, P =0.000） and sleep problems （[3= 2.160, P =0.000） were risk factors for anxiety of the ovarian endometriosis patients. Fully understanding the disease patients （13=2.025, P =0.000）, high social support rating scale total score （[3=3.504, P =0.000） and reproductive （[3= 1.450, P =0.000） had protective effect on depression of the ovarian endometriosis patients, recurrence （13=1.709, P = 1.709） was a risk factor for depression of the ovarian e

关 键 词：卵巢子宫内膜异位症 焦虑 抑郁 影响因素 横断面调查 

分 类 号：R711.71[医药卫生—妇产科学]