基层综合性医院门诊干预对性传播疾病患者的情绪影响研究  

Study on the emotional impact of outpatient intervention in grass-roots general hospital on STD patients

作　　者：杨喜坤 李娜 丁振干 YANG Xikun;LI Na;DING Zhengan(Dermatology Department,Cangnan Hospital Affiliated to Wenzhou Medical University,Wenzhou 325800,Zhejiang,China)

机构地区：[1]温州医科大学附属苍南医院皮肤科

出　　处：《中国性科学》2020年第2期136-138,共3页Chinese Journal of Human Sexuality

基　　金：浙江省温州市科技计划经费自筹项目(Y20180774)

摘　　要：目的观察基层综合性医院门诊干预对性传播疾病(sexually transmitted diseases,STD)患者的干预效果,以及对患者焦虑抑郁情绪的影响。方法选取2018年1月至2018年9月温州医科大学附属苍南医院诊治的80例STD患者为研究对象,将其随机分为观察组和对照组,每组40例患者。观察组患者在对照组干预的基础上给予综合性门诊干预,对照组患者采用传统门诊随访。观察两组患者焦虑抑郁评分、满意率评价和生活质量评分的差异。结果干预前,两组患者焦虑抑郁评分比较,其差异无统计学意义(P>0.05);干预后,观察组患者的医院焦虑抑郁量表(焦虑)[hospital anxiety and depression scale(amxiety),HAD(a)]评分[(6.87±2.15)分]和医院焦虑抑郁量表(抑郁)[hospital anxiety and depression scale(depression),HAD(d)]评分[(5.18±1.54)分]均低于对照组患者,其差异均具有统计学意义(均P<0.05)。干预前,两组患者生活质量评分比较,其差异无统计学意义(P>0.05);干预后,观察组患者生活质量评分[(9.00±2.51)分]低于对照组患者[(10.13±2.16)分],其差异具有统计学意义(P<0.05);观察组患者的满意率(97.5%)明显高于对照组患者(82.5%),其差异具有统计学意义(P<0.05)。结论基层综合性医院门诊干预对性传播疾病(STD)患者的干预效果较好,可以明显改善患者的焦虑抑郁情绪,具有良好的应用价值。Objective To observe the effect of outpatient intervention in primary general hospitals on patients with sexually transmitted diseases(STD)and the influence on the anxiety and depression of patients.Methods STD patients treated in Cangnan Hospital Affiliated to Wenzhou Medical University from January 2018 to September 2018 were selected and randomly divided into control group and observation group.The control group was followed up by traditional outpatient clinic,and the observation group was given comprehensive outpatient intervention on this basis.The differences in anxiety and depression scores,satisfaction and quality of life between the two groups before and after intervention were observed.Results Before the intervention,there was no statistically significant difference in the Hospital Anxiety and Depression Scale(HAD)scores between the two groups(P>0.05).After the intervention,the HAD(a)scores and HAD(d)scores of the observation group[(6.87±2.15)points,(5.18±1.54)points]were lower than those of the control group,with statistically significant differences(all P<0.05).Before the intervention,the quality of life scores of the two groups were not significantly different(P>0.05).After the intervention,the quality of life scores of the observation group[(9.00±2.51)points]were lower than those of the control group[(10.13±2.16)points],with statistically significant differences(P<0.05).The satisfaction rate of patients in the observation group(97.5%)was significantly higher than that of the control group(82.5%),with statistically significant differences(P<0.05).Conclusions Outpatient intervention in grass-roots general hospitals has a good effect on STD patients,which can significantly improve the anxiety and depression of patients,worthy of application.

关 键 词：门诊干预 性传播疾病 焦虑 生活质量 

分 类 号：G759[文化科学—教育学]