盆腔器官脱垂合并抑郁情绪患者的心理社会因素分析  

Analysis of psychosocial factors in patients with pelvic organ prolapse and depression

作　　者：刘盼盼[1,2] 邢文龙 张桂青 LIU Pan-pan;XING Wen-long;ZHANG Gui-qing(Shihezi University,Shihezi 832008,China;The First Affiliated Hospital of the Medical College,Shihezi University)

机构地区：[1]石河子大学,832003 [2]石河子大学医学院第一附属医院

出　　处：《天津医药》2020年第5期402-405,共4页Tianjin Medical Journal

基　　金：兵团科技攻关项目(2018AB023)。

摘　　要：目的探讨盆腔器官脱垂合并抑郁情绪患者的心理社会影响因素。方法随机抽取新疆阿拉尔人群中筛查为盆腔器官脱垂患者199例,通过24项汉密尔顿抑郁量表(HAMD-24)行抑郁症状测评,其中伴抑郁症状者62例为抑郁组,其他患者137例为非抑郁组。对每位患者行14项汉密尔顿焦虑量表(HAMA-14)、艾森克个性问卷(EPQ)、简易应对方式量表(SCSQ)、社会支持量表(SSRS)测评。结果盆腔器官脱垂患者中伴发抑郁情绪的有31.2%,抑郁组与非抑郁组在焦虑、神经质、消极应对、主观支持得分方面差异有统计学意义(P<0.05),焦虑(OR=1.691)和神经质(OR=1.819)为盆腔器官脱垂患者合并抑郁情绪的危险因素。结论医护人员应重视盆腔器官脱垂合并抑郁情绪患者相关因素的心理干预,提高患者的心理健康水平,促进盆腔器官脱垂患者的治疗效果。ObjectiveTo explore the psychosocial factors in patients with pelvic organ prolapse and depression.MethodsA total of 199 patients with pelvic organ prolapse screened from a certain population in Xinjiang were randomlyselected in this study.The depressive symptoms were assessed by Hamilton depression scale(HAMD-24).For 199 patients,62 cases were accompanied by depressive symptoms(depression group),and 137 without depression symptom(non-depression group).Hamilton anxiety scale(HAMA-14),Eysenck personality questionnaire(EPQ),Simplified coping stylequestionnaire(SCSQ)and Social support rating scale(SSRS)were used to evaluate two groups of patients.Results Depression was found in 31.2%of patients with pelvic organ prolapse.There were statistically significant differences inanxiety,neuroticism,negative coping and subjective support scores between the depression group and the non-depressiongroup(P<0.05).It was found that anxiety and neuroticism were risk factors for patients of pelvic organ prolapse combinedwith depression(OR=1.691 and 1.819).ConclusionMedical staff should pay attention to the psychological intervention ofthe related factors of patients with pelvic organ prolapse and depression,improve the mental health of patients,and promoteconservative treatment and surgical treatment of pelvic organ prolapse.

关 键 词：盆腔器官脱垂 抑郁症 焦虑症 人格 社会支持 应对方式 

分 类 号：R749.2[医药卫生—神经病学与精神病学]