原发性痛经患者心理社会因素调查与临床护理干预  

Investigation of psychosocial factors in patients with primary dysmenorrhea and its clinical nursing intervention

作　　者：严淑英 顾凤仙[2] 陈翠红 梁飞雁[1] 谢瑞珍[1] 冼少媚[2] 黄维芳 YAN Shu-ying;GU Feng-xian;CHEN Cui-hong;LIANG Fei-yan;XIE Rui-zhen;XIAN Shao-mei;HUANG Wei-fang

机构地区：[1]肇庆医学高等专科学校附属医院,肇庆市526020 [2]肇庆市第一人民医院

出　　处：《护理实践与研究》2020年第14期77-79,共3页Nursing Practice and Research

基　　金：肇庆市科技创新指导类项目(201904030923)。

摘　　要：目的探讨原发性痛经患者心理社会因素的相关性以及临床护理干预措施。方法选取2019年1—12月肇庆医学高等专科学校附属医院及肇庆市第一人民医院妇科门诊和住院部的原发性痛经患者100例为痛经组,选取同期体检的健康女性100例作为对照组,采用问卷调查的方式,统计所有调查对象的基本情况、个人生活习惯及其经期相关情况,采用多因素logistics回归分析,确定影响原发性痛经患者的心理社会因素。结果体重指数、学习压力、母亲或姐妹有无痛经史、体育锻炼、吃辛辣食物习惯、进食冷饮习惯、初潮年龄、经期情绪、对月经的态度等是影响其心理社会因素(P<0.05)。结论体重指数≤19.82 kg/m 2、学习压力大、母亲或姐妹有痛经史、几乎不体育锻炼、吃辛辣食物习惯、进食冷饮习惯、初潮年龄≤14岁、经期情绪烦躁不安、害怕月经是影响痛经的独立心理社会因素,应予以针对性护理干预。Objective To explore the correlation of psychosocial factors in patients with primary dysmenorrhea and clinical nursing intervention measures.Methods We selected 100 cases of patients with primary dysmenorrhea in the Affiliated Hospital of Zhaoqing Medical College and the Gynecology Clinic and Inpatient Department of Zhaoqing First People's Hospital from January to December 2019,as the dysmenorrhea group,and another 100 healthy women who received physical examination during the same period were selected as a controls Group,a questionnaire survey was used to conduct a statistics of the basic information of all survey subjects,personal living habits and menstrual period-related conditions,and multi-factor regression analysis was used to determine the psychosocial factors affecting patients with primary dysmenorrhea.Results Whether the body mass index,learning pressure,mothers or sisters had a history of dysmenorrhea or not,physical exercise,habit of eating spicy food,cold drink habit,age of menarche,menstrual mood,attitude to menstruation,etc.were the psychosocial factors that affected them(P<0.05).Conclusion The body mass index≤19.82 kg/m 2,high learning pressure,whether mothers or sisters with history of dysmenorrhea,hardly physical exercise,habit of eating spicy food,cold drink habit,age of menarche≤14 years old,emotional irritability during menstruation,and fear of menstruation were the independent psychosocial factors affecting dysmenorrhea,so the targeted nursing intervention should be given.

关 键 词：原发性痛经 心理社会因素 护理干预 

分 类 号：R473.71[医药卫生—护理学]