奥密克戎BA.5.2大流行期间郑州方舱医院女性患者月经变化与心理健康状况  

Menstrual changes and mental health of female patients in mobile cabin hospitals during the Omicron BA.5.2 pandemic in Zhengzhou City

作　　者：张微微 张嘉琳 段浩然 谢娅[1] ZHANG Weiwei;ZHANG Jialin;DUAN Haoran;XIE Ya(Department of Gynecology,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)

机构地区：[1]郑州大学第一附属医院妇科,郑州450052

出　　处：《郑州大学学报（医学版）》2023年第4期537-540,共4页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省卫生健康科技创新人才培养项目(YXKC2020036);郑州大学校级教育教学改革研究与实践项目(2022ZZUJG292)。

摘　　要：目的:调查奥密克戎BA.5.2大流行期间郑州方舱医院女性患者的月经和心理健康变化。方法:通过问卷星发放问卷1000份,问卷内容包括一般情况、月经情况(自编量表)、焦虑自评量表及抑郁自评量表。分析不同人群月经及心理健康状况的变化,以及焦虑、抑郁与月经的关联性。结果:共回收有效问卷816份。调查对象中青少年(14~<30岁)514人,中年(30~<51岁)212人,老年(51~57岁)90人;未婚502人,已婚314人;无子女592人,有子女224人。调查总人群中,月经改变模式主要为月经紊乱(128/816,15.4%)、经期缩短(82/816,10.0%)及经量减少(116/816,14.2%)。青少年组、未婚及无子女组的月经改变多表现为周期及经期紊乱,中老年组、已婚及有子女组多表现为月经周期延长、经期缩短及经量减少(P<0.05)。调查总人群中,焦虑患病率为33.1%(270/816),抑郁患病率为28.9%(236/816)。不同人群中焦虑及抑郁患病率差异无统计学意义(P>0.05)。焦虑、抑郁与月经周期紊乱、经期缩短及经量减少呈正关联(P<0.05)。结论:在重大公共卫生事件突发时,更应该关注女性健康,积极地给予心理干预。Aim:To investigate the changes of menstruation and mental health of female patients in mobile cabin hospitals during the Omicron BA.5.2 pandemic in Zhengzhou City.Methods:The questionnaire was used to collect the information of 1000 subjects,including general conditions,changes of menstruation,the Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS).The changes of menstruation and mental health status of different populations were analyzed,and the between anxiety,depression and menstruation was analyzed.Results:A total of 816 valid questionnaires were collected,including 514 adolescents(14-<30 years old),212 middle-aged(30-<51 years old),and 90 elderly(51-57 years old);502 were unmarried and 314 were married;592 persons without children and 224 persons with children.Among the surveyed population,the main pattern of menstrual changes were menstrual disorders(128/816,15.4%),shortened menstrual periods(82/816,10.0%),and decreased menstrual volume(116/816,14.2%).The changes of menstruation in the adolescent group,the unmarried group and the childless group were mainly manifested as menstrual cycle and period disorder,while the middle-aged and elderly group,the married group and the group with children were mostly manifested as prolonged menstrual cycle,shortened menstrual period and decreased menstrual volume(P<0.05).The incidence rate of anxiety and depression was 33.1%(270/816)and 28.9%(236/816)in all the subjects respectively.There was no significant difference in the incidence rate of anxiety or depression among different groups(P>0.05).Anxiety and depression were correlated with menstrual cycle disorder,shortened menstrual period and decreased menstrual volume(P<0.05).Conclusion:In major public health emergencies,we should pay more attention to women′s health and give psychological intervention actively.

关 键 词：奥密克戎 月经变化 焦虑 抑郁 郑州 

分 类 号：R711[医药卫生—妇产科学]