医学原因终止妊娠妇女消极情绪及影响因素分析  

Investigation of the negative emotions of women with involuntary termination of pregnancy and its influencing factors analysis

作　　者：陶燕飞[1] 徐喜群 柴芝红 TAO Yanfei;XU Xiqun;CHAI Zhihong(Taizhou Municipal Hospital,Taizhou,Zhejiang Province,318000)

机构地区：[1]浙江省台州市立医院,318000

出　　处：《中国计划生育学杂志》2023年第10期2296-2301,共6页Chinese Journal of Family Planning

摘　　要：目的:调查医学原因终止妊娠妇女消极情绪发生并分析危险因素。方法:选自2020年1月-2022年6月本院妇产科因医学原因终止妊娠妇女275例为研究对象,收集其人口学资料,并于终止妊娠1周、6个月分别进行症状自评量表(SCL-90)问卷调查。比较研究对象和中国正常人常模SCL-90得分差异,采用多元线性回归分析影响非自愿终止妊娠妇女消极情绪的危险因素。结果:非自愿终止妊娠妇女终止妊娠1周、6个月时SCL-90得分(268.86±87.55分、239.86±79.69)均高于中国正常人常模(129.96±38.76分)(P<0.001);回归分析显示,家庭月收入过低、终止妊娠孕周大、男性胎儿、现无子女以及终止妊娠原因为死胎和胎儿畸形为非自愿妊娠妇女消极情绪的危险因素。结论:医学原因终止妊娠妇女存在较严重的消极情绪和心理症状,临床应予以重视,针对高危因素妇女加强心理疏导,提高妇女生殖健康水平。Objective:To investigate the negative emotions of women with termination of pregnancy because of medicalreasons,and to analyze the risk factors of the negative emotions.Methods:A total of 275 women who had undergoneinvoluntary termination of the pregnancy from January 2020 to June 2022 were selected in this study.The demographiccharacteristics data of these women were collected.A questionnaire survey for these women was conducted based onsymptom check list 90(SCL 90).The different scores were compared between the women with involuntary terminationof pregnancy evaluated by SCL-90 and Chinese normal people evaluated by SCL-90.Multiple linear regression was usedto analyze the risk factors affecting the negative emotions of the women.Results:The SCL-90 scores of the womenwith involuntary termination of pregnancy in 1 week after termination of pregnancy(268.86±87.55 points)and in 6months after termination of pregnancy(239.86±79.69 points)were significantly higher than those(129.96±38.76points)of the Chinese normal people in 1 week and in 6 months after termination of pregnancy(P<0.001).Multiplelinear regression showed that the low family monthly income,the high gestational weeks when termination of pregnan-cy,the male fetus,the present childless situation,and the termination of pregnancy due to stillbirth or fetal malforma-tion of the women with involuntary termination of pregnancy were the risk factors affecting their negative emotions.Conclusion:The women with involuntary termination of pregnancy had serious negative emotions and psychologicalsymptoms,so which should be paid attention to in clinic.The psychological counseling for the women with high riskfactors of negative emotions should be strengthening,and the reproductive health level of the women should be improved.

关 键 词：医学原因终止妊娠 消极情绪 症状自查量表 危险因素 

分 类 号：R473.71[医药卫生—护理学]