人工流产术前患者焦虑抑郁现状及影响因素调查  

Investigation of anxiety and depression in patients before induced abortion and its influencing factors—based on survey of hospital anxiety and depression scale

作　　者：郑潇潇[1] 李鑫月 于晓兰[1] 史小京 ZHENG Xiao-xiao;LI Xin-yue;YU Xiao-lan;SHI Xiao-jing(Peking University First Hospital,Beijing 100032)

机构地区：[1]北京大学第一医院,北京100032

出　　处：《生殖医学杂志》2023年第12期1790-1797,共8页Journal of Reproductive Medicine

基　　金：2021年度北京大学第一医院护理科研苗圃项目。

摘　　要：目的应用医院用焦虑抑郁量表(HADS)探讨人工流产术前患者焦虑抑郁的发生风险。方法采用便利抽样法选取2022年1—9月在北京大学第一医院行人工流产术的患者871例,应用医院用焦虑抑郁量表(HADS)进行筛查焦虑抑郁的发生情况,采用卡方检验和二元逻辑回归分析焦虑抑郁发生的影响因素。结果871例人工流产术前患者中有866例完成了HADS量表测定,其中161例考虑为焦虑抑郁,占18.59%。随着每周锻炼频率、月收入、本人和伴侣文化程度、生活幸福程度、性生活积极性的提高,焦虑抑郁比例逐渐降低。不同职业间体力劳动为主者的焦虑抑郁比例最高,已婚人群的焦虑抑郁比例显著低于未婚人群和离异人群(P<0.05),不同居住状况间独居者的焦虑抑郁所占比例最大,妊娠、人工流产次数分析中,人工流产次数大于3次和妊娠4次的患者焦虑抑郁比例较高,其中妊娠2次的患者焦虑抑郁比例最低。二元Logistic回归分析显示,每周锻炼次数、居住状况、本人文化程度、生活幸福程度和妊娠次数是人工流产术前患者焦虑抑郁发生的影响因素。结论人工流产手术患者产生抑郁、焦虑负面情绪的比例较高,不同特征的人工流产手术患者发生焦虑抑郁的情况具有显著差异。在妇产专科护理工作中应重点关注更易产生焦虑和抑郁情绪的群体,针对性的采取心理护理干预措施,术前做好个性化健康宣教和心理疏导。Objective:To investigate the risk of anxiety and depression in patients before induced abortion by using the hospital anxiety and depression scale(HADS).Methods:The convenience sampling method was used to select 871 patients before artificial abortion in Peking University First Hospital,and the HADS scale was used to screen the occurrence of anxiety and depression.Among them,866 patients completed the HADS scale.Chi-square test and binary logistic regression were used to analyze the influencing factors of anxiety and depression.Results:Among 866 patients who completed the HADS scale measurement before induced abortion,the incidence rate of anxiety and depression before abortion was 18.59%(161/866).With the increase of weekly exercise frequency,monthly income personal and partner education level,life happiness level,sexual activity,the proportion of anxiety and depression gradually decreases.The proportion of anxiety and depression was highest among individuals who primarily engage in physical labor among different professions,and the proportion of anxiety and depression in married individuals was significantly lower than that in unmarried and divorced individuals(P<0.05).The proportion of anxiety and depression among individuals living alone was the highest among different living conditions.Patients with more than 3 induced abortions had the highest proportion of anxiety and depression.The patients with 4 pregnancies had the highest proportion of anxiety and depression,while those with 2 pregnancies had the lowest proportion of anxiety and depression.Binary logistic regression analysis showed that weekly exercise frequency,residential status,personal education level,life happiness level,and pregnancy frequency were influencing factors for the occurrence of anxiety and depression.Conclusions:The proportion of patients undergoing artificial abortion who experience negative emotions such as depression and anxiety is relatively high.There are significant differences in the occurrence of anxiety and depression among a

关 键 词：医院用焦虑抑郁量表 人工流产 术前 焦虑 抑郁 

分 类 号：R715.2[医药卫生—妇产科学]