未婚女性人工流产术前焦虑情绪及预测因素分析  

Analysis of the anxiety and its predictive factors of unmarried women before induced abortion

作　　者：陈辉[1] 梁小梅 李伟娟 路圆亭 CHEN Hui;LIANG Xiaomei;LI Weijuan;LU Yuanting(Baoji Maternal and Child Health Care Hospital,Baoji,Shanxi Province,721000;The Second Affiliated Hospital of the Air Force Military Medical University,Xi'an)

机构地区：[1]陕西省宝鸡市妇幼保健院,721000 [2]空军军医大学第二附属医院

出　　处：《中国计划生育学杂志》2024年第10期2220-2224,共5页Chinese Journal of Family Planning

摘　　要：目的:了解未婚女性人工流产术前焦虑情绪情况,探究其影响因素及预测价值,为有效开展心理干预提供参考。方法:选择2020年5月-2022年5月本院拟行人工流产术的未婚女性,采用自制一般资料问卷、焦虑自评量表(SAS)、痛苦表露指数量表(DDI)进行匿名调查。以单因素分析、多因素logistic回归分析探讨未婚女性人工流产术前焦虑情绪影响因素,采用受试者工作特征(ROC)曲线分析相关影响因素对未婚女性人工流产术前焦虑的预测价值。结果:共纳入142例拟行人工流产术的未婚女性,术前SAS得分52.97±4.03分,其中发生焦虑102例(71.8%),SAS得分57.82±3.26分;未发生焦虑40例(28.2%),SAS得分40.61±4.59分。单因素分析显示,年龄、职业、人工流产史、生殖健康知识了解程度、流产方式、性伴侣避孕态度、自我表露与未婚女性人工流产术前焦虑情绪发生有关(P<0.05)。多因素分析显示,拟采用药物流产、年龄较小、生殖健康知识了解程度较差、自我表露水平较低的未婚女性术前焦虑发生风险更大(P<0.05)。ROC曲线分析显示,各影响因素均对未婚女性人工流产术前焦虑情绪发生有良好的预测价值,曲线下面积为0.622~0.655。结论:流产方式为药物流产、年龄较小、生殖健康知识了解程度较差、自我表露水平低均与未婚女性人工流产术前焦虑情绪发生相关,且有一定预测效能,临床可据此采取应对措施。Objective:To understand the anxiety of unmarried women before induced abortion,to explore the influencing factors and its predictive value of the women,and to provide reference for the effective psychological intervention.Methods:A total of 148 unmarried women who planned to undergo induced abortion in the hospital from May 2020 to May 2022 were selected in this study.The self-made general information questionnaire,the self-rating anxiety scale(SAS)and the pain disclosure index scale(DDI)were used for the anonymous investigation.Univariate analysis and multivariate logistic regression analysis were used to explore the influencing factors of the anxiety of the unmarried women before induced abortion.Receiver operating characteristic(ROC)curve was used to analyze the predictive value of the related influencing factors of the unmarried women for their anxiety before induced abortion.Results:A total of 142 unmarried women who planned to undergo induced abortion were included in this study,and with the SAS score of 52.97±4.03 points.And among them,there were 102(71.8%)cases with anxiety,and the SAS score of the 102 women was 57.82±3.26 points.There were 40(28.2%)cases without anxiety,and the SAS score of these 40 women was 40.61±4.59 points.Univariate analysis showed that the age,the occupation,the history of induced abortion,the understanding of reproductive health knowledge,the abortion method,the contraceptive attitude of the sexual partners and the self-disclosure of the unmarried women were significantly related to their anxiety before induced abortion(P<0.05).Multi-factor analysis showed that the proposed medical abortion,the young women,the poor reproductive health knowledge level and the low level of self-disclosure of the unmarried women had significantly greater risk of their anxiety before induced abortion(P<0.05).ROC curve analysis showed that the each influencing factor of the unmarried women all had the good predictive value for their anxiety occurrence before abortion,and with the area under the curv

关 键 词：未婚女性 人工流产 焦虑 影响因素 预测 

分 类 号：R473.71[医药卫生—护理学]