摘要
目的为子宫切除患者心理干预提供依据。方法选取子宫切除病例125例,采用焦虑自评量表(SAS)[1]、抑郁自评量表(SDS)[2]、简易应对方式量表(SCSQ)[3]于手术前后进行心理状态评定。结果SAS评分术前为43.51±10.25分,术后1周为42.33±10.47分,术后1月为40.50±7.33分;SDS评分为术前为44.17±8.44分,术后1周为40.50±10.86分,术后1月为45.72±9.03分。SDS术后与常模比较差异显著(P<0.01),SAS手术前后与常模比较均差异显著(P<0.01)。术后1月与术前相比SAS分数显著下降(P<0.01)。焦虑状态各类专业、技术人员和国家机关、党群组织、企事业单位负责人明显低于其他职业人群,抑郁倾向也明显低于农林牧渔劳动者、生产工人、运输工人和无业人员。手术前后心理焦虑状态和抑郁倾向与文化、积极心理应对方式有较强负相关(r<-0.3)。结论子宫切除术患者围手术期及围手术期后存在焦虑状态和抑郁倾向,需要心理干预;健康教育、积极的应对方式有助于缓解患者的心理压力。
Objective To provide a basis for psycho-intervention of patients with hysterectomy. Methods Choose the cases with hysterectomy during January and July in 2006 and adopt the scale SAS, SDS and SCSQ to test. Results The scores of SAS and SDS of the cases were higher than common model in China. SAS was lower than 50; SDS 53. A month later the score of SAS went down （P^0.01）. For the patients with hetter job, higher education and more active coping style, the score of SAS and SDS was lower. Conclusion The patient with hysterectomy during operation and later was in anxiety state and depression, requiring psycho-intervention. That health education, active coping style was helpful to relieve the patient＇s mental pressure.
出处
《中国健康心理学杂志》
2009年第5期536-538,共3页
China Journal of Health Psychology
基金
2007年昆山市社会发展科技计划指导性项目ksz0711
