摘要
目的调查复发性流产患者的焦虑、抑郁状况，并分析其影响因素，为采取相应的措施提供依据。方法采用一般情况调查表、焦虑自评量表（SAS）及抑郁自评量表（SDS）对114例复发性流产患者的焦虑及抑郁状态进行调查，采用方差分析和Pearson相关性分析对相关因素进行分析。结果共发放调查问卷124份，收回有效问卷114份，有效回收率为91．94％。本组复发性流产患者的SAS、SDS得分分别为（37．07±7．54），（37．61±8．71）分，均高于国内常模的（29．78±10．07），（33．46±8．55）分，两组比较差异有统计学意义（t值分别为10．318，5．094；P〈0．01）。本组患者36例发生焦虑，占31．6％，35例发生抑郁，占30．7％，同时发生焦虑和抑郁的共有25例，占21．9％。患者年龄与SDS得分呈负相关（r=-0．238，P〈0．05），患者BMI与SAS得分呈负相关（r=-0．279，P〈0．01）。患者及配偶学历低及不经常进行体育锻炼的患者，其抑郁程度相对较严重。结论复发性流产患者焦虑、抑郁水平较高。应根据复发流产患者的不同特点，给予专业指导，缓解其焦虑及抑郁情绪。
Objective To investigate the status of anxiety and depression in patients with recurrent miscarriage and analyze the influence factor so as to provide the basis for taking corresponding measures. Methods One hundred and fourteen patients with recurrent miscarriage were surveyed by the questionnaire, and the relevant factors were analyzed by the ANOVA and Pearson correlation analysis. Results One hundred and twenty-four questionnaires were issued and 114 questionnaires were responsive with an effective response rate of 91.94%. The scores of SAS and SDS were respectively （37. 07 ± 7. 54）, （37. 61 ± 8.71 ） in the patients, and were higher than （ 29. 78 ± 10. 07 ）, （33.46 ± 8. 55 ） in the Chinese norms, and the differences were statistically significant （t = 10. 318,5. 094, respectively;P 〈 0. 01 ）. The cases of anxiety and depression were respectively 36 （31.6%） and 35 （30. 7% ） cases in patients, and the cases of patients with anxiety and depression together were 25 （21.9%） cases. The score of body mass index was negatively related to the score of anxiety （ r = - 0. 279, P 〈 0. 01 ）. The degree of depression is relatively serious in the lower level of education of patients and their spouse and lack of physical exercise patients （P 〈 0. 05）. Conclusions The levels of anxiety and depression in patients with recurrent miscarriage are high. According to the different characteristics of recurrent abortion, the professional guidance should be given so as to alleviate their anxiety and depression.
出处
《中华现代护理杂志》
2014年第8期882-885,共4页
Chinese Journal of Modern Nursing
关键词
流产
复发性
焦虑
抑郁
影响因素
Miscarriage, recurrent
Anxiety
Depression
Influena factor
