首页> 中文期刊> 《中国医药科学 》 >73例不孕症妇女焦虑/抑郁心理状态调查分析

73例不孕症妇女焦虑/抑郁心理状态调查分析

             

摘要

Objective To investigate and analyze the anxiety/depression psycholigical states of infertile women. Methods 73 infertile women volunteered in this investigation. The General Hospital Anxiety/Depression Scale (HADS) was used by the gynaecology and obstetrics professional investigators to investigate the infertile women's psychological states.The patients' anxiety/depression symptoms were measured. The self-designed questionnaire was used to evaluate the patients' life quality: The patients filled out the questionnaire voluntarily and independently,including physical health,physical role functioning, body pain, general health,energy,social function and emotional status scores. Results In the infertile group,the incidence of anxiety was 32.88% and the incidence of depression was 31.51%;In the control group,the incidence of anxiety was 5.33% and the incidence of depression was 2.67%.The infertile group was significantly higher than the control group in the incidence of anxiety (x2=16.23,P < 0.05) and the incidence of depression (x2 =25.47,P < 0.05). The anxiety score of the infertile group was (6.89±3.21) and that of the control group was (3.67±1.23), with statistically significant difference between the two groups (P < 0.05);The depression score of the infertile group was(6.97±2.80) and that of the control group was (3.24±1.10), with statistically significant difference between the two groups (P<0.05). Of the 73 infertile patients,24 had anxiety and 23 had depression;The patients having anxiety/depression were lower than the patients not having anxiety/depression in the physical role functioning, body pain, general health,energy,social function and emotional status scores, with statistical differences (P<0.05). Conclusion Infertile patients have significantly larger incidence of anxiety/depression than fertile patients and the life quality of the infertile patients suffering from anxiety/depression is worse. For the infertile patients with anxiety/depression,there is an urgent need of psychological intervention treatment.%  目的探讨不孕症妇女的焦虑/抑郁心理状况。方法73例自愿参加调查的女性不孕症患者,由妇产科专业调查人员,按综合医院焦虑/抑郁情绪测定表(HADS)对不孕症人群进行心理状况进行问卷调查,测量患者的焦虑/抑郁症状。采用自拟调查表对患者生活质量状况进行评定:患者自愿、自行填写量表,量表包括躯体健康、躯体角色功能、躯体疼痛、总体健康、精力、社会功能、情绪状况等7个方面得分。结果不孕症组患者焦虑的发生率为32.88%,抑郁发生率为31.51%;对照组焦虑的发生率为5.33%,抑郁的发生率为2.67%;不孕症组患者焦虑的发生率显著高于对照组(x2=16.23,P<0.05),不孕症组患者抑郁的发生率显著高于对照组(x2=25.47,P<0.05)。不孕症组患者焦虑评分为(6.89±3.21),对照组为(3.67±1.23),两组相比差异具有统计学意义(P<0.05);不孕症组患者抑郁评分为(6.97±2.80),对照组为(3.24±1.10),两组相比差异具有统计学意义(P<0.05)。73名不孕症患者,有24名产生了焦虑,有23名产生了抑郁,出现焦虑/抑郁的患者与未出现焦虑/抑郁的患者,在躯体角色功能、躯体疼痛、总体健康、精力、社会功能和情绪角色功能等方面的得分均低于无焦虑症患者,相比差异均具有统计学意义(P<0.05)。结论不孕症患者出现焦虑/抑郁的发生率显著大于无不孕症患者,出现焦虑/抑郁的不孕症患者生活质量状况较差,对于不孕症患者的焦虑/抑郁状况,急需给予心理干预帮助治疗。

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