摘要
目的 调查女性患者人乳头瘤病毒感染心理状况与应对方式的相关因素分析,为临床治疗及心理干预提供有利支持。方法 对2020年9月至2021年12月在中南大学湘雅医院妇科门诊就诊的402例高危型人乳头瘤病毒感染已婚妇女进行问卷调查,其中已婚未育组154例,已婚已育组248例。调查问卷包括应付方式问卷(CSQ)、焦虑自评量表(SAS)和抑郁自评量表(SDS)。结果 已婚未育组的SAS和SDS得分均高于已婚已育组(P<0.05);已婚未育组CSQ量表的求助、合理化和解决问题应付因子得分低于已婚已育组,自责、幻想和退避应付因子得分高于已婚已育组(P<0.05)。已婚未育组SAS得分与解决问题、求助因子得分呈负相关,与自责、幻想、退避、合理化因子得分呈正相关(P<0.05);已婚已育组SAS得分与解决问题、求助、合理化因子得分呈负相关,与自责、幻想、退避因子得分呈正相关(P<0.05)。已婚未育组的SDS得分与解决问题、求助因子得分呈负相关,与自责、幻想、退避、合理化因子得分呈正相关(P<0.05);已婚已育组SDS得分与解决问题、求助、合理化因子得分呈负相关,与自责、幻想、退避因子得分呈正相关(P<0.05)。结论 已婚未育组人乳头瘤病毒感染女性患者的焦虑和抑郁程度都明显高于已婚已育组,且两组女性应对方式明显不同,对已婚未育组人乳头瘤病毒感染女性患者采取个性化方案制定和干预,可有效稳定她们情绪并提升她们的生活质量。
【Objective】To investigate the characteristics of anxiety,depression and coping style of married women with HPV positive so as to provide favorable support for clinical treatment and psychological intervention.【Methods】From September 2020 to December 2021,402 married women with HPV positive were investigated by questionnaire.Among them,154 were in the married childless group and 248 were in the married childbearing group.The questionnaire includes coping style questionnaire(CSQ),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS).【Results】The SAS and SDS scores of the married childless group were higher than those of the married childbearing group(P<0.05).The scores of seeking help,rationalization,and problem-solving coping factors on the CSQ scale of the married childless group were lower than those of the married childbearing group,while the scores of self blame,fantasy,and avoidance coping factors were higher than those of the married childbearing group(P<0.05).The SAS score of the married childless group was negatively correlated with the scores of problem-solving and seeking help factors,and positively correlated with the scores of self blame,fantasy,avoidance,and rationalization factors(P<0.05).The SAS score of the married childbearing group was negatively correlated with the scores of problem-solving,seeking help,and rationalization factors,and positively correlated with the scores of self blame,fantasy,and avoidance factors(P<0.05).The SDS score of the married childless group was negatively correlated with the scores of problem-solving and seeking help factors,and positively correlated with the scores of self blame,fantasy,avoidance,and rationalization factors(P<0.05).The SDS score of the married childbearing group was negatively correlated with the scores of problem-solving,seeking help,and rationalization factors,and positively correlated with the scores of self blame,fantasy,and avoidance factors(P<0.05).【Conclusion】The anxiety and depression of HPV-infected women in the married and childless group were significantly higher than those in the married and fertile group,and the coping styles of patients in the two groups were significantly different.Personalized program development and intervention for HPV-infected patients in the married and childless group can effectively stabilize patients'emotions and improve their quality of life.
作者
刘洋
田焱
康亚男
李瑶
LIU Yang;TIAN Yan;KANG Yanan;LI Yao(Gynecology Department,Xiangya Hospital of Central South University,Changsha,Hunan 410008,China;Tumor Radiotherapy Department,Xiangnan University Affiliated Hospital,Chenzhou,Hunan 423000,China)
出处
《中国医学工程》
2023年第12期107-110,共4页
China Medical Engineering
关键词
人乳头瘤病毒
女性患者
心理状况
应对方式
相关性分析
human papillomavirus
female patients
psychological condition
coping style
correlation analysis
