【摘要】：目的探究健康教育對(duì)女性不孕不育患者知識(shí)認(rèn)知、行為及心理的影響,以提高治療有效性。方法回顧性分析2015年6月—2016年3月承德市中心醫(yī)院生殖醫(yī)學(xué)科接診的女性不孕不育患者180例,隨機(jī)分為試驗(yàn)組和對(duì)照組各90例。在常規(guī)不孕不育治療的基礎(chǔ)上,對(duì)照組進(jìn)行常規(guī)健康宣教,試驗(yàn)組進(jìn)行針對(duì)性多元化健康教育,分別對(duì)2組患者不孕不育知識(shí)認(rèn)知、行為依從性及心理狀況進(jìn)行調(diào)查。結(jié)果 2組患者不孕不育知識(shí)知曉率比較:干預(yù)后,試驗(yàn)組對(duì)生殖解剖結(jié)構(gòu)(75.56%vs 34.44%)、生殖生理功能(80.00%vs 34.44%)、不孕不育的基本定義(88.89%vs 38.89%)、病因(51.11%vs 28.89%)、診斷標(biāo)準(zhǔn)(55.56%vs 14.44%)、受孕條件(65.56%vs 28.89%)、治療方法 (81.11%vs 23.33%)、預(yù)防措施(76.67%vs 24.44%)等各項(xiàng)知識(shí)的知曉率均明顯高于對(duì)照組(P0.05)。2組患者行為依從性比較:干預(yù)后,試驗(yàn)組按時(shí)服藥(82.22%vs 64.44%)、按時(shí)復(fù)診(73.33%vs 55.56%)、排卵監(jiān)測(cè)(55.56%vs 14.44%)、規(guī)律作息(88.89%vs 38.89%)、戒煙戒酒(96.67%vs 86.67%)、健康飲食(65.56%vs 28.89%)、潔凈性生活(81.11%vs 23.33%)等各項(xiàng)行為依從性均明顯高于對(duì)照組(P0.05)。2組患者SCL-90量表得分及高頻癥狀陽(yáng)性率比較:干預(yù)后,試驗(yàn)組人際關(guān)系敏感、抑郁、焦慮、恐怖、精神病性5個(gè)因子得分及陽(yáng)性項(xiàng)目數(shù)、總癥狀指數(shù)、總分均低于對(duì)照組(P0.05),SCL-90高頻癥狀陽(yáng)性率均明顯低于對(duì)照組(P0.05)。結(jié)論對(duì)女性不孕不育患者進(jìn)行健康教育能夠有效提高患者對(duì)疾病知識(shí)的認(rèn)知,增強(qiáng)行為依從性,同時(shí)進(jìn)一步緩解患者對(duì)來(lái)自于自身疾病、家庭、社會(huì)輿論等多方面的心理壓力,全面改善患者的身心健康狀態(tài)。
[Abstract]:Objective to explore the effect of health education on knowledge cognition behavior and psychology of infertile women in order to improve the effectiveness of treatment. Methods from June 2015 to March 2016, 180 cases of female infertility in reproductive medicine department of Chengde Central Hospital were analyzed retrospectively. They were randomly divided into two groups: test group (n = 90) and control group (n = 90). On the basis of routine infertility treatment, routine health education was carried out in the control group, and multiple health education was carried out in the test group. The cognition of infertility knowledge, behavior compliance and psychological status of the two groups were investigated respectively. Results the understanding rate of infertility knowledge was compared between the two groups: after intervention, the reproductive anatomical structure (75.56%vs 34.44%) and reproductive physiological function (80.00%vs 34.44%) were observed in the experimental group. The basic definition of infertility (88.89%vs 38.89%), etiology (51.11%vs 28.89%), diagnostic criteria (55.56%vs 14.44%), pregnancy conditions (65.56%vs 28.89%), The knowledge rate of treatment methods (81.11%vs 23.33%) and preventive measures (76.67%vs 24.44%) were significantly higher than those of the control group (P0.05) .Behavioral compliance of the two groups: after intervention, the rate of knowledge was significantly higher than that of the control group (P0.05). In the test group, 82.22%vs was 64.44%, 73.33%vs 55.56%, 55.56%vs 14.44%, 88.89%vs 38.89%. Smoking and abstinence (96.67%vs 86.67%), healthy diet (65.56%vs 28.89%), The compliance of clean life (81.11%vs 23.33%) and other behaviors was significantly higher than that of the control group (P0.05). The scores of SCL- 90 and the positive rate of high frequency symptoms in the two groups were compared: after intervention, the interpersonal relationship and depression in the experimental group were sensitive and depressed. The scores of anxiety, phobia and psychosis, the number of positive items, the total symptom index and total score were all lower than those of the control group (P0.05), and the positive rate of high frequency symptom of SCL-90 was significantly lower than that of the control group (P0.05). Conclusion Health education for female infertility patients can effectively improve patients' cognition of disease knowledge, enhance their behavior compliance, and further relieve the psychological pressure of patients from their own disease, family, public opinion, and so on. All-round improvement of patients' physical and mental health status.
【作者單位】： 河北省承德市中心醫(yī)院生殖醫(yī)學(xué)科;
【分類號(hào)】：R473.71

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