發(fā)布時(shí)間：2018-04-17 06:42

  本文選題：未婚人工流產(chǎn) + SCL-90��； 參考：《大連醫(yī)科大學(xué)》2007年碩士論文

【摘要】： 目的探討人工流產(chǎn)者心理健康狀況。 對象方法對象隨機(jī)抽取2006年9月到2007年3月間來源于大連市第二人民醫(yī)院、第三人民醫(yī)院、第五人民醫(yī)院和中心醫(yī)院的人工流產(chǎn)者共89例,分為未婚組和已婚組(n=33,n=56)。方法由經(jīng)過心理學(xué)培訓(xùn)的臨床醫(yī)生對患者進(jìn)行問卷調(diào)查,醫(yī)生一致性檢驗(yàn)結(jié)果揭示kapa在0.78-0.89。人工流產(chǎn)手術(shù)前所有的人流者接受了一般情況調(diào)查、明尼蘇達(dá)多相個(gè)性測查表(MMPI)、父母教養(yǎng)方式評價(jià)、領(lǐng)悟社會支持、特質(zhì)應(yīng)對方式問卷、癥狀自評量表(SCL-90)的調(diào)查。統(tǒng)計(jì)學(xué)建立數(shù)據(jù)庫,采用SPSS 10.0統(tǒng)計(jì)軟件包,對數(shù)據(jù)庫進(jìn)行分析。采用了樣本與總體均數(shù)的t檢驗(yàn)(One-sample t Test),協(xié)方差檢驗(yàn)(Univariate Analysis of Variance),多元線性回歸(Multiple Linear regression)分析。 結(jié)果①心理健康狀況分析(SCL-90)人工流產(chǎn)者與常模之間除強(qiáng)迫、人際關(guān)系、偏執(zhí)因子外,其他因子均具有統(tǒng)計(jì)學(xué)意義(P0.05);未婚組與已婚組之間,其中軀體化、抑郁、焦慮、敵對、恐怖因子具有統(tǒng)計(jì)學(xué)意義(P0.05)②人格分析人工流產(chǎn)者明尼蘇達(dá)多項(xiàng)個(gè)性測查表(MMPI附加項(xiàng)目)與常模之間,社會內(nèi)相(SI)、自我力量(Es)、依賴性(Dy)、支配性(Do)、社會責(zé)任感(Re)具有統(tǒng)計(jì)學(xué)意義(t1=-24.66,t2=-50.73,t3=3.201,t4=-2.58,t5=-2.006, P0.05);未婚組與已婚組之間,社會責(zé)任感(Re)因子具有統(tǒng)計(jì)學(xué)意義(P0.05)③應(yīng)對方式分析人工流產(chǎn)者與正常人群特質(zhì)應(yīng)對方式,消極應(yīng)對(NC)評分與常模(t=14.075,P0.001)比較具有統(tǒng)計(jì)學(xué)意義,而積極應(yīng)對(PC)評分與常模比較差異無統(tǒng)計(jì)學(xué)意義;未婚組與已婚組特質(zhì)應(yīng)對方式的比較,均無統(tǒng)計(jì)學(xué)意義。④領(lǐng)悟社會支持分析未婚組與已婚組在領(lǐng)悟家庭內(nèi)支持方面比較,均無統(tǒng)計(jì)學(xué)意義。⑤父母教養(yǎng)方式分析未婚組與已婚組父母教養(yǎng)方式的比較,均無統(tǒng)計(jì)學(xué)意義。⑥未婚人工流產(chǎn)者心理健康多因素分析對未婚組采用多元線性回歸(Backward) :以SCL-90總均分為因變量,進(jìn)入線性回歸方程的因素是,SI、MAS、DY、DO、RE、年齡、初孕年齡、初戀年齡、NC、PC、家庭內(nèi)、父溫暖、父嚴(yán)厲、父干涉、父偏愛、父拒絕、父保護(hù)、母溫暖、母干涉、母拒絕、母嚴(yán)厲、母偏愛(P0.05)。結(jié)論 1.人工流產(chǎn)者在手術(shù)前與正常人群相比較,心理健康狀況差。 2.未婚人工流產(chǎn)者心理健康差于已婚組。 3.未婚人工流產(chǎn)者在人格附加項(xiàng)目的社會責(zé)任感方面,與對照組比較差。 4.未婚人工流產(chǎn)者心理健康狀況差,受自身的社會人格、年齡、初孕年齡、初戀年齡、對事件的應(yīng)對方式、領(lǐng)悟家庭內(nèi)支持、父母教養(yǎng)方式影響。
[Abstract]:Objective to investigate the mental health status of induced abortion patients.Methods from September 2006 to March 2007, 89 patients with induced abortion from the second people's Hospital, the third people's Hospital, the Fifth people's Hospital and the Central Hospital of Dalian were randomly selected and divided into unmarried group and married group.Methods Clinical doctors trained in psychology were investigated by questionnaire, and the results of doctor consistency test revealed that kapa was 0.78-0.89.All the abortion participants were investigated by general condition survey, MMPI, MMPI, perceived social support, trait coping style questionnaire, symptom Checklist 90 (SCL-90).The database was established by statistics, and the database was analyzed by SPSS 10.0 software package.One-sample t test, covariance Analysis of variation and multivariate Linear regression were used.Results (1) there were significant differences in mental health status between induced abortion and norm except compulsion, interpersonal relationship and paranoid ideation, among which somatization, depression, anxiety and hostility were found between unmarried group and married group.Phobic factors were statistically significant in personality analysis of patients with induced abortion (MMPI additional items) and norm.There was statistical significance between unmarried group and married group, between unmarried group and married group, between unmarried group and married group, and had statistical significance (P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P = 0. 05), significant difference was found between unmarried group and married group (P < 0. 05), and there were significant differences between unmarried group and married group.The coping style of induced abortion and normal population was statistically significant (P 0.05), and the score of negative coping (NCC) was significantly higher than that of norm (14.075% P 0.001).However, there was no significant difference between positive coping score and norm, and there was no significant difference in trait coping styles between unmarried group and married group. 4. There was no significant difference between unmarried group and married group in understanding family support.There was no significant difference in parental rearing style between unmarried group and married group.There was no statistical significance in multivariate analysis of mental health of unmarried induced abortion patients. Multivariate linear regression analysis was used to analyze the mental health of unmarried patients. According to the total number of dependent variables of SCL-90, the factors that entered the linear regression equation were SIMAS-DYDORER, age, age, age of first pregnancy.In the family, the father is warm, the father is severe, the father interferes, the father favors, the father refuses, the father protects, the mother is warm, the mother interferes, the mother refuses, the mother is strict, the mother prefers to be P0.05.Conclusion1.The patients with induced abortion were in poor mental health status compared with the normal population before operation.2.The mental health of unmarried patients with induced abortion was worse than that of married women.3.The social responsibility of the unmarried induced abortion was worse than that of the control group.4.The mental health status of unmarried induced abortion patients was affected by their social personality, age, age of first pregnancy, age of first love, coping style of events, understanding of family support and parental rearing style.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2007
【分類號】：R169.4;R395

【引證文獻(xiàn)】

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