本文選題：人工流產(chǎn) + PTSD　； 參考：《昆明醫(yī)科大學》2017年碩士論文

【摘要】：[目的]對到云南省三家醫(yī)院人工流產(chǎn)門診進行復查或手術(shù)的人工流產(chǎn)患者進行調(diào)查,了解PTSD發(fā)生現(xiàn)狀,并對應對方式以及焦慮、抑郁心理進行測評,旨在分析人工流產(chǎn)后出現(xiàn)的心理狀況和采取的應對方式,探討人工流產(chǎn)患者PTSD現(xiàn)狀及相關(guān)影響因素,為降低人工流產(chǎn)率,減少患者PTSD的發(fā)生,為開展人工流產(chǎn)后關(guān)愛服務(wù)提供理論依據(jù)及對策。[方法]選擇云南省昆明醫(yī)科大學第一附屬醫(yī)院,昆明市婦幼保健院(丹霞院區(qū))以及昆明城東醫(yī)院三所醫(yī)院的婦科門診作為研究現(xiàn)場,將2016年6月至2017年3月該時間段自愿到上述三所醫(yī)院婦科門診進行復查(手術(shù)一個月以后)或手術(shù)(兩年內(nèi)有過人工流產(chǎn)史)的人工流產(chǎn)患者作為研究對象。采用自制調(diào)查表和量表進行調(diào)查。自制調(diào)查表內(nèi)容包括:(1)人工流產(chǎn)女性社會人口學特征(年齡、婚姻狀況、民族、職業(yè)等);(2)生育史;(3)性生活史;(4)人工流產(chǎn)史及人工流產(chǎn)原因;(5)性行為、對人工流產(chǎn)的態(tài)度;(6)人工流產(chǎn)相關(guān)心理、需求與行為;量表包括創(chuàng)傷后應激障礙自評量表(PCL-C)評測PTSD狀況,簡易應對方式量表(SCSQ)評測應對方式,醫(yī)院焦慮抑郁量表(HADS)評測焦慮、抑郁狀況。資料錄入使用Epidata3. 1數(shù)據(jù)雙錄入,采用SPSS17. 0進行統(tǒng)計分析。[結(jié)果]本次調(diào)查共計180人,剔除填寫不全,邏輯錯誤問卷后,有效問卷159份,合格率為88. 3%;年齡最小為15歲,最大為46歲,平均年齡為(27. 50±6. 25)歲,25歲以上的人數(shù)居多(65.4%),多數(shù)是已婚狀態(tài)(66%);大多數(shù)首次性行為年齡為20～24歲,共86人(54. 1%),多數(shù)患者為首次妊娠,共64人(40. 3%),大多數(shù)還沒有孩子,共88人(55. 3%),既往有過人工流產(chǎn)史的有79例(49. 7%),大多數(shù)人的性伴數(shù)為1個(61.0%)。不同心理狀況人流患者應對方式得分有所不同;PTSD陽性檢出者共計25人(15. 7%)。抑郁陽性檢出者70人(44%),焦慮陽性檢出者86人(54.1%)。以PTSD為因變量,年齡,婚姻狀況,月收入,職業(yè)狀況,文化程度等可能影響因素作為自變量進行Logistics回歸分析,結(jié)果顯示:生活滿意度,創(chuàng)傷史,家庭經(jīng)濟狀況,焦慮檢出率對PTSD發(fā)生有正效應(P0.05),戶口所在地對PTSD發(fā)生有負效應(P0.05)。[結(jié)論]人工流產(chǎn)人群年齡偏低,未婚女性所占比例高,重復人工流產(chǎn)率高且間隔時間短;人工流產(chǎn)患者心理問題普遍存在,PTSD陽性檢出者共病焦慮抑郁比例高,人工流產(chǎn)是否增加PTSD患病風險尚無定論。
[Abstract]:[objective] to investigate the incidence of PTSD in patients undergoing reexamination or operation in three hospitals of Yunnan Province, and to evaluate the coping style, anxiety and depression. In order to reduce the rate of induced abortion and reduce the incidence of PTSD in patients with induced abortion, the psychological status and coping styles were analyzed, and the present situation of PTSD in patients with induced abortion and the related influencing factors were discussed in order to reduce the incidence of PTSD in patients with induced abortion. To provide theoretical basis and countermeasures for developing care services after induced abortion. [methods] the gynecological outpatients of the first affiliated Hospital of Kunming Medical University, Kunming Maternal and Child Health Hospital (Danxia District) and three hospitals of Kunming Chengdong Hospital were selected as the research site. Patients who voluntarily visited the gynecological clinics of the three hospitals during the period from June 2016 to March 2017 for reexamination (after one month of operation) or surgery (with a history of induced abortion in two years) were selected as the subjects of the study. Self-made questionnaire and scale were used to investigate. The contents of the self-made questionnaire include: 1) Social demographic characteristics (age, marital status, nationality, occupation, etc.) Social demographic characteristics (age, marital status, nationality, occupation, etc.) birth history of female patients (3) sexual history / 4) induced abortion history and causes of induced abortion (5) sexual behavior. Attitude to induced abortion: psychological, demand and behavior related to induced abortion; PTSD status was assessed by PCL-C scale, coping style was assessed by simple coping style scale, and anxiety was assessed by Hospital anxiety and Depression scale (HADS). Depression. Data entry using Epidata 3. 1 data double input, using SPSS 17. 0. [results] A total of 180 people were investigated, excluding incomplete filling and logical error questionnaire, 159 valid questionnaires, the qualified rate was 88. The minimum age is 15 years old, the maximum is 46 years old, the average age is 27. 5%. 50 鹵6. 25) the majority of people aged 25 and over are 65.4%, most of whom are married; most of them have sex for the first time at the age of 20 to 24, or 86 persons. Most of the patients were pregnant for the first time, with a total of 64 patients with 40. 4% of the total. Most of them had no children, and there were 88 men. There were 79 cases with previous history of induced abortion. Most people have a sexual partner of 61.0. The scores of coping style of patients with different psychological status were different. The total number of patients who were positive for PTSD was 15. 5%. Seven. There were 70 patients with depression and 86 with anxiety. With PTSD as dependent variable, age, marital status, monthly income, professional status, education and other possible factors as independent variables, Logistics regression analysis showed that: life satisfaction, trauma history, family economic status, There was a positive effect on the occurrence of PTSD in anxiety detection rate and a negative effect on the occurrence of PTSD in the location of household registration (P 0.05). [conclusion] the age of induced abortion is low, the proportion of unmarried women is high, the rate of repeated abortion is high and the interval is short. Whether abortion increases the risk of PTSD is not conclusive.
【學位授予單位】：昆明醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R169.42

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