發(fā)布時(shí)間：2018-05-20 03:10

  本文選題：青少年 + 未婚先孕�。� 參考：《山西醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的 1、通過對(duì)來院就診并同意進(jìn)行調(diào)查研究的200例未婚先孕人工流產(chǎn)青少年的焦慮狀況調(diào)查,探討該人群不良心理特征,并分析產(chǎn)生問題的原因。 2、通過對(duì)未婚先孕人工流產(chǎn)青少年進(jìn)行圍手術(shù)期綜合心理干預(yù),探討通過降低未婚先孕人工流產(chǎn)青少年圍手術(shù)期焦慮情緒,進(jìn)一步完善未婚先孕青少年人工流產(chǎn)過程的醫(yī)療模式。 方法： 1、基線研究：以2010年09月～2012年1月在吉林長春麗人醫(yī)院婦產(chǎn)科人流室就診并同意進(jìn)行調(diào)查研究的200例14-24歲未婚先孕人工流產(chǎn)青少年為研究對(duì)象,進(jìn)行一般資料、焦慮自評(píng)量表(SAS)、人格問卷測量表(EPQ)、社會(huì)支持評(píng)定表(SSRS)調(diào)查及生理指標(biāo)測定。 2、心理干預(yù)研究：將基線調(diào)查中存在焦慮情緒的未婚先孕人工流產(chǎn)青少年隨機(jī)分為兩組,分別為對(duì)照組和心理干預(yù)組,并通過對(duì)十預(yù)組研究對(duì)象進(jìn)行圍手術(shù)期綜合心理十預(yù)：時(shí)間為術(shù)前一小時(shí)、術(shù)中、術(shù)后一小時(shí),內(nèi)容包括環(huán)境設(shè)置、認(rèn)知療法、支持療法(語言疏導(dǎo)、家庭關(guān)懷、人文關(guān)懷、放松輔導(dǎo)、音樂放松)；對(duì)照組無心理干預(yù)的對(duì)照研究方法。 結(jié)果： 1、200例未嬌先孕人工流產(chǎn)青少年的基線調(diào)查中：有焦慮情緒者占76%,其中輕度焦慮者占47%.中毒焦慮者占15.5%,重度焦慮者占13.5%。 2、影響未婚先孕人工流產(chǎn)青少年焦慮情緒的因素有：社會(huì)支持、人格內(nèi)向、孕天數(shù)、經(jīng)濟(jì)收入狀況、年齡。 3、對(duì)干預(yù)組和對(duì)照組未婚先孕人工流產(chǎn)青少年圍手術(shù)期血壓、脈搏、術(shù)中疼痛程度評(píng)價(jià)表、人工流產(chǎn)綜合癥發(fā)生率、術(shù)后1小時(shí)陰道總出血量、術(shù)后一小的焦慮自評(píng)量表(SAS)均進(jìn)行比較.結(jié)果標(biāo)明：術(shù)中疼痛程度評(píng)價(jià)表、人流綜合癥發(fā)生率、術(shù)后一小的焦慮自評(píng)量表(SAS)兩組間有顯著性差異,干預(yù)組明顯低于對(duì)照組；血壓組明顯低于對(duì)照組；血壓、脈搏、術(shù)后1小時(shí)內(nèi)陰道總出血量量組間均無顯著性差異。 1、影響未婚先孕人工流產(chǎn)青少年圍手術(shù)期心理干預(yù)效果的因素有：有無心理干預(yù)、文化程度、主觀支持、經(jīng)濟(jì)收入狀況、年齡。 ,結(jié)論： 1、未婚先孕人工流產(chǎn)青少年存在焦慮情緒的發(fā)病率高,應(yīng)引起重視。 2、未婚先孕人工流產(chǎn)青少年焦慮情緒受社會(huì)支持、人格內(nèi)向、經(jīng)濟(jì)收入狀況、孕天數(shù)、年齡影響。 3、圍手術(shù)期綜合心理干預(yù)有助于減輕未婚先孕人工流產(chǎn)青少年的焦慮情緒、減輕術(shù)中疼痛程度、降低人工流產(chǎn)流綜合癥的發(fā)生率。 4、影響未婚先孕人工流產(chǎn)青少年焦慮情緒變化的因素有：有無心理干預(yù)、文化程度、主觀支持、經(jīng)濟(jì)收入狀況、年齡。
[Abstract]:Purpose 1. By investigating the anxiety status of 200 unmarried pregnant adolescents who came to the hospital and agreed to carry out an investigation, we discussed the bad psychological characteristics of this group and analyzed the causes of the problems. 2. Through comprehensive psychological intervention in the perioperative period for adolescents with unmarried abortion, this paper discusses how to reduce the anxiety in the perioperative period of the adolescents with unwed induced abortion. Further improve the medical model of abortion process for unmarried first pregnant adolescents. Methods: 1. Baseline study: from September 2010 to January 2012, 200 pregnant adolescents aged 14-24 years old who were admitted to the Department of Obstetrics and Gynecology and Obstetrics, Changchun Liren Hospital, Jilin Province, were selected for general data. Self-rating anxiety scale (SAS), personality questionnaire (EPQ), social support scale (SSRS) and physiological indexes were investigated. 2. Psychological intervention study: the adolescents who had anxiety in baseline survey were randomly divided into two groups: the control group and the psychological intervention group. In addition, the subjects of the 10 preoperation group were given a comprehensive psychological pre-operation period: one hour before operation, one hour during operation and one hour after operation. The contents included environment setting, cognitive therapy, support therapy (language dredging, family care, humanistic care). Relaxation counseling, music relaxation, control group without psychological intervention control study method. Results: In the baseline survey of 1200 uninduced abortion adolescents, 76 were anxious, and 47 were mild anxiety. Toxic anxiety accounted for 15. 5%, severe anxiety accounted for 13. 5%. 2. The factors influencing anxiety of premarital induced abortion adolescents were: social support, introverted personality, pregnancy days, income status, age. 3. The perioperative blood pressure, pulse, intraoperative pain degree, incidence rate of induced abortion syndrome, total vaginal bleeding amount 1 hour after operation were measured in the intervention group and control group. A small anxiety scale (SAS) was compared after operation. The results showed that there were significant differences between the two groups in the evaluation of intraoperative pain degree, incidence of induced abortion syndrome, and a small anxiety scale (SAS) after operation, which were significantly lower in the intervention group than in the control group, and the blood pressure, pulse, blood pressure and pulse were significantly lower in the intervention group than in the control group. There was no significant difference in total vaginal bleeding within 1 hour after operation between the two groups. 1. The factors influencing the effect of psychological intervention during perioperative period were as follows: psychological intervention, education level, subjective support, income status, age. , conclusion: 1. The incidence of anxiety is high among the adolescents who have induced abortion before pregnancy, which should be paid more attention to. 2. Anxiety of adolescents with induced abortion was influenced by social support, personality introversion, income status, pregnancy days and age. 3. The comprehensive psychological intervention during perioperative period is helpful to alleviate anxiety, relieve the degree of intraoperative pain and reduce the incidence of abortion flow syndrome. 4. The factors that influence the anxiety of the premarital induced abortion adolescents are as follows: psychological intervention, education, subjective support, income status, age.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R169.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 于清,李忠萍;異丙酚全麻下人工流產(chǎn)200例臨床分析[J];青島大學(xué)醫(yī)學(xué)院學(xué)報(bào);2000年02期

2 朱德璋,劉傳圣,趙淑萍;迷達(dá)唑侖復(fù)合丙泊酚及芬太尼用于人工流產(chǎn)的效果[J];青島大學(xué)醫(yī)學(xué)院學(xué)報(bào);2005年03期

3 王萍;尹平;;國內(nèi)外青少年生殖健康現(xiàn)狀[J];中國社會(huì)醫(yī)學(xué)雜志;2008年01期

4 李游,余小鳴;青少年非意愿懷孕的研究現(xiàn)狀及預(yù)防對(duì)策[J];國外醫(yī)學(xué)(衛(wèi)生學(xué)分冊);2005年04期

5 何玉敏;羅琳虹;劉佩端;丁燕瑩;;未婚者無痛人流術(shù)的臨床護(hù)理干預(yù)[J];河北醫(yī)學(xué);2008年10期

6 厲萍,張迎新;早孕反應(yīng)的相關(guān)心理社會(huì)因素研究及護(hù)理[J];護(hù)理學(xué)雜志;2003年11期

7 張倫,吳世仲,蔡衛(wèi)東,范其福;四川宜賓市未婚女青年中有、無早孕人流人群的焦慮和抑郁癥狀的比較[J];華西醫(yī)學(xué);2005年02期

8 岳慧,董光華,戴梅競,張肖敏,荊瑞巍;江蘇省未婚育齡婦女性行為、妊娠及人工流產(chǎn)狀況調(diào)查[J];中國計(jì)劃生育學(xué)雜志;2004年03期

9 黃秀峰,楊梅麗,楊春波,馬冬梅,付東霞,張芳紅;青少年意外妊娠者生殖健康狀況調(diào)查[J];中國計(jì)劃生育學(xué)雜志;2004年12期

10 李曉芳,張熙穎;人工流產(chǎn)受術(shù)者的術(shù)前焦慮評(píng)估[J];中國健康心理學(xué)雜志;2004年05期

，

本文編號(hào)：1912921