天津医药

天津医药 ›› 2020, Vol. 48 ›› Issue (5): 402-405.doi: 10.11958/20193907

• 临床研究 • 上一篇    下一篇

盆腔器官脱垂合并抑郁情绪患者的心理社会因素分析 #br#

刘盼盼 1，2，邢文龙 2，张桂青 2△
  

  1. 1石河子大学（邮编832003）；2石河子大学医学院第一附属医院

  • 收稿日期:2019-12-26 修回日期:2020-02-26 出版日期:2020-05-15 发布日期:2020-06-24
  • 通讯作者: 张桂青 E-mail:firstli@126.com
  • 作者简介:刘盼盼（1987），女，康复治疗师，硕士在读，主要从事心理康复相关研究
  • 基金资助:
    兵团科技攻关项目（2018AB023）

Analysis of psychosocial factors in patients with pelvic organ prolapse and depression #br#

LIU Pan-pan1，2，XING Wen-long2，ZHANG Gui-qing2△ #br#   

  1. 1 Shihezi University, Shihezi 832008, China; 2 The First Affiliated Hospital of the Medical College, Shihezi University
  • Received:2019-12-26 Revised:2020-02-26 Published:2020-05-15 Online:2020-06-24

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摘要： 摘要：目的 探讨盆腔器官脱垂合并抑郁情绪患者的心理社会影响因素。方法 随机抽取新疆阿拉尔人群中
筛查为盆腔器官脱垂患者 199例，通过 24项汉密尔顿抑郁量表（HAMD-24）行抑郁症状测评，其中伴抑郁症状者 62
例为抑郁组，其他患者 137 例为非抑郁组。对每位患者行 14 项汉密尔顿焦虑量表（HAMA-14）、艾森克个性问卷
（EPQ）、简易应对方式量表（SCSQ）、社会支持量表（SSRS）测评。结果 盆腔器官脱垂患者中伴发抑郁情绪的有
31.2%，抑郁组与非抑郁组在焦虑、神经质、消极应对、主观支持得分方面差异有统计学意义（P＜0.05），焦虑（OR=
1.691）和神经质（OR=1.819）为盆腔器官脱垂患者合并抑郁情绪的危险因素。结论 医护人员应重视盆腔器官脱垂
合并抑郁情绪患者相关因素的心理干预，提高患者的心理健康水平，促进盆腔器官脱垂患者的治疗效果。

关键词: 盆腔器官脱垂, 抑郁症, 焦虑症, 人格, 社会支持, 应对方式

Abstract: Abstract: Objective To explore the psychosocial factors in patients with pelvic organ prolapse and depression.
Methods A total of 199 patients with pelvic organ prolapse screened from a certain population in Xinjiang were randomly
selected in this study. The depressive symptoms were assessed by Hamilton depression scale (HAMD-24). For 199 patients,
62 cases were accompanied by depressive symptoms (depression group), and 137 without depression symptom (nondepression group). Hamilton anxiety scale (HAMA-14), Eysenck personality questionnaire (EPQ), Simplified coping style
questionnaire (SCSQ) and Social support rating scale (SSRS) were used to evaluate two groups of patients. Results
Depression was found in 31.2% of patients with pelvic organ prolapse. There were statistically significant differences in
anxiety, neuroticism, negative coping and subjective support scores between the depression group and the non-depression
group (P＜0.05). It was found that anxiety and neuroticism were risk factors for patients of pelvic organ prolapse combined
with depression (OR=1.691 and 1.819). Conclusion Medical staff should pay attention to the psychological intervention of
the related factors of patients with pelvic organ prolapse and depression, improve the mental health of patients, and promote
conservative treatment and surgical treatment of pelvic organ prolapse.

Key words: pelvic organ prolapse, depressive disorder, anxiety disorders, personality, social support, coping skills