心理干预对人工流产术妇女焦虑情绪影响.docVIP

心理干预对人工流产术妇女焦虑情绪影响 　　【摘 要】 目的：探讨综合性心理干预对人工流产术妇女焦虑情绪的影响。方法：选取妊娠6周～10周要求终止妊娠而无禁忌证的第一次接受人工流产术的门诊妇女100例，随机分为干预组50例、对照组50例。干预组进行综合心理干预，包括术前的健康教育、放松训练和术中的音乐辅助放松，对照组常规处理。手术前后测量两组心率，评估焦虑情绪（Zung焦虑自评量表SAS）、疼痛程度，并对人工流产综合征进行评价。结果：干预前干预组与对照组一般资料、血压、心率和SAS评分无明显差别。干预后①干预组术中中重度疼痛发生率（18%）明显低于对照组（44%，χ2=7.9，P＜0.01）；干预组人工流产综合征发生率（4%）低于对照组（16%，χ2=4.0，P＜0.05）；②干预前、术前、术中、术后脉搏变化两组间差异无统计学意义；③术后1周SAS评分干预组明显低于对照组（37.3±5.6/43.3±4.9，t=-5.61, P＜0.01）。结论：综合性心理干预有助于降低人工流产术妇女的焦虑程度，降低人工流产综合征的发生率，减轻术中疼痛程度，是一种行之有效的干预方法。 　　【关键词】 人工流产；焦虑；心理干预；随机对照研究 　　中图分类号：R395.1、R749.055 文献标识码：A 文章编号：1000-6729(2007)08-00575-04 　　 　　Effect of Psychological Intervention on Anxiety of Women Undergoing Artificial Abortion 　　CHENG Jin－Lian, LIANG Zhi－Qun, HAN Shi－Fan,et al. 　　First Hospital of Shanxi Medical University, Shanxi 030001 　　【Abstract】 Objective: To explore the influence of comprehensive mental intervention on anxiety of women undergoing artificial abortion.Methods:A total of 100 cases of women undergoing artificial abortion first time were selected, who have got pregnant for 6~10 weeks and were appling for termination of pregnancy and without any contraindications in outpatient clinic. They were numbered according to their visiting sequence and were divided into intervention and control group with 50 cases each based on random principle. Comprehensive mental interventions were carried out for women in the intervention group before and during operation but not for women in control group. Then BP, Pulse rate and anxiety (SAS, self－rate anxiety scale) of all cases were measured and pain degree and artificial abortion syndrome of them were evaluated either.Results:There was no statistic significant difference in general data, BP, P and SAS score between the intervention and control group women before intervention. After the intervention, it showed that: ① Incidence (18%)of moderate and severe pain during artificial abortion of pregnant women in intervention group was apparently lower than that of control