摘要
目的探讨心理干预在妇科门诊人乳头瘤病毒（Human Papilloma Virus，HPV）阳性患者治疗中的作用。方法将2014年5～12月在首都医科大学附属北京友谊医院妇科门诊就诊的60例单纯HPV阳性患者随机分为常规治疗组和心理干预组（各30例），常规治疗组给予外用干扰素抗病毒治疗，心理干预组除给予常规治疗外，还给予心理干预治疗。治疗6个月后，采用Zung氏焦虑自评量表（self—rating anxiety scale，SAS）、抑郁自评量表（self—rating depression scale，SDS）对所有患者进行问卷调查，比较两组焦虑、抑郁评分及HPV转阴率。结果治疗6个月后，心理干预组患者的焦虑、抑郁评分[（38．26±2．35）分、（37．67±4．17）分]明显低于常规治疗组[（56．13±7．09）分、（55．60±4．91）分]；HPV转阴率67．86％（19／28），明显高于常规治疗组34．62％（9／26）（P均〈0．05）。结论心理干预能显著提高HPV患者的治疗效果，值得临床医生关注。
Objective To evaluate the effect of psychological intervention on the human papilloma virus （HPV） positive gynecological out - patients. Methods 60 cases of HPV positive patients who were treated in gynecological clinic of Beijing Friendship Hospital from May 2014 to December 2014 were divided randomly into psychological treatment group and control group, each group with 30 cases. The control group patients received anti HPV treatment with interferon, whereas the patients in psychological treatment group also received cognitive and psychological supportive therapy besides interferon. All the patients were researched by questionnaires composed by self - rating anxious scale （SAS） and self - rating depression scale （SDS） six month later. The scores of anxiety and depression and the negative conversion rate of HP~ of the two groups were compared. Results Compared with control group, the scores of anxiety and depressiorl were obviously lower in psychological treatment group patients. The negative conversion rate of HPV was much higher in intervention group,which showed significant difference. Conclusion Applying psychological treatment to the HPV positive patients would significantly improve the therapeutic effect which should be paid attention by clinicians.
出处
《中国计划生育和妇产科》
2016年第5期62-64,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
人乳头瘤病毒(HPV)
心理干预
焦虑
抑郁
HPV转阴率
human papilloma virus （ HPV ）
psychological treatment
anxiety
depression
negative conversion rate of HPV
