摘要
目的:研究心理干预对子宫全切术患者焦虑与抑郁及性生活质量的影响。方法:选取2014年1月至2016年1月间在本院接受治疗的子宫肌瘤患者224例,将患者随机分为两组:研究组患者112例,对照组患者112例;对照组患者进行子宫全切手术治疗,研究组患者在进行手术治疗后进行健康、社会、家庭、性心理等方面的心理干预,观察两组患者在手术前后的焦虑与抑郁情绪、性生活质量变化情况。结果:子宫肌瘤患者入院时两组焦虑和抑郁量表评分无统计学差异(P〉0.05),研究组患者进行心理干预后,术后半年焦虑、抑郁量表评分低于对照组,差异有统计学意义(t=-5.16,-14.49;P〈0.05);入院时两组患者在生活质量上无统计学差异(P〉0.05),心理干预后,研究组的生活质量、生理领域、心理领域、社会关系领域评分高于对照组,差异有统计学意义(t=6.47,7.08,9.52,8.96;P〈0.05)。比较两组患者在术后半年有关性方面的改变,结果显示研究组相对于对照组在自信心、性欲、性唤起所需时间、性高潮出现频率、阴道干燥以及和爱人交流性问题等方面均有所改善,差异有统计学意义(χ^2=136.38,88.72,114.59,55.45,49.33,102.89;P〈0.05)。结论:对子宫全切术后的子宫肌瘤患者进行心理干预,能够帮助患者改善术后焦虑与抑郁的症状,提高性生活以及生活各个方面的质量。
Objective:To explore the effects of psychological intervention on anxiety and depression and quality of life in patients undergoing total hysterectomy.Methods:A total of 224 patients with uterine fibroids treated in our hospital from January 2014 to 2016 were randomly divided into two groups:112 patients in the study group and 112 patients in the control group.All patients underwent total hysterectomy treatment.After surgery,the study group took health,social,family,sexual psychological and other aspects of psychological intervention.The anxiety,depression,changes in sexual quality of life were measure before and after surgery.Results:Patients with hysteromyoma in the two groups had no differences in anxiety and depression scale(P〉0.05);After half a year,the scores of anxiety and depression scale of patients in study group were lower than that of the control group(t=-5.16,-14.49,P 0.05);at the time of admission,patients in two groups had no significant difference in quality of life(P〈0.05).After the intervention,the score of quality of life in psychological research group was higher than that in the control group,the difference was statistically significant(t= 6.47,7.08,9.52,8.96,P〈0.05).Self-confidence,sexual desire,sexual arousal,orgasm time frequency,vaginal dryness,and communication problems of love were improved in the study group compared with the control group(χ^2=-136.38,88.72,114.59,55.45,49.33,102.89,P〈0.05).Conclusion:Psychological intervention can help patients with total hysterectomy improve postoperative anxiety and depression symptoms,improve sexual life and the quality of life in all aspects.
作者
金男
JIN Nan(Shengjing Hospital of China Medical University ,Beijing 110022 ,Chin)
出处
《中国健康心理学杂志》
2018年第4期513-516,共4页
China Journal of Health Psychology
关键词
心理干预
子宫全切术
生活质量
子宫肌瘤
Psychological intervention
Total hysterectomy
Quality of life
Uterine fibroids