摘要
目的探讨腹腔镜子宫肌瘤剔除术联合心理治疗对患者负性情绪和心理状态的改善价值。方法纳入100例子宫肌瘤患者研究(2019年10月~2021年4月),按随机数字表分为对照组(n=50,选用腹腔镜子宫肌瘤剔除术治疗),观察组(n=50,选用腹腔镜子宫肌瘤剔除术+心理治疗),统计两组心理状态,并发症率,预后效果,恐惧评分。结果(1)心理状态:观察组抑郁自评量表(Self-rating depression scale,SDS),焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分低于对照组(P<0.05)。(2)并发症率:观察组(6.00%)低于对照组(20.00%),组间对比P<0.05。(3)观察组恐惧评分低于对照组,组间对比P<0.05。结论在腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的同时展开心理治疗可降低并发症率,引导患者保持积极的心理状态,尽可能降低焦虑,抑郁,恐惧等负面情绪,值得借鉴。
Objective To explore the value of laparoscopic myomectomy combined with psychotherapy in the treatment of negative emotion and psychology in patients with hysteromyoma.Methods 100 patients with hysteromyoma were included in the study(October 2019~April 2021).They were randomly divided into control group(n=50,laparoscopic myomectomy)and observation group(n=50,laparoscopic myomectomy+psychotherapy).The psychological status,complication rate,prognostic effect and fear score of the two groups were counted.Results(1)Psychological status:the scores of Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)in the observation group were lower than those in the control group(P<0.05).(2)Complication rate:the observation group(6.00%)was lower than that in the control group(20.00%),and the comparison between groups was P<0.05(.3)The fear score of the observation group was lower than that of the control group,and the comparison between the groups was P<0.05.Conclusion Psychotherapy can reduce the complication rate,guide the patients to maintain a positive psychological state,and reduce the negative emotions such as anxiety,depression and fear in patients with hysteromyoma.
作者
张利珍
ZHANG Lizhen(Department of Obstetrics and Gynecology,Puyang Maternal and Child Health Hospital,Puyang 457000,China)
出处
《国际精神病学杂志》
2022年第3期491-494,共4页
Journal Of International Psychiatry
