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目的 :探索农村妇女输卵管结扎术后神经症的心理社会因素及预后的相关性。方法 :对输卵管结扎术后确诊为神经症患者和健康者各 60例 ,采用一般心理测验问卷、症状自评量表、心理社会应激调查表、社会支持量表、心理健康测查表、艾森克人格问卷 ,作为随访三年前后的评定工具。结果 :输卵管结扎术后神经症者的个性具有明显的神经质倾向 (P <0 0 1) ;术前有较多的对手术后遗症和术后劳动力影响方面的担心 (P <0 0 1) ;主观社会支持较低 ,具有明显的消极情绪和消极应对方式 (P <0 0 1) ;心身症状严重 ,以躯体化症状为主 (P <0 0 1)。多因素回归分析提示心身症状程度、社会心理应激水平、情绪反应与应对方式等是术后神经症相关的危险因子 (P <0 0 5 )。结论 :输卵管结扎术后神经症的发生与个体的不良认知、情绪、应对和个性特征有关 ,提示减少输卵管结扎术后神经症的发生必须加强术前的心理咨询、辅导 ,提高受术妇女认知水平。
Objective: To explore the psychosocial factors and prognosis of rural women with tubal ligation after neurosurgery. Methods: Sixty patients diagnosed as neurosis and healthy after tubal ligation were randomly divided into four groups: general psychological test questionnaire, symptom checklist, psychosocial stress questionnaire, social support questionnaire, mental health checklist, Ai Senk personality questionnaire, as a follow-up evaluation tool three years ago. Results: Neuroticism in patients with tubal ligation had significant neuroticism (P <0.01). There were more preoperative operative sequelae and postoperative labor concerns (P <0.01). Subjective Social support was low, with obvious negative emotions and negative coping styles (P <0.01); psychosomatic symptoms were severe, and somatization was predominant (P <0.01). Multivariate regression analysis indicated that psychosomatic symptoms, psychosocial stress, emotional response and coping style were the risk factors related to postoperative neurosis (P <0.05). Conclusion: The occurrence of neurosis after tubal ligation is related to the individual’s bad cognition, emotion, coping and personality traits, which suggests that reducing the incidence of neurosis after tubal ligation must strengthen preoperative psychological counseling, counseling, Know the level.