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目的调查了解甘肃省民勤县中晚期引产未婚女性生殖健康知识及引产前的心理状况,分析其相关影响因素,为临床干预提供依据。方法 2015年1月―2016年3月在民勤县妇幼保健计划生育服务中心实施中晚期引产的未婚女性204例,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)及自编的问卷调查表进行调查。结果 204例未婚女性引产时孕周最大35周,最小12周,平均孕周(22±4.5)周,未婚引产女性生殖健康知识欠缺;引产前焦虑状态的发生率为56.86%,抑郁状态的发生率为52.94%,不良心理状态的发生与年龄、文化程度、个性特征、孕次、孕周、家庭背景等因素呈显著负相关。结论未婚中晚期引产女性心理健康状况令人担忧,特别是在校学生,应主动为其提供生殖健康知识,降低意外妊娠发生率;发生意外妊娠时为其提供有效的心理干预,减少情绪及情感异常的发生率。
Objective To investigate the knowledge about reproductive health of pre-delivery women and the psychological status before induction of labor in middle and late stage of Minqin County in Gansu Province, and to analyze the related influencing factors so as to provide basis for clinical intervention. Methods From January 2015 to March 2016, 204 unmarried women were recruited in Minqin Maternal and Child Health Family Planning Service Center. SDS, Self-rating Anxiety Scale (SAS) The compiled questionnaire to investigate. Results The gestational age of the 204 unmarried women was 35 weeks at the maximum, 12 weeks at the lowest, and 22 gestational weeks (gestational weeks) were average gestational age (22 ± 4.5) weeks. The reproductive health knowledge of unmarried abortion women was absent. The incidence of anxiety before induction was 56.86% The rate of adverse psychological state was negatively correlated with age, educational level, personality traits, gestational age, gestational age, family background and other factors. Conclusions Mental health status of women who have given birth in middle and late unmarried families is cause for concern. Especially in school, students should take the initiative to provide them with knowledge of reproductive health and reduce the incidence of unwanted pregnancies. In the event of unplanned pregnancy, they provide effective psychological intervention to reduce their emotions and emotions Abnormal incidence.