吴莉;陈惠群;翁玲;李莉;黄玲;
WU Li;CHEN Huiqun;WENG Ling;LI Li;HUANG Ling;Department of Gynecology and Obstetrics,The Eighth Hospital of Wuhan;Department of Gynecology and Obstetrics,The Fifth Hospital of Wuhan;

• 1:武汉市第八医院妇产科
• 2:武汉市第五医院妇产科

摘要(Abstract)：

目的:探讨多囊卵巢综合征(PCOS)合并不孕患者行腹腔镜术前焦虑的影响因素。方法:选取150例PCOS合并不孕患者作为PCOS不孕组,150例非PCOS不孕患者作为非PCOS不孕组,110例身体健康、行孕期检查、做孕前准备的孕妇作为对照组;2组不孕患者行腹腔镜术前、对照组产检时分别采用医院焦虑自评量表(SAS)评估焦虑状况,比较3组受试者年龄、体质指数(BMI)、生长环境、受教育程度、经济情况、痛经、睡眠情况、生活紧张度、生气情况、夫妻关系不和、亲属关系不和、就业状况、不孕年限、流产次数及性生活频率,采用多因素Logistic回归分析PCOS不孕患者腹腔镜术前焦虑的影响因素。结果:3组受试者SAS评分PCOS不孕组>非PCOS不孕组>对照组、中重度焦虑患者比例PCOS不孕组>非PCOS不孕组>对照组(P<0.05); 3组受试者BMI、就业状态、痛经、流产次数、不孕年限、工作压力、生气频率、夫妻关系不和、亲属关系不和等方面比较,差异均有统计学意义(P<0.05);多因素Logistic回归分析显示,流产次数、不孕年限、BMI、易怒频率、亲属关系失和与腹腔镜PCOS不孕患者的SAS评分存在相关性(P<0.05)。结论:腹腔镜PCOS不孕术前的焦虑情绪受多种因素影响。
Objective: To investigate the influencing factors of preoperative anxiety in patients with polycystic ovary syndrome(PCOS) and infertility before laparoscopy. Methods: 150 PCOS patients with infertility were selected as PCOS infertility group; 150 non-PCOS infertility patients as non-PCOS infertility group; 110 healthy pregnant and pre-pregnancy women were selected as control group. Self-rating anxiety scale(SAS) was used to assess anxiety status of infertility patients before laparoscopic surgery and the control group during antenatal examination respectively. Age, body mass index(BMI), growth environment, education level, economic status, dysmenorrhea, sleep status, life tension, anger, marital discord, kinship discord, employment status, infertility years, number of abortions and frequency of sexual life were compared among the three groups. Multivariate Logistic regression was used to analyze the influencing factors of anxiety before laparoscopy in infertility patients with PCOS. Results: The SAS scores of the three groups were PCOS infertility group>non-PCOS infertility group>control group; the proportion of moderate and severe anxiety patients was PCOS infertility group>non-PCOS infertility group>control group(P<0.05). BMI, employment status, dysmenorrhea, number of abortions, infertility, work pressure, frequency of anger, discord between husband and wife, and discord between relatives were compared among the three groups.(P<0.05). Multivariate logistic regression analysis showed that the number of abortions, infertility years, BMI, irritability frequency, loss of kinship and laparoscopic PCOS infertility patients with SAS score were correlated(P<0.05). Conclusion: Anxiety before laparoscopic PCOS infertility surgery is affected by many factors.

关键词(KeyWords)： 腹腔镜;多囊卵巢综合征;不孕;术前心理;调查;干预
laparoscopy;polycystic ovary syndrome;infertility;preoperative psychology;investigation;intervention

Abstract:

Keywords:

基金项目(Foundation): 武汉市卫生局临床医学科研项目(WX11B13)

作者(Authors): 吴莉;陈惠群;翁玲;李莉;黄玲;
WU Li;CHEN Huiqun;WENG Ling;LI Li;HUANG Ling;Department of Gynecology and Obstetrics,The Eighth Hospital of Wuhan;Department of Gynecology and Obstetrics,The Fifth Hospital of Wuhan;

参考文献(References)：

• [1] 周芬,乔岩岩.痰湿型多囊卵巢综合征合并不孕患者心理状况调查及护理干预研究[J].长治医学院学报,2016,30(1):61-64.
• [2] 邱玲玲.多囊卵巢综合征患者生活质量、心理健康、性生活情况调查及相关性研究[D].福州:福建医科大学,2015.
• [3] 朱望垆,程建慧,程英惠.多囊卵巢综合征患者心理状态调查分析[J].中国初级卫生保健,2016,30 (9):36-37.
• [4] 易琳馨,叶元腾,高爱萍,等.妇科腹腔镜术后焦虑的相关因素及护理对策[J].中外女性健康研究,2015,12(11):120.
• [5] 赵计端,王波,吴立芳,等.江苏东海地区多囊卵巢综合征不孕妇女生活质量调查研究[J].东南大学学报(医学版),2015,34(2):36-37.
• [6] 张科明,王彤,周雄.胆囊炎患者腹腔镜术前焦虑抑郁的发生率及相关因素[J].中国健康心理学杂志,2014,28(10):1632-1634.
• [7] 田玄玄,阮祥燕,王娟 ,等.437 例多囊卵巢综合征相关因素调查分析[J].首都医科大学学报,2014,35(4):240-243.
• [8] 屈宗银,董晓静,苗菁,等.重庆市女性不孕患者心理压力的现状调查分析[J].重庆医学,2015,44(11):1522-1526.
• [9] 肖素梅,温肖依.江西省萍乡市不孕症女性患者的心理调查[J].中国妇幼保健,2015,30(22):3863-3864.
• [10]马桂华,邓宇,李俐琳,等.不孕症患者不同治疗阶段的心理状况调查分析及护理对策[J].中国实用护理杂志,2014,30(2):152-153.
• [11]高峰,张连琴,孙贝贝.妇科腹腔镜手术患者术前焦虑状况的调查[J].解放军护理杂志,2014,31(2):73-74.
• [12]宋东红,王巧红,陆虹.北京市某三级甲等医院复发性流产患者焦虑抑郁状况及影响因素调查[J].中华现代护理,2014,20(8):882-885.
• [13]袁玲,王秀娣,张晶.多形式化心理干预对腹腔镜子宫广切患者心理、情绪及性功能状态的影响观察[J].中国性科学,2014,23(5):95-99.
• [14]张灿萍,任晓彤.妇科腹腔镜手术患者术前焦虑水平与心理需求的相关研究[J].中国实用医药,2014,28(10):214-216.
• [15]卢凤笛,罗家有.不孕年限与患者焦虑、抑郁、应对方式的相关性[J].中国妇幼健康研究,2017,28(2):137-139.
• [16]陈素珠,吴春红.多囊卵巢综合征患者相关指标与体重的相关性分析[J].中国医刊,2015,50(6):82-84.
• [17]贺立颖,王统菲,刘志兰,等.复发性流产患者抑郁、焦虑情况调查及其相关因素分析[J].上海交通大学学报(医学版),2017,37(3):381-385.
• [18]袁修琼,崔明华,苏华荣.健康教育及心理护理干预对肥胖型多囊卵巢综合征患者生活方式的影响研究[J].实用临床医药杂志,2015,19(2):72-76.
• [19]鞠慧岩,窦攀,尚鶄,等.联合门诊健康管理对多囊卵巢综合征患者负性情绪的影响[J].中华现代护理杂志,2016,22(34):4959-4962.
• [20]詹敏.治疗性沟通及干预对乳腺癌手术患者术后恢复、心理应激及希望水平的影响[J].中国医药导报,2017,14(10):177-180.

文章评论(Comment)：