采用SCL-90量表评价心理干预在人工流产中的应用

Application of Psychological Intervention Evaluated by Symptom Checklist 90 on Women Accepting Artificial Abortion

目的:探讨心理干预对人工流产妇女心理状态及手术效果的影响。方法:将576例人工流产妇女随机分为研究组和对照组,首诊和术前采用SCL—90评定心理状态的变化,并对手术过程进行效果评价。结果:研究组经心理干预后心理状态明显好转(P<0.05),但仍高于全国常模(P<0.05);对照组术前焦虑、恐惧、抑郁因子分明显高于首诊(P<0.05),其余因子分无明显变化(P>0.05);研究组术中疼痛程度、手术时间、出血量及人工流产综合反应发生率均低于对照组(P<0.05)。结论:心理干预能明显改善人工流产对妇女心理状态的不良影响,提高手术效果。

Objective： To investigate the effect of psychological intervention on mental health status in women who accepted artificial abortion. Methods： 576 cases of women accepted artificial abortion were randomly divided into psychological intervention group and control group, and evaluated their psychological state before artificial abortion and at first visit with SCL-90. Results： Compared with control group, psychological intervention group had obvious improvement in mental health states（P〈0.05）. The degrees of anxiety, dread, and depress factors before artificial abortion of the control group were higher than those at first visit （P〈0.05）. Pain, syndrome of artificial abortion, operation time and the amount of bleeding in psychological intervention group were lower than those in control group （P〈0.05）. Conclusion：For women with artificial abortion, psychological intervention can improve their mental health states, decrease the incidence of pain and syndrome of artificial abortion, reduce the operation time and the amount of bleeding.