心理干预对先天性无阴道患者术后婚姻和生活质量的影响

The influence on the quality of marital and life in the congenital absence of vagina patients with operation by psychological intervention

目的探讨心理干预对先天性无阴道患者术后婚姻和生活质量的影响。方法将先天性无阴道患者按自愿原则分为干预组18例和非干预组11例，对干预组的患者进行术前的认知行为治疗，用Olson婚姻质量调查问卷及诺丁汉健康量表对两组手术前后生活质量以及术后婚姻质量进行评估。结果干预组术后婚姻和生活质量评分均显著优于非干预组（P〈0．05或P〈0．01）。结论手术前心理干预能有效提高先天性无阴道患者术后婚姻和生活质量。

Objective To explore the influence on the quality of marital and life of the congenital absence of vagina patients with operation by psychological intervention. Methods The congenital absence of vagina patients were divided into psychological intervened group（ n = 18, all cases were treated with the cognitive and behaviour therapy） and without intervened group （n = 11 ）. Before and after treatment the scores of the nottingham health poofity（NHP） were used in the two groups. After treatment the Olson＇s enrich questionary were tested also. Results The scores of NHP and Olson of psychological intervened group were significantly superior to those without intervened group（ P 〈 0.05 or P 〈 0.01 ）. Conclusion The cogntive and behaviour theraopy before operation is good for the quality of marital and life in congenital absence of vagina patients.