医学应对方式及心理干预对阴道炎患者防御功能的影响

Impact of medical coping mode and psychological intervention on the defense function of patients with vaginitis

目的:探讨医学应对方式及心理干预对阴道炎症患者防御功能的影响。方法:选择100例患者,采用医学应对方式(MCMQ)问卷调查、心理干预、防御方式(DSQ)问卷调查,并作心理干预前后比较。结果:医学应对调查:面对(32.1±2.99)分、回避(24.1±1.67)分、屈服(15.96±2.32)分;心理障碍:相关知识缺乏占92.71%、担心治不好占97.92%、担心夫妻关系占91.67%、性恐惧占53.12%;防御机制干预后:不成熟型(4.65±1.23)分、成熟型(6.43±1.40)分、掩饰因子(6.81±0.94)分。结论:对阴道炎症患者采用积极应对方式,开展心理护理和健康教育,可改善患者心理防御机制,提高心理健康水平和生活质量,促进康复,预防疾病发生。

Objective ： To explore the impact of medical coping mode and psychological intervention on the defense function of patients with vaginitis. Methods ： Medical Coping Modes Questionnaire （MCMQ ） , Psychological Intervention and Defensive Style Questionnaire（DSQ ） were adopted to make a survey on 100 selected patients and the results were compared before and af- ter psychological intervention. Results： Medical coping investigation showed that the scores for the patients to envisage the dis- ease were （32. 1± 2.99） ; the scores to fence with the disease were （ 24.1 ±1.67 ） and the scores of yielding to the disease were （ 15. 96 ± 2. 32 ）. Psychological barriers included lack of knowledge （ 92. 71% ） , worrying about curative effect { 97.92% ） and the sensation of husband （91.67%） and fearing of sexuality （ 53.12% ）. After intervention by defense mecha- nism, the scores of immature type were { 4.65 ± 1.23 ） ; the scores of mature type （ 6.43 ± 1.40） and the scores of concealing factors were （6.81 ±0.94 ）. Conclusion： The active coping modes such as psychological care and health education can improve patient＇s psychological defense mechanism, mental health and quality of life so as to promote their rehabilitation and prevent the incidence of disease.