行输卵管结扎术妇女抑郁状况及其影响因素的研究

TUBAL LIGATION-INDUCED DEPRESSION IN WOMEN AND ITS INFLUENCING FACTORS

目的了解行输卵管结扎术妇女抑郁状况及其影响因素,为有效干预提供依据。方法于术后3d内、术后2年分别采用Zung编制的抑郁自评量表、社会支持量表、应付方式问卷、艾森克个性问卷等对符合入组条件的1 301名行输卵管结扎术妇女进行评定,并统计其人口学资料。结果 1 301名行输卵管结扎术妇女术后3d有42.7%伴有抑郁症状,2年随访时仍有27.4%的人存在抑郁症状;多因素分析发现:婚姻状况、有无男孩、人均月收入、支持利用度、自责及EPQ-N与抑郁症状的发生有关。结论行输卵管结扎术的妇女易出现抑郁症状,其发生与心理、社会因素有关。

Objective To explore the tubal ligaton-induced depression in women and its influencing factors so as to provide the basis for effective intervention.Methods The Self-Rating Deppression scale（SRDS） designed by ZUNG,social support scale,the coping style questionnaire and the Eysenck personality questionnaire（EPQ） were used in 3 days after operation and two years later respectively to survey the conditions of 1301 tubal-ligation women,and the demographic data were also collected.Results 42.7% of the 1301 tubal-ligation women showed some depressive symptoms on 3 rd day postoperatively,and 27.4% of them still had depressive disorder.The multiple factor analyses found the depression tubal-ligation women was closely related to o marital status,lack of boys,monthly income,self-blame and personality.Conclusion The high incidence of depressive symptoms of tubal-ligation women three days or two years after their operations is related to psychological and social factors.