异位妊娠患者心理健康状况研究

Psychological health status of patients with ectopic pregnancy

目的研究异位妊娠患者心理健康状况，为针对性的心理护理十预措施提供参考。方法叫顾性收集我院2011年1月～2013年3月异位妊娠患者的资料，同期收集正常孕妇的资料进行对比，采用病例对照的方法研究影响异位妊娠患者的心理健康状况。结果异位妊娠组平均年龄为（32．35±6．61）岁，正常孕妇组平均年龄为（26．18±8．10）岁，异位妊娠组年龄明显高于正常孕妇组（t=7．85，P〈0．05）；异位妊娠组焦虑得分为（11．18±1．94）分，正常组焦虑得分为（8．24±1．47）分，异位妊娠组焦虑得分明显高于正常孕妇组（t=6．97，P〈0．05）；对两组焦虑发生率比较，异位妊娠组心理焦虑发生率明显高于正常孕妇组（x^2=31．20，P〈0．05）；对两组心理健康状况进行评估发现：异位妊娠组在躯体化因子（t=4．16，P〈0.05）、强迫症状因子（t=3．95，P〈0．05）、人际关系闪子（t=4．08，P〈0．05）、抑郁因子（t=4．15，P〈0．05）、焦虑网子（t=3．84，P〈0．05）、其他因子（t=3．82，P〈0．05）、总分（t=8．15，P〈0．05）等方面明显高于正常孕妇组。结论异位妊娠患者的心理健康问题主要表现为焦虑和抑郁症状，需要积极探讨针对性的护理干预模式，改善患者的心理健康状况。

Objective To study the mental health status of patients with ectopic pregnancy, so as to provide reference for targeted psychological nursing intervention. Methods The clinical data of patients with ectopic pregnancy who admitted to our hospital from January 2011 to March 2013 were retrospectively collected and compared with the clinical data of normal pregnant women who admitted into our hospital in the same period, so as to study the psychological health status of patients with ectopic pregnancy. Results The average age of ectopic pregnancy group was （32.35± 6.61 ） years,while the normal pregnant women group was （26.18±8.10） years,the ectopic pregnancy group was significantly higher than that of normal pregnant woman group （t = 7.85, P 〈 0.05） ; The anxiety score of ectopic pregnancy group was （11.18±1.94）, while the normal pregnant women group was （8.24± 1.47）, the ectopic pregnancy group was significantly higher than that of normal pregnant woman group （t = 6.97, P 〈 0.05） ; The incidence of anxiety of ectopic pregnancy group was significantly higher than that of normal pregnant woman group（x^2=31.20, P 〈 0.05 ）. The evaluation of mental health of the two groups showed that the ectopic pregnancy group were significantly higher than the normal pregnant women group in somatization factor（t=4.16, P 〈 0.05）, force symptom factor （t = 3.95, P 〈 0.05）, interpersonal relationship factor （t = 4.08, P 〈 0.05）, depression factor （t = 4.15, P 〈 4.15）, anxiety factor （t ： 3.84, P 〈 0.05）, other factors （t = 3.82, P 〈 0.05）, and aggregate score （t = 8.15, P 〈 0.05）. Conclusion The main problems of psychological health of patients with ectopic pregnancy are anxiety and depression symptoms, we need to actively explore the targeted psychological nursing intervention mode, so as to improve the mental health status of patients.