小组心理干预对放置宫内节育器农村育龄妇女焦虑和抑郁的影响

Effect of group psychological intervention on anxiety and depression in rural reproductive women with intrauterine device

目的：探讨小组心理干预对放置宫内节育器农村育龄妇女焦虑、抑郁情绪的影响，为避孕节育措施的开展提供理论与实践的依据。方法对102名放置宫内节育器农村育龄妇女进行小组心理干预，采用焦虑自评量表（ SAS）、抑郁自评量表（ SAS）评价干预前后的不良情绪状况。结果干预前102名农村育龄妇女焦虑、抑郁的检出率分别为29．4％和9．8％，干预后分别降至2．9％和1．0％，干预前后比较差异均有统计学意义（χ2值分别为26．354，7．783；P＜0．01）；干预后SAS为（33．1±7．8）分、SDS为（35．2±8．1）分，均低于干预前，差异有统计学意义（t值分别为2．612，2．866；P＜0．01）。结论放置宫内节育器对农村育龄妇女可能是引发其焦虑、抑郁的应激源，小组心理干预能够明显改善其焦虑、抑郁不良情绪。

Objective To explore the effect of group psychological intervention on anxiety and depression in rural reproductive women with intrauterine device （ IUD） in order to provide the theoretical and practical basis for carrying out contraceptive measures .Methods One hundred and two rural reproductive women with IUD were chosen and received the group psychological intervention , and the unhealthy moods were evaluated by the self-rating anxiety scale （SAS） and the self-rating depression scale （SDS） before and after intervention .Results The detection rates of anxiety and depression in rural reproductive women before intervention were respectively 29.4%（30/102） and 9.8%（10/102）, and were higher than 2.9%and 1.0%after intervention, and the differences were statistically significant （χ2 =26.354, 7.783, respectively;P 〈0.01）.The scores of SAS and SDS were respectively （33.1 ±7.8）, （35.2 ±8.1） after intervention, and were lower than those before intervention , and the differences were statistically significant （ t =2.612, 2.866, respectively;P〈0.01）.Conclusions IUD might be the stress source of causing the anxiety and depression in rural reproductive women , and the group psychological intervention can significant improve their unhealthy moods including anxiety and depression .