稽留流产夫妻双方的心理困扰及其相关因素分析

Analysis of psychological distress and related factors of missed abortion couples

目的探讨稽留流产夫妻双方的心理困扰,并分析其相关因素。方法选取2014年6月至2016年6月于首都医科大学附属北京妇产医院诊治的稽留流产病人及其配偶各110例,收集所有研究对象的人口学资料,采用凯勒斯心理困扰量表(K10)调查心理困扰程度,分析心理困扰程度与人口学特征行的相关性。结果(1)稽留流产病人心理困扰得分(27.89±5.70)分高于病人配偶(24.41±6.10)分,P<0.05。稽留流产病人重度心理困扰者所占比例44 (40.00%)高于病人配偶28(25.46%),P<0.05。轻度心理困扰者所占比例亦低于病人配偶,P<0.05;(2)稽留流产病人各指标分层后比较,仅年龄、文化程度及流产史差异有统计学意义(P<0.05),即年龄低、文化程度低或流产史的病人心理困扰程度较高;配偶的心理困扰程度在不同年龄、文化程度及个人月收入方面比较,差异有统计学意义(P<0.05),且年龄越小、文化程度越低、个人收入越低,心理困扰程度越高(P<0.05);(3) Pearson相关分析发现,年龄、文化程度及流产史是稽留流产病人心理困扰的相关因素(r=0.723、-0.783、0.681,P=0.002、0.000、0.007);年龄和个人月收入是配偶心理困扰的相关因素(r=-0.746、0.729,P=0.000、0.001)。结论稽留流产夫妻以中度心理困扰多见,且女性困扰程度高于男性;年龄高、文化程度低、有流产史的稽留流产病人或低年龄、个人收入低的配偶可能是发生心理困扰的高危对象。

Objective To investigate the psychological distress of missed abortion couples,and analyze the related factors.Methods Missed abortion patients and their spouses were selected in 110 cases respectively in Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University from June 2014 to June 2016.The demographic data was collected from all participants.The calise psychological distress scale(K10) was used to investigate the degree of psychological distress.Pearson correlation analysis was used to analyze the correlation between psychological distress and demographic characteristics.Results(1) Missed abortion patients psychological distress scored [(27.89±5.70) vs.(24.41±6.10) score,P<0.05] and the proportion of severe psychological distress [44(40.00) vs.28(25.46),P<0.05]were higher than those of the spouses of patients,but the proportion of mild psychological distress[8(7.27) vs.22(20.00),P<0.05]was lower than that of the spouses of patients;(2) After the stratification of the indicators of missed abortion patients,the differences in the age,education level and abortion history were statistically significant.That is,patients with low age,low school literacy and abortion history have higher psychological distress,the degree of psychological distress of spouses was statistically significant in different age,school literacy and personal monthly income(P<0.05),and the lower the age,school literacy and income,the higher the psychological distress(P<0.05);(3) Pearson correlation analysis showed that age,school literacy and abortion history were related factors of missed abortion patients with psychological distress(r=0.723,-0.783,0.681,P=0.002,0.000,0.007);age and personal monthly income were the related factors of spouse psychological distress(r=-0.746,0.729,P=0.000,0.001).Conclusion Missed abortion couples were more suffering from moderate psychological distress,and the female was more troubled than male.Patients with low age,low school literacy and abortion history or low-age,low-income spouses may be at high risk of psychological distress object.