基于多元文化理念的健康教育对新疆多民族高龄不孕患者焦虑抑郁、失眠和希望水平的影响

Influences of health education based on multicultural concept on anxiety,depression,insomnia and hope level in multinational senile infertile women in Xinjiang

目的探讨基于多元文化理念的健康教育对新疆多民族高龄不孕患者焦虑抑郁、失眠、希望水平、幸福指数和生育生活质量的影响。方法选取2017年7-12月于新疆医科大学第一附属医院生殖医学中心就诊的80例多民族高龄不孕患者作为观察对象,随机分为对照组40例和观察组40例。对照组给予常规健康教育,观察组给予基于多元文化理念的健康教育。分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、失眠症状评分、Herth希望指数量表(HHI)、幸福指数量表和生育生活质量量表评价患者焦虑、抑郁、希望水平、幸福指数及生育生活质量。比较两组患者干预前后SAS评分、SDS评分、失眠症状评分、Herth希望指数量表评分、幸福指数评分及生育生活质量评分。结果干预前,两组SAS评分和SDS评分比较,差异均无统计学意义(t=0.395、0.369,均P>0.05)。干预后6月,观察组SAS评分和SDS评分均低于对照组,差异均有统计学意义(t=4.360、2.455,均P<0.05)。失眠症状评分显示,干预前,两组患者难以入睡、再入睡困难及早醒症状评分比较,差异均无统计学意义(t=0.786、1.217、0.322,均P>0.05)。干预后6月,观察组难以入睡、再入睡困难及早醒症状评分均低于对照组,差异均有统计学意义(t=6.054、5.800、3.112,均P<0.05)。HHI评分显示,干预前,两组对现实和未来的态度、采用积极行动的态度、与他人保持密切关系评分和总分比较,差异均无统计学意义(t=0.476、0.556、0.835、0.430,均P>0.05)。干预后6月,观察组对现实和未来的态度、采用积极行动的态度、与他人保持密切关系评分和总分均高于对照组,差异均有统计学意义(t=4.944、4.053、5.485、4.404,均P<0.01)。干预前,两组幸福指数评分和生育生活质量评分比较,差异均无统计学意义(t=1.164、0.440,均P>0.05)。干预后6月,观察组幸福指数评分和生育生活质量评分均高于对照组,差异均有统计学意义(t=4.087、3.445,均P<0.01)。结论基于多元文化理念的健康教育能够减轻新疆多民族高龄不孕患者焦虑、抑郁情绪,改善失眠症状,提高希望水平、幸福指数及生育生活质量。

Objective To investigate the influences of health education based on multicultural concept on anxiety ,depression, insomnia,hope level,happiness index and fertility quality of life in multinational senile infertile women in Xinjiang. Methods 80 multinational senile infertile women,who visited Reproductive Medicine Center of the First Affiliated Hospital of Xinjiang Medical University from July 2017 to December 2017,were selected as observational objects to be randomly divided into the control group and the observation group with 40 cases in each group. The control group was given conventional health education ,while the observation group was given health education based on multicultural concept. Self-rating anxiety scale (SAS),self-rating depre - ssion scale(SDS),scores of insomnia symptoms,Herth hope index quantitative table(HHI),happiness index scale and fertility quality of life questionnaire were employed to assess anxiety,depression,level of hope,happiness index and fertility quality of life, respectively. Then,scores of SAS,SDS,insomnia symptoms,HHI,happiness index and fertility quality of life questionnaire were compared between the two groups before and after intervention. Results Before intervention,the differences in the scores of SAS and SDS were not statistically significant between the two groups (t =0.395,0.369,both P >0.05). After six months of intervention,the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(t=4.360,2.455,both P<0.05). The scores of insomnia symptoms showed that the differences in the scores of difficult to fall asleep,difficult to fall asleep again and early awakening were not statistically significant between the two groups before intervention (t=0.786,1.217,0.322,all P>0.05). After six months of intervention,the scores of difficult to fall asleep,difficult to fall asleep again and early awakening in the observation group were lower than those in the control group ,and the differences were statistically significant (t=6.054,5.800,3.112,all P<0.05). The scores of HHI symptoms showed that the differences in the scores of attitude towards reality and future,attitude towards adopting positive actions,keeping close relationship with others and total scores were not statistically significant between the two groups before intervention (t=0.476,0.556,0.835, 0.430,all P>0.05). After six months of intervention,the scores of attitude towards reality and future,attitude towards adopting positive actions,keeping close relationship with others and total scores in the observation group were higher than those in the control group,and the differences were statistically significant (t=4.944,4.053,5.485,4.404,all P<0.05). Before intervention,the differences in the scores of happiness index and fertility quality of life were not statistically significant between the two groups (t=1.164,0.440,both P>0.05). After six months of intervention,the scores of happiness index and fertility quality of life in the observation group were higher than those in the control group,and the differences were statistically significant (t=4.087,3.445,both P<0.01). Conclusion Health education based on multicultural concept can alleviate anxiety,depression,improve insomnia,and raise hope level,happiness index and fertility quality of life in multinational senile infertile women in Xinjiang.