育龄期人乳头瘤病毒感染患者生育忧虑现状及其影响因素分析

Analysis on the status and influencing factors of reproductive anxiety in reproductive age patients with human papillomavirus infection

目的探究育龄期人乳头瘤病毒(HPV)感染患者的生育忧虑现状,并分析其影响因素。方法采用随机抽样方式选取2020年1月至2022年1月期间于丽水市妇幼保健院接受治疗的142例育龄期HPV感染患者为研究对象,使用一般资料调查表、改良后的生育忧虑量表、社会关系支持量表(SSRS)、抑郁自评量表(SDS)进行调查,并以多元线性回归分析影响患者生育忧虑的影响因素。结果HPV感染患者生育忧虑总分为(59.08±6.78)分,各维度评分中以怀孕能力忧虑情况最严重。Pearson相关性分析结果显示,患者的社会支持与生育忧虑之间呈负相关(r=-0.46,P<0.05),抑郁情绪与生育忧虑之间呈正相关(r=0.45,P<0.05);经多元线性回归分析结果显示,家庭月收入、文化程度、生育意愿、婚姻状况、子女数量、HPV认知程度、社会支持、抑郁情绪是育龄期HPV患者生育忧虑的影响因素(t分别=-2.88、-15.77、6.18、-7.25、-4.63、-14.50、-3.28、3.20,P均<0.05),可联合解释生育忧虑总变异的48.70%。结论家庭月收入、文化程度、生育意愿、婚姻状况、子女数量、HPV认知程度、社会支持、抑郁情绪是育龄期HPV患者生育忧虑的影响因素,临床工作中,应针对相应情况患者进行有效的治疗及疏导,加强其护理干预措施,促进患者身心健康发展。

Objective To explore the current situation of childbearing anxiety of patients with human papillomavirus(HPV)infection at childbearing age,and analyze its influencing factors.Methods Totally 142 cases of HPV infection in childbearing age who were diagnosed and treated in Lishui Maternal and Child Health Hospital from January 2020 to January 2022 were selected by random sampling.The patients were surveyed by general data questionnaire,improved fer⁃tility anxiety scale,social relationship support scale(SSRS),depression self rating scale(SDS),and the influencing fac⁃tors of patients'fertility anxiety was analyzed by multiple linear regression.Results The results of the survey showed that the total score of fertility anxiety was 59.08±6.78,and the pregnancy ability anxiety was the most serious in all di⁃mensions.Pearson correlation analysis showed that there was a negative correlation between patients'social support and fertility anxiety(r=-0.46,P<0.05),and a positive correlation between depression and fertility anxiety(r=0.45,P<0.05).The results of multiple linear regression analysis showed that family monthly income,education level,fertility inten⁃tion,marital status,number of children,HPV cognition,social support and depression were the influencing factors of fertil⁃ity anxiety of HPV patients at childbearing age(t=-2.88,-15.77,6.18,-7.25,-4.63,-14.50,-3.28,3.20,P<0.05),which could jointly explain 48.70%of the total vari⁃ation of fertility anxiety.Conclusion Monthly fami⁃ly income,education level,fertility intention,marital status,number of children,HPV cognition,social support and depression are the influencing factors of fertility anxiety of HPV patients at childbearing age.In clinical work,effective treatment and counseling should be carried out for patients with corresponding conditions,and nursing intervention measures should be strength⁃ened to promote their physical and mental health development.