宫腔镜检查复发性流产患者 焦虑情绪及影响因素研究

Study on anxiety and influencing factors in patients with recurrent abortion by hysteroscopy

目的探讨宫腔镜检查复发性流产患者焦虑情绪及其影响因素。方法选取天津医科大学第二医院2020年2月至2022年2月108例行宫腔镜检查的复发性流产患者。宫腔镜检查前采用Zung氏焦虑自评量表(SAS)评估患者焦虑状况,根据SAS评分将患者分为焦虑组(SAS评分>50分)和无焦虑组(SAS评分≤50分)。采用医院自制纸质调查表调查患者年龄、婚姻状况、职业、生育史、性生活史、人工流产史、流产原因、对性行为及人工流产的态度等,宫腔镜检查复发性流产患者焦虑情绪的影响因素采用多因素logistic回归分析。结果108例行宫腔镜检查的复发性流产患者中86例存在焦虑情绪,SAS评分为(67.42±5.33)分。两组年龄、婚姻状况、所在地、文化程度、经济收入比较,差异有统计学意义(P<0.05);两组职业状况、流产史、性伴侣个数、孕次、产次、流产原因比较,差异无统计学意义(P>0.05)。年龄<25岁(OR=1.608)、未婚(OR=2.186)、经济收入≤4000元/月(OR=2.581)是宫腔镜检查复发性流产患者焦虑情绪的影响因素(P<0.05)。结论年龄<25岁、未婚、经济收入≤4000元/月是宫腔镜检查复发性流产患者焦虑情绪的影响因素,针对上述因素进行针对性干预有助于缓解患者的焦虑情绪,提高宫腔镜诊疗效率。

Objective To explore the anxiety and influencing factors in patients with recurrent abortion by hysteroscopy.Methods A total of 108 cases with recurrent abortion who underwent hysteroscopy from February 2020 to February 2022 in the Second Hospital of Tianjin Medical University were selected.The Zung’s self-rating anxiety scale(SAS)was used to evaluate the anxiety of patients before hysteroscopy,according to the SAS score,the patients were divided into the anxious group(SAS score>50 points)and the non-anxious group(SAS score≤50 points).The paper questionnaire made by the hospital was used to investigate the patients’age,marital status,occupation,reproductive history,sexual life history,history of induced abortion,causes of abortion,attitude towards sexual behavior and induced abortion,etc.,and the influencing factors of anxiety in patients with recurrent abortion by hysteroscopy were analyzed by multivariate logistic regression.Results Anxiety was present in 86 of 108 patients with recurrent abortion who underwent hysteroscopy,and SAS score was(67.42±5.33)points.There were statistically significant differences in age,marital status,location,education level,and economic income between two groups(P<0.05);there were no significant differences in occupational status,abortion history,number of sexual partners,pregnancies number,births number,and causes of abortion between two groups(P>0.05).Age<25 years old(OR=1.608),unmarried(OR=2.186),economic income≤4000 yuan per month(OR=2.581)were the influencing factors of anxiety in patients with recurrent abortion by hysteroscopy(P<0.05).Conclusion Age<25 years old,unmarried,and economic income≤4000 yuan per month are the influencing factors of anxiety in patients with recurrent abortion by hysteroscopy.Targeted intervention for the above factors can help alleviate the anxiety of patients and improve the efficiency of hysteroscopic diagnosis and treatment.