复发性流产患者家庭功能及应对方式与心理状况分析

目的：探讨复发性流产（ RSA）患者家庭功能、个人应对方式及心理健康之间的关系。方法选取复发性流产患者及普通妇女各115例作为病例组及对照组，采用家庭功能评定量表、医学应对方式问卷及症状自评量表（ SCL-90）进行调查，分析三者之间的关系。结果与对照组比较，复发性流产患者SCL-90各因子均分及总分较高（均P＜0．05），家庭功能中的“问题解决”、“沟通”、“角色”、“行为控制”及“总的功能”得分明显较低（t值分别为3．58、2．81、2．45、2．16、2．81，均P＜0．05），更倾向于采取“屈服”消极应对方式（t＝3．08，P＜0．01）。复发性流产妇女的SCL-90各因子得分与家庭功能各因子得分呈显著正相关（P＜0．05），家庭功能各因子与个体的消极应对方式“屈服”均呈显著负相关（r值分别为-0．12、-0．12、-0．12、-0．11、-0．14、-0．13、-0．12，均P＜0．05）。多元回归分析表明，夫妻关系及自然流产次数是影响复发性流产患者心理健康状况的主要因素。结论复发性流产患者心理健康状态差，应帮助其建立正确的认知与积极的应对方式，给予主动、持续、个体化的集关爱与综合干预一体的临床诊治，注重家庭整体系统的干预，以提高复发性流产患者的心理健康水平。

Correlation analysis of family function,coping style and mental health of RSA patients

Objective To explore the relationship between family function and coping style of recurrent spontaneous abortion （ RSA） women and mental health.Methods Totally 150 RSA patients and 150 ordinary women were selected in patient group and control group , respectively.Family Assessment Device （FAD）, Medical Coping Mode Questionnaire and Symptom Check List-90 （SCL-90） were used to evaluate the relationship among them .Results Compared with the control group , the patient group had higher average score and total score on SCL-90 （both P〈0.05）, and the scores on “solving problem”,“communication”,“role”,“behavior control” and“general features”in FAD were obviously lower （t value was 3.58, 2.81, 2.45, 2.16 and 2.81, respectively, all P〈0.05）.RSA patients were more inclined to adopt a “yield” negative coping style （ t =3.08, P 〈0.01）.SCL-90 scores and FAD scores of RSA patients showed a significant positive correlation （P〈0.05）.There was significant negative correlation between factors of family function and coping style of“yield”（r value was -0.12, -0.12, -0.12, -0.11, -0.14, -0.13 and -0.12, respectively, all P〈0.05）.Multiple regression analysis showed that the marital relationship and the frequency of natural abortion were major factors affecting the mental health of RSA patients.Conclusion RSA women has poor mental health , and we should help them to establish a correct perception and positive coping style.Clinical diagnosis and treatment combining active sustained and individual care with comprehensive intervention should be provided for them and focus on family intervention , so as to improve psychological health of RSA patients .