不同特征女性人工流产时焦虑、抑郁情绪及影响因素

目的:研究不同特征女性人工流产时焦虑、抑郁情绪评估及影响因素。方法:以2019年1-7月在本院择期行人工流产者105例,其中已婚54例、未婚51例,手术流产62例、药物流产43例。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价并比较不同特征者人工流产前焦虑及抑郁程度,多因素logistic分析可能影响因素。结果:不同婚姻状态、文化程度、孕次、产次、流产方式者发生术前焦虑及抑郁程度存在差异(P<0.05),不同年龄、流产次数者术前焦虑及抑郁程度评分未见差异(P>0.05);未婚及手术流产者术前焦虑及抑郁情况最高(P<0.05)。多因素分析,流产妇女婚姻状态、文化程度、产次、孕次以及流产方式均为产生术前焦虑情绪的独立危险因素。结论:未婚及手术流产者流产前负面情绪较高,提示临床在行人工流产中,及时开展健康教育,做好咨询工作,降低流产妇女的负面情绪,提升生殖健康质量。

The situation and influencing factors of anxiety and depression of women with different characteristic before abortion

Objective:To study the situation and influencing factors of anxiety and depression of women with different characteristic before abortion.Methods:105 women wanted elective abortion were selected as the study subjects from January 2019 to July 2019,which included 54 married or divorced women,51 unmarried women.Among them,62 women experienced surgical abortion and 43 women experienced medical abortion.Anxiety and depression situations of these women with different characteristic before abortion were evaluated by Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)and were compared.The influence factors were analyzed by multivariate logistic analysis.Results:There were significant differences in the degrees of anxiety and depression before abortion among the women with different marital status,education level,number of pregnancies,number of births,and abortion mode(P<0.05).There were no significant differences in the degrees of anxiety and depression before abortion of the women with different age and abortion times(P>0.05).Unmarried women and the women wanted surgical abortion had the highest incidence of anxiety and depression before abortion(P<0.05).Multivariate analysis showed that the marital status,educational level,number of births,pregnancy times,and abortion mode were independent risk factors of their anxiety.Conclusion:The preoperative negative emotions of unmarried women and the women wanted surgical abortion are higher,which suggest that health education and counseling should be carried out in time before abortion for reducing the negative emotions and improve the quality of reproductive health of the women who wanting abortion.