慢性盆腔炎患者疼痛程度与焦虑状态护理观察

目的：观察慢性盆腔炎患者疼痛程度与焦虑状态的相关性。方法：将60例慢性盆腔炎患者纳入观察,采用＂长海痛尺＂进行疼痛评分,汉密尔顿焦虑量表（HAMA）进行焦虑状态评分,对两者的相关性进行统计学分析。结果：①60例患者中,疼痛评分〈4分36例,4~6分17例,6~8分7例。焦虑评估结果,严重焦虑6例,明显焦虑17例,有焦虑22例,无焦虑15例。②疼痛评分〈4分者,焦虑评分平均为（9.8±1.2）分;4~6分者,焦虑评分平均为（14.3±2.2）分;6~8分者,焦虑评分平均为（18.5±2.6）分,经方差分析和SNK-q检验,疼痛评分6~8分者焦虑评分显著高于〈4分者和4~6分者（P〈0.01）;4~6分者显著高于〈4分者（P〈0.01）,提示疼痛评分与焦虑评分的显著相关性。结论：慢性盆腔炎患者普遍存在焦虑状态,且与疼痛程度呈显著相关性,应加强疼痛的观察、护理与治疗。

Observation on relationship between pain and anxiety in patients with chronic pelvic inflammatory disease

Objective： To evaluate the relationship between pain and anxiety in patients with chronic pelvic inflammatory disease.Methods： 60 patients with chronic pelvic inflammatory disease were included in the observation.Changhai Pain Rating Scale was used for pain scores and Hamilton Anxiety Scale（HAMA） was used for anxiety scores.Correlation between pain and anxiety was evaluated with statistical analysis.Results： ①Of the 60 patients,pain score 〈 4 points in 36 patients,4-6 points in 17 patients and 6-8 points in 7 patients were observed.Anxiety assessment results showed severe anxiety in 6 patients,significant anxiety in 17 patients,with anxiety in 22 cases of anxiety patients and no anxiety in 15 patients.②For patients with the pain score of 〈4 points,the anxiety score was（9.8±1.2） points.For patients with the pain score of 4-6 points,the anxiety score was（14.3±2.2） points.For patients with the pain score of 6-8 points,the anxiety score was（18.5±2.6） points.Variance analysis and SNK-q test showed that patients with the pain score of 6-8 points were significantly higher than patients with the pain score of 〈4 points and 4-6 points in the anxiety score（P〈0.01） and that patients with the pain score of 4-6 points were significantly higher than patients with the pain score of 〈4 points in the anxiety score（P〈0.01）,indicating that the pain score and the anxiety score were significantly correlated.Conclusion： Anxiety state is common in patients with chronic pelvic inflammatory disease and is significantly correlated with the degree of pain.Therefore we should strengthen observation,nursing care and treatment.