女性尖锐湿疣患者焦虑、抑郁症状的现状及影响因素分析

目的分析女性尖锐湿疣(CA)患者焦虑、抑郁症状的现状及影响因素,为制定更完善的护理措施提供理论依据。方法以方便抽样的方法,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对2011年1-9月在绍兴市7家医院门诊治疗的女性CA患者进行问卷调查。共调查200例,年龄18～65岁;已婚99例,离异或丧偶10例,未婚91例;性传播142例,间接传播58例;病程7d～6个月。结果女性CA患者的SAS总分为34.75±8.37,SDS为39.19±8.89,均高于国内常模SAS(29.78±10.07)和SDS(33.46±8.55)。本组患者焦虑发生率为23.5%,主要表现在焦虑、害怕、睡眠障碍等方面。患者的抑郁发生率为47.5%,主要表现在忧郁、性兴趣减退等方面。文化程度、职业和婚姻状况等因素对患者的焦虑、抑郁有显著影响(P<0.05)。结论女性CA患者的焦虑和抑郁发生率较高,症状较为严重。医护人员应为患者提供适当的心理支持,改善患者的焦虑和抑郁症状,提高患者的生活质量,早日恢复身心健康。

Anxiety, Depression and their Relative Factors in Female Patients with Condyloma Acuminatum

Objective To explore the relative factors of anxiety and depression in female patients with Condyloma Acuminatum. Methods Scales as SAS and SDS were used to investigate the female patients with Condyloma Acuminatumin from seven hospitals in Shaoxing City who received treatment since January to September of 2011 on the principle of convenience sampling. Results A total of 200 cases of patients with Condyloma Acuminatum were involved, aged 18 to 65 years old, treatment periods ranged from seven days to six months.Of which, 99 cases were married, 10 cases were divorced or widowed, 91 cases were single, 142 cases of which were infected by sexual transmission and 58 cases were infected by indirect transmission. The total scores of SAS were (34.75±8.37 )while the total scores of SDS were (39.19±8.89), both of which were higher than domestic norm ( 29.78±10.07 )and (33.46±8.55) respectively. The rate of patients with anxiety was 23.5%, manifested mainly by anxiety,fear, sleep disorders. The rate of patients with depression was 47.5%, mainly shown as depression, loss of interest in sex and so on. Educational level, occupation and marital states had significant influences on symptoms of anxiety and depression. Conclusion Female patients with Condyloma Acuminatum had a high risk for serious symptoms as anxiety and depression. Nurses should offer proper psychological supports to eliminate the patients’ anxiety and depression as well as to enhance their quality of life so that they could be earlier recovered physically and mentally.