73例不孕癥婦女焦慮/抑郁心理狀態(tài)調(diào)查分析

[摘要] 目的 探討不孕癥婦女的焦慮/抑郁心理狀況。 方法 73例自愿參加調(diào)查的女性不孕癥患者，由婦產(chǎn)科專(zhuān)業(yè)調(diào)查人員，按綜合醫(yī)院焦慮/抑郁情緒測(cè)定表（HADS）對(duì)不孕癥人群進(jìn)行心理狀況進(jìn)行問(wèn)卷調(diào)查，測(cè)量患者的焦慮/抑郁癥狀。采用自擬調(diào)查表對(duì)患者生活質(zhì)量狀況進(jìn)行評(píng)定：患者自愿、自行填寫(xiě)量表，量表包括軀體健康、軀體角色功能、軀體疼痛、總體健康、精力、社會(huì)功能、情緒狀況等7個(gè)方面得分。 結(jié)果 不孕癥組患者焦慮的發(fā)生率為32.88%，抑郁發(fā)生率為31.51%；對(duì)照組焦慮的發(fā)生率為5.33%，抑郁的發(fā)生率為2.67%；不孕癥組患者焦慮的發(fā)生率顯著高于對(duì)照組（x2 =16.23，P<0.05），不孕癥組患者抑郁的發(fā)生率顯著高于對(duì)照組（x2 =25.47，P<0.05）。不孕癥組患者焦慮評(píng)分為（6.89±3.21），對(duì)照組為（3.67±1.23），兩組相比差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）；不孕癥組患者抑郁評(píng)分為（6.97±2.80），對(duì)照組為（3.24±1.10），兩組相比差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。73名不孕癥患者，有24名產(chǎn)生了焦慮，有23名產(chǎn)生了抑郁，出現(xiàn)焦慮/抑郁的患者與未出現(xiàn)焦慮/抑郁的患者，在軀體角色功能、軀體疼痛、總體健康、精力、社會(huì)功能和情緒角色功能等方面的得分均低于無(wú)焦慮癥患者，相比差異均具有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 不孕癥患者出現(xiàn)焦慮/抑郁的發(fā)生率顯著大于無(wú)不孕癥患者，出現(xiàn)焦慮/抑郁的不孕癥患者生活質(zhì)量狀況較差，對(duì)于不孕癥患者的焦慮/抑郁狀況，急需給予心理干預(yù)幫助治療。

[關(guān)鍵詞] 不孕癥；焦慮；抑郁；心理

[中圖分類(lèi)號(hào)] R714 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 2095-0616（2013）13-46-03

Investigation and analysis of anxiety and depression psychological states of 73 women with infertility

LIANG Honglan CHEN Xuemei LU Qianqian

Department of Gynecology，Huaiji People's Hospital，Huaiji 526400，China

[Abstract] Objective To investigate and analyze the anxiety/depression psycholigical states of infertile women. Methods 73 infertile women volunteered in this investigation. The General Hospital Anxiety/Depression Scale （HADS） was used by the gynaecology and obstetrics professional investigators to investigate the infertile women's psychological states.The patients' anxiety/depression symptoms were measured. The self-designed questionnaire was used to evaluate the patients' life quality： The patients filled out the questionnaire voluntarily and independently，including physical health，physical role functioning， body pain， general health，energy，social function and emotional status scores. Results In the infertile group，the incidence of anxiety was 32.88% and the incidence of depression was 31.51%；In the control group，the incidence of anxiety was 5.33% and the incidence of depression was 2.67%.The infertile group was significantly higher than the control group in the incidence of anxiety （x2=16.23，P<0.05） and the incidence of depression （x2 =25.47，P<0.05）. The anxiety score of the infertile group was （6.89±3.21） and that of the control group was （3.67±1.23）， with statistically significant difference between the two groups （P<0.05）；The depression score of the infertile group was（6.97±2.80） and that of the control group was （3.24±1.10）， with statistically significant difference between the two groups （P<0.05）. Of the 73 infertile patients，24 had anxiety and 23 had depression；The patients having anxiety/depression were lower than the patients not having anxiety/depression in the physical role functioning， body pain， general health，energy，social function and emotional status scores， with statistical differences （P<0.05）. Conclusion Infertile patients have significantly larger incidence of anxiety/depression than fertile patients and the life quality of the infertile patients suffering from anxiety/depression is worse. For the infertile patients with anxiety/depression，there is an urgent need of psychological intervention treatment.

[Key words] Infertility；Anxiety；Depression；Psychological

不孕癥是一種特殊生殖健康缺陷，通常是指夫婦雙方有生育愿望，且同居1年以上，有正常性生活、均未采取避孕措施仍未能受孕稱(chēng)為不孕癥[1]?！?br>