摘要
目的探讨激惹、抑郁和焦虑量表（IDA）用于卵巢过度刺激综合征（OHSS）患者心理调查的可行性，并考察有效的心理护理对OHSS患者激惹、焦虑及抑郁水平的影响。方法OHSS患者42例（OHSS组）和接受不孕症治疗无该并发症的患者42例（不孕组），根据患者存在的心理问题，对OHSS组实施针对性的心理护理1～2周。对两组患者心理干预前后的IDA量表评分进行比较分析。结果心理干预前OHSS组各项IDA（抑郁、焦虑、内向性激惹、外向性激惹）评分均高于不孕组[（5．9±2．2）、（6．4±2．1）、（3．9±1．8）、（4．4±2．1）分比（3．7±1．9）、（4．5±2．0）、（1．9±1．2）、（2．2±1．8）分]，差异均有统计学意义。OHSS组患者经心理治疗后，与干预前相比IDA量表评分明显降低[（3．2±1．3）、（4．7±2．3）、（1．54-1．1）、（2．1±1．7）分比（5．9±2．2）、（6．4±2．1）、（3．9±1．8）、（4．4±2．1）分]，与不孕组IDA评分结果比较差异无统计学意义。结论IDA量表可应用于OHSS患者的心理调查，有效的心理护理有助于降低OHSS患者的激惹、焦虑及抑郁水平。
Objective To explore the feasibility of assessing the psychological status of ovarian hyperstimulation syndrome （OHSS） patients by the use of the Irritability, Depression and Anxiety scale （ IDA）, and to examine the effect of mental care on the level of irritability, depression and anxiety in these patients. Methods Subjects included 42 OHSS patients （ OHSS group） and 42 infertile patients without OHSS （ infertile group） admitted to our hospital from January 2008 to March 2011. IDA scores were assessed before and after psychological intervention and were compared between the two groups. Results The scores of depression, anxiety, irritability with internalism, and irritability with externalism in the OHSS group were （ 5.9 ± 2. 2）, （6.4 ± 2. 1 ）, （3. 9± 1.8 ）, and （4. 4 ± 2. 1 ）, respectively, which were significantly high- er than those of the infertile group （3.7 ± 1.9, 4. 5 ±2.0, 1.9 ± 1.2, and 2.2 ± 1.8, respectively）. Moreover, the IDA scores decreased after mental care in OHSS group （3.2 ± 1.3 ）, （4. 7 ± 2. 3）, （ 1.5 ± 1.1 ）, and（ 2. 1 ± 1.7） after inter- vention vs. （5.9 ±2. 2）, （6. 4 ±2. 1）, （3.9 ± 1.8）, and（4.4 ±2.1） before intervention. However, there was no signifi- cant difference between the OHSS group and infertile group after psychological intervention. Conclusion IDA can be ap- plied for the psychological investigation of OHSS patients. Efficient mental care is effective in decreasing the leve]~ of irrita- bility, depression and anxiety in OHSS patients.
出处
《中国生育健康杂志》
2012年第4期254-256,共3页
Chinese Journal of Reproductive Health
基金
广东省自然科学基金资助项目（编号：2005-ZDi-02）
关键词
卵巢过度刺激综合征
心理护理
激惹
抑郁
焦虑
Ovarian hyperstimulation syndrome
Psychological nursing
Irritability
Depression
Anxiety
作者简介
通讯作者：杨翠莲（yclycl802@163．tom）
