摘要
目的调查绝育术(包括输精管结扎术和输卵管结扎术)后人群的抑郁、焦虑症状的发生状况,为预防绝育术后抑郁焦虑障碍提供临床依据。方法对141例输卵管结扎术受术者和109例输精管结扎术受术者进行面访调查,填写自编一般资料问卷、汉密顿抑郁量表17项(HAMD-17)、汉密顿焦虑量表(HAMA)。结果 HAMD-17评分结果为重度抑郁5例(2.0%),中度抑郁32例(12.8%),轻度抑郁48例(19.2%),无抑郁165例(66.0%)。HAMA评分结果为严重焦虑4例(1.6%),明显焦虑16例(6.4%),肯定有焦虑58例(23.2%),可能有焦虑84例(33.6%),无焦虑88例(35.2%)。结论绝育术后部分受术者会出现抑郁、焦虑症状。对高危人群如女性、未生育男孩的受术者,应注意做好解释安抚工作,必要时请心理卫生专业人员心理辅导,以减少绝育术后抑郁焦虑障碍的发生。
Objective To investigate the depression and anxiety symptoms of the persons who underwent sterilization（including vasoligation and tubal ligation）,provide clinical evidence to prevent depression and anxiety disorders after the surgery.Methods 141 tubal ligation subjects and 109 vasoligation subjects were interviewed by the self designed general information questionnaire,Hamilton Depression Scale-17（HAMD-17） and Hamilton Anxiety Scale（HAMA）.Results According to the results of HAMD scale,there were 5（2.0%） cases with severe depression,32（12.8%） cases with moderate depression,48（19.2%） cases with mild depression and 165（66%） cases with no depression.The results of HAMA scale indicated that severe anxiety accounts for 4（1.6%）,significant anxiety for 16（6.4%）,certain anxiety for 58（23.2%）,possible anxiety for 84（33.6%） and 88（35.2%） with no anxiety. Conclusion Some recipients displayed depression and anxiety symptoms after the sterilization surgery.For these high-risk groups such as females,people don＇t have a male offspring or the unstable emotional personality type,in order to reduce depression and anxiety disorders after sterilization,explaining and comforting is needed,and professional psychological counseling is an important way to resort when necessary.
出处
《广州医药》
2011年第4期3-6,共4页
Guangzhou Medical Journal
基金
广东省人口和计划生育委员会科研项目(2008032)
