中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2010年
7期
682-686
,共5页
王建梅%杨华%张钰%李奕%魏振河
王建梅%楊華%張鈺%李奕%魏振河
왕건매%양화%장옥%리혁%위진하
年轻女性%重复人工流产%心理行为%生殖道感染%人工流产后服务
年輕女性%重複人工流產%心理行為%生殖道感染%人工流產後服務
년경녀성%중복인공유산%심리행위%생식도감염%인공유산후복무
Adolescents%Repeated abortion%Psychosocial behavior%Reproductive tract infections%Post abortion service
目的 了解重复人工流产年轻女性的心身症状、生殖道感染及生殖避孕知识需求,为开展年轻女性流产后服务提供参考和建议.方法 选择2007年7月至2008年5月就诊于天津医科大学第二医院和天津市中心妇产科医院计划生育科,年龄24岁以下,既往人工流产1次以上,早孕5~10周要求人工流产的未婚年轻女性400例(研究组),采用精神症状自评量表、生殖健康调查表进行匿名问卷调查,术前进行生殖道感染状况检查,所得数据输入计算机后应用SPSS 11.5软件进行统计学分析.结果 研究组的平均年龄为(21.18±2.46)岁,既往人工流产次数(1.96±1.44)次,2次及以上占52%.首次流产年龄<20岁、性生活频率>3次/周、性伴侣数2个以上以及前次人工流产选择无痛人工流产是未婚年轻女性重复多次妊娠的影响因素.心理健康状况分析:研究组抑郁、恐怖、精神病性、躯体化、人际关系、焦虑和敌对性的因子分值均高于全国常模,差异均有统计学意义(P均<0.05).既往患有生殖道感染者为34.5%.研究组生殖道感染患病率为59.5%,患1种生殖道感染者占58.5%,患2种生殖道感染疾病者占36.0%,其中33.5%的生殖道感染患者无临床感染征象.流产次数>2次、首次性行为年龄≤18岁、既往有生殖道感染病史、性生活频率多于3次/周、多性伴特别是同时多性伴、性生活卫生差为生殖道感染的危险因素.结论 重复人工流产年轻女性存在心理、生理多方面生殖健康问题,生殖避孕知识缺乏是主要原因.完善人工流产后服务、积极开展围手术期生殖心理健康咨询,指导并督促年轻女性流产后落实可靠和可持续的避孕措施,是防范未婚年轻女性重复流产,保障其身心健康的关键.
目的 瞭解重複人工流產年輕女性的心身癥狀、生殖道感染及生殖避孕知識需求,為開展年輕女性流產後服務提供參攷和建議.方法 選擇2007年7月至2008年5月就診于天津醫科大學第二醫院和天津市中心婦產科醫院計劃生育科,年齡24歲以下,既往人工流產1次以上,早孕5~10週要求人工流產的未婚年輕女性400例(研究組),採用精神癥狀自評量錶、生殖健康調查錶進行匿名問捲調查,術前進行生殖道感染狀況檢查,所得數據輸入計算機後應用SPSS 11.5軟件進行統計學分析.結果 研究組的平均年齡為(21.18±2.46)歲,既往人工流產次數(1.96±1.44)次,2次及以上佔52%.首次流產年齡<20歲、性生活頻率>3次/週、性伴侶數2箇以上以及前次人工流產選擇無痛人工流產是未婚年輕女性重複多次妊娠的影響因素.心理健康狀況分析:研究組抑鬱、恐怖、精神病性、軀體化、人際關繫、焦慮和敵對性的因子分值均高于全國常模,差異均有統計學意義(P均<0.05).既往患有生殖道感染者為34.5%.研究組生殖道感染患病率為59.5%,患1種生殖道感染者佔58.5%,患2種生殖道感染疾病者佔36.0%,其中33.5%的生殖道感染患者無臨床感染徵象.流產次數>2次、首次性行為年齡≤18歲、既往有生殖道感染病史、性生活頻率多于3次/週、多性伴特彆是同時多性伴、性生活衛生差為生殖道感染的危險因素.結論 重複人工流產年輕女性存在心理、生理多方麵生殖健康問題,生殖避孕知識缺乏是主要原因.完善人工流產後服務、積極開展圍手術期生殖心理健康咨詢,指導併督促年輕女性流產後落實可靠和可持續的避孕措施,是防範未婚年輕女性重複流產,保障其身心健康的關鍵.
목적 료해중복인공유산년경녀성적심신증상、생식도감염급생식피잉지식수구,위개전년경녀성유산후복무제공삼고화건의.방법 선택2007년7월지2008년5월취진우천진의과대학제이의원화천진시중심부산과의원계화생육과,년령24세이하,기왕인공유산1차이상,조잉5~10주요구인공유산적미혼년경녀성400례(연구조),채용정신증상자평량표、생식건강조사표진행닉명문권조사,술전진행생식도감염상황검사,소득수거수입계산궤후응용SPSS 11.5연건진행통계학분석.결과 연구조적평균년령위(21.18±2.46)세,기왕인공유산차수(1.96±1.44)차,2차급이상점52%.수차유산년령<20세、성생활빈솔>3차/주、성반려수2개이상이급전차인공유산선택무통인공유산시미혼년경녀성중복다차임신적영향인소.심리건강상황분석:연구조억욱、공포、정신병성、구체화、인제관계、초필화활대성적인자분치균고우전국상모,차이균유통계학의의(P균<0.05).기왕환유생식도감염자위34.5%.연구조생식도감염환병솔위59.5%,환1충생식도감염자점58.5%,환2충생식도감염질병자점36.0%,기중33.5%적생식도감염환자무림상감염정상.유산차수>2차、수차성행위년령≤18세、기왕유생식도감염병사、성생활빈솔다우3차/주、다성반특별시동시다성반、성생활위생차위생식도감염적위험인소.결론 중복인공유산년경녀성존재심리、생리다방면생식건강문제,생식피잉지식결핍시주요원인.완선인공유산후복무、적겁개전위수술기생식심리건강자순,지도병독촉년경녀성유산후락실가고화가지속적피잉조시,시방범미혼년경녀성중복유산,보장기신심건강적관건.
Objective To study the reproductive health status in adolescents underwent repeated abortion and their psychosocial behavioral status and to understand their demanding on the knowledge of contraception, so as to provide suggestions on post abortion care. Methods From July ,2007 to May,2008,400 unmarried adolescents who visited doctors and met the following criteria were recruited in the study:①Younger than 24 years old;②Had artificial abortion at least once;③Have been pregnant for 5-10 weeks and asked for artificial abortion. Data were collected through symptom checklist 90 (SCL-90)and anonymous reproductive health questionnaire. The situation of reproductive tract infections (RTIs) were detected through gynecological examination and laboratory tests.The data was analyzed by SPSS 11.5 statistical software. Results The mean age of the subjects was 21. 18 ±2. 46 years. The mean time of previous artificial abortion was 1.96 ± 1.44,with 52% of ≥2 times. Aged less than 20 years old at the first abortion,having sex more than 3 times per week,more than 2 sex partners,and history of painless abortion were associated with repeated abortion in unmarried adolescents. The SCL-90 scores showed that the subjects had higher score of depression, terror, psychiatric symptoms, somatization, interpersonal sensitivity,anxiety and hostility factors than normal population (P < 0. 05). Of the subjects ,34. 5% had history of RTIs, and the current prevalence of RTI was 59. 5% ,and 58. 5% with one kind of RTI and 36. 0% with two kinds of RTI. Of these RTI patients,33. 5% did not present any clinical symptoms. Abortion for more than twice,first sex intercourse occurred at age younger than 18,history of RTI,sex intercourse of more than 3 time per week,multiple sex partners,especially18,history of RTI,sex intercourse of more than 3 time per week,multiple sex partners,especiallyhaving multi sex partner at the same, and poor sex sanitation were risk factors of RTI. Conclusions There are various reproductive health problems among repeated abortion adolescents in mental and physical aspects, lack of knowledge on reproductive health and contraception is the main reason. Improving post-abortion services will be helpful to prevent repeated abortion in adolescents and protect their physical and mental health.
