CAJ | 학술논문

目的：探讨接受输卵管结扎术妇女术前心理状态及其应对方式。方法：以症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表( SDS)和特质应对方式问卷( TCSQ)对100例接受输卵管结扎术妇女术前进行评定比较。结果：①接受输卵管结扎术妇女术前的SCL-90焦虑、抑郁、躯体化及恐怖因子以及SCL-90总分均高于一般人群；于接受输卵管结扎术妇女术前的SAS与SDS评分均高于一般人群；③13名妇女的SAS、SDS评分均超过分界值，其TCSQ提示多使用消极应对方式，而正常对照组则多使用积极应对方式。结论：输卵管结扎术妇女术前存在较明显的焦虑抑郁情绪，其发生与消极应对方式有关，临床工作中应加强对其心理健康教育，培养积极应对方式，减少心理问题出现。
목적：탐토접수수란관결찰술부녀술전심리상태급기응대방식。방법：이증상자평량표(SCL-90)、초필자평량표(SAS)、억욱자평량표( SDS)화특질응대방식문권( TCSQ)대100례접수수란관결찰술부녀술전진행평정비교。결과：①접수수란관결찰술부녀술전적SCL-90초필、억욱、구체화급공포인자이급SCL-90총분균고우일반인군；우접수수란관결찰술부녀술전적SAS여SDS평분균고우일반인군；③13명부녀적SAS、SDS평분균초과분계치，기TCSQ제시다사용소겁응대방식，이정상대조조칙다사용적겁응대방식。결론：수란관결찰술부녀술전존재교명현적초필억욱정서，기발생여소겁응대방식유관，림상공작중응가강대기심리건강교육，배양적겁응대방식，감소심리문제출현。
Objective:To discuss mental stateS and coping styles for women who will receive ligation of fallopian tube. Meth-ods:100 women were investigated and compared with symptom checklist 90 (SCL-90), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and trait coping style questionnaire (TCSQ) before they received the ligation of fallopian tube. Results: (1) The scores of the anxiety, depression, somatization, phobia factors and the total scale of SCL-90 of the women with the ligation of fal-lopian tube were higher than those of the national norm; ( 2 ) The scores of SAS and SDS of the women with the ligation of fallopian tube were higher than those of the national norm. (3) The SAS and SDS scores of 13 women exceeded the dividing line, they were apt to use more negative coping styles while control group were apt to use more positive coping styles. Conclusions:There are many prob-lems about anxiety and depression before the women receive the ligation of fallopian tube. Therefore, it should strengthen the mental health education and cultivate the positive coping styles to reduce the occurrence of psychological problems.