CAJ | 학술논문

目的：探讨复发性流产（ RSA）患者家庭功能、个人应对方式及心理健康之间的关系。方法选取复发性流产患者及普通妇女各115例作为病例组及对照组，采用家庭功能评定量表、医学应对方式问卷及症状自评量表（ SCL-90）进行调查，分析三者之间的关系。结果与对照组比较，复发性流产患者SCL-90各因子均分及总分较高（均P＜0．05），家庭功能中的“问题解决”、“沟通”、“角色”、“行为控制”及“总的功能”得分明显较低（t值分别为3．58、2．81、2．45、2．16、2．81，均P＜0．05），更倾向于采取“屈服”消极应对方式（t＝3．08，P＜0．01）。复发性流产妇女的SCL-90各因子得分与家庭功能各因子得分呈显著正相关（P＜0．05），家庭功能各因子与个体的消极应对方式“屈服”均呈显著负相关（r值分别为-0．12、-0．12、-0．12、-0．11、-0．14、-0．13、-0．12，均P＜0．05）。多元回归分析表明，夫妻关系及自然流产次数是影响复发性流产患者心理健康状况的主要因素。结论复发性流产患者心理健康状态差，应帮助其建立正确的认知与积极的应对方式，给予主动、持续、个体化的集关爱与综合干预一体的临床诊治，注重家庭整体系统的干预，以提高复发性流产患者的心理健康水平。
목적：탐토복발성유산（ RSA）환자가정공능、개인응대방식급심리건강지간적관계。방법선취복발성유산환자급보통부녀각115례작위병례조급대조조，채용가정공능평정량표、의학응대방식문권급증상자평량표（ SCL-90）진행조사，분석삼자지간적관계。결과여대조조비교，복발성유산환자SCL-90각인자균분급총분교고（균P＜0．05），가정공능중적“문제해결”、“구통”、“각색”、“행위공제”급“총적공능”득분명현교저（t치분별위3．58、2．81、2．45、2．16、2．81，균P＜0．05），경경향우채취“굴복”소겁응대방식（t＝3．08，P＜0．01）。복발성유산부녀적SCL-90각인자득분여가정공능각인자득분정현저정상관（P＜0．05），가정공능각인자여개체적소겁응대방식“굴복”균정현저부상관（r치분별위-0．12、-0．12、-0．12、-0．11、-0．14、-0．13、-0．12，균P＜0．05）。다원회귀분석표명，부처관계급자연유산차수시영향복발성유산환자심리건강상황적주요인소。결론복발성유산환자심리건강상태차，응방조기건립정학적인지여적겁적응대방식，급여주동、지속、개체화적집관애여종합간예일체적림상진치，주중가정정체계통적간예，이제고복발성유산환자적심리건강수평。
Objective To explore the relationship between family function and coping style of recurrent spontaneous abortion ( RSA) women and mental health.Methods Totally 150 RSA patients and 150 ordinary women were selected in patient group and control group , respectively.Family Assessment Device (FAD), Medical Coping Mode Questionnaire and Symptom Check List-90 (SCL-90) were used to evaluate the relationship among them .Results Compared with the control group , the patient group had higher average score and total score on SCL-90 (both P<0.05), and the scores on “solving problem”,“communication”,“role”,“behavior control” and“general features”in FAD were obviously lower (t value was 3.58, 2.81, 2.45, 2.16 and 2.81, respectively, all P<0.05).RSA patients were more inclined to adopt a “yield” negative coping style ( t =3.08, P <0.01).SCL-90 scores and FAD scores of RSA patients showed a significant positive correlation (P<0.05).There was significant negative correlation between factors of family function and coping style of“yield”(r value was -0.12, -0.12, -0.12, -0.11, -0.14, -0.13 and -0.12, respectively, all P<0.05).Multiple regression analysis showed that the marital relationship and the frequency of natural abortion were major factors affecting the mental health of RSA patients.Conclusion RSA women has poor mental health , and we should help them to establish a correct perception and positive coping style.Clinical diagnosis and treatment combining active sustained and individual care with comprehensive intervention should be provided for them and focus on family intervention , so as to improve psychological health of RSA patients .