CAJ | 학술논문

目的：分析非意愿妊娠人工流产者心理健康状况和心理防御方式以及不良情绪的危险因素。方法选择343例非意愿妊娠人工流产者(研究组)和100例有生育意愿正常早孕孕妇(对照组)为研究对象，采用SCL-90量表和DSQ量表评价两组心理状态和心理防御方式。结果两组焦虑、抑郁、恐怖、敌对及人际关系敏感因子的评分存在显著性差异(P<0.05)。两组4类心理防御机制均存在显著差异(P<0.05)，研究组更倾向于不成熟防御方式、中间型防御方式和掩饰。未婚、不成熟防御方式、掩饰是非意愿妊娠人工流产孕妇不良情绪的独立危险因素(P<0.05)，文化程度、生育知识知晓率程度是保护因素(P<0.05)。结论非意愿妊娠人工流产者存在明显的不良情绪，文化程度较低、生育知识知晓不足、婚前性行为、消极心理防御方式与非意愿妊娠结局及不良情绪有关。
목적：분석비의원임신인공유산자심리건강상황화심리방어방식이급불량정서적위험인소。방법선택343례비의원임신인공유산자(연구조)화100례유생육의원정상조잉잉부(대조조)위연구대상，채용SCL-90량표화DSQ량표평개량조심리상태화심리방어방식。결과량조초필、억욱、공포、활대급인제관계민감인자적평분존재현저성차이(P<0.05)。량조4류심리방어궤제균존재현저차이(P<0.05)，연구조경경향우불성숙방어방식、중간형방어방식화엄식。미혼、불성숙방어방식、엄식시비의원임신인공유산잉부불량정서적독립위험인소(P<0.05)，문화정도、생육지식지효솔정도시보호인소(P<0.05)。결론비의원임신인공유산자존재명현적불량정서，문화정도교저、생육지식지효불족、혼전성행위、소겁심리방어방식여비의원임신결국급불량정서유관。
Objective To analyze the abortion mental state investigation and related factors of negative emotions in unin tended pregnancy. Methods A total of 343 cases of unintended pregnancy by abortion (study group) and 100 patients had normal pregnancy pregnant maternity needs (control group) for the study, used the SCL-90 scale and DSQ scale evaluation of two emotional states and psychological defense way. Results There were significant differences of anxiety, depression, phobia, hostility and interpersonal sensitivity factor scores showed between two groups(P<0.05). There were significant differences of 4 psychological defense mechanism between two groups (P<0.05), the study group was more inclined to immature defense style , middle defense mode and hide. Unmarried, immature defense style , hide non-pregnant women, unwanted pregnancy abortion independent risk factors for negative emotions (P<0.05), education level, knowledge of the extent of fertility awareness were protective factor (P<0.05). Conclusion Unwanted pregnancy by abortion obvious bad mood , low educational level, lack of knowledge about fertility, premarital sex, negative psy-chological defense style and unintended adverse pregnancy outcomes and emotions.