育龄期全子宫切除患者术后精神障碍发生情况及其影响因素分析

Analysis of postoperative mental disorders and influencing factors in patients with total hysterectomy during childbearing age

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(3)
作者
作者单位

安阳市人民医院 ;

摘要
【摘要】观察育龄期行全子宫切除术(TH)患者术后精神障碍的发生情况,并探讨术后精神障碍发生的影响因素,以指导未来该类患者精神障碍的风险评估及干预。方法 选取2016年1月-2020年1月我院接受TH术治疗的215例育龄期女性患者,自制一般资料调查表收集患者资料,采用简明精神病评定量表(BPRS)评估患者术后精神障碍发生情况。采用单因素及多因素分析患者发生术后精神障碍的影响因素。结果 215例育龄期行TH术治疗的患者,有51例发生术后精神障碍,发生率为23.72%;经单项回归分析后建立多元回归模型行多因素分析结果显示,育龄期行TH术患者疾病类型、有无子女、术前宣教、术中出血、术后疼痛、社会支持情况是患者术后发生精神障碍的影响因素(OR>1,P<0.05)。结论 术前宣教不充分、术后疼痛程度重、社会支持度低下等均可增加育龄期行TH术治疗的患者术后精神障碍风险,针对有上述风险因素者,应引起重视并尽早干预。
Abstract
[Abstract] Objective To observe the occurrence of postoperative mental disorders in patients undergoing total hysterectomy (TH) during childbearing age, and to explore the influencing factors of postoperative mental disorders, so as to guide the risk assessment and intervention of such patients in the future. Methods 215 female patients of childbearing age who received TH surgery in our hospital from January 2016to January 2020 were selected, self-made general information questionnaire was used to collect patient data, the Brief Psychiatric Rating Scale (BPRS) was used to evaluate the postoperative mental disorders. Single factor and multiple factors were used to analyze the influencing factors of postoperative mental disorders. Results Among the 215 patients of childbearing age who underwent TH surgery, 51 had postoperative mental disorders, the incidence was 23.72%; after single regression analysis, a multiple regression model was established and the results of multiple factor analysis showed that patients with TH surgery in childbearing age, the type of disease, the presence or absence of children, preoperative education, intraoperative bleeding, postoperative pain, and social support were the influencing factors for mental disorders after surgery (OR>1, P<0.05). Conclusion Insufficient preoperative education, severe postoperative pain, and low social support can all increase the risk of postoperative mental disorders in patients of childbearing age who undergoes TH surgery. For those with the above risk factors, attention should be paid and intervention as soon as possible.
关键词
【关键词】全子宫切除;育龄期;术后精神障碍;术前宣教;术后疼痛;社会支持
KeyWord
[Keywords] total hysterectomy; childbearing age; postoperative mental disorder; preoperative education; postoperative pain; social support
基金项目
页码 473-477
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裴慧慧*. 育龄期全子宫切除患者术后精神障碍发生情况及其影响因素分析 [J]. 国际精神病学杂志. 2021; 48; (3). 473 - 477.

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