全子宫切除患者术后抑郁症状与人格特征和社会支持的相关性
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摘要
目的:探讨全子宫切除患者术后抑郁症状与人格特征和社会支持的相关性。方法:选取我院2013年3月-2017年2月收治的80例进行子宫全切术患者为研究对象,运用社会支持量表(SSRS)、抑郁量表(SDS)、艾森克人格问卷(EPQ)对所选对象进行调查分析。结果:①子宫全切患者术后抑郁SDS评分为(54.62±16.81)分,社会支持总分(36.52±8.35),人格特征各维度得分分别为内外向(8.45±2.79)分,神经质(17.52±4.31)分,精神质(6.73±2.24)分,掩饰性(7.56±2.19)分;②相关性分析显示,子宫全切患者术后抑郁与社会支持、内外向呈负相关(r=-0.675,-0.527;P<0.01),与精神质、神经质、掩饰性呈正相关(r=0.641,0.518,0.642;P<0.01);③为进一步了解子宫切除患者抑郁状况与人格特征及社会支持之间的关系,以抑郁评分为自变量,以社会支持、内外向、神经质、精神质为因变量进行多元回归分析,分析结果显示社会支持、内外向、神经质、精神质均进入回归方程。结论:子宫全切术后患者其术后抑郁情况发生情况明显高于正常成年女性,其原因可能与患者的社会支持以及个人人格特征相关。
Objective:To investigate the correlation between postoperative depression symptoms,personality traits and social support in patients undergoing total hysterectomy.Methods:A total of 80 cases of hysterectomy in our hospital from March 2013 to February 2017 were selected as the research object,Social support scale(SSRS),depression scale(SDS)and Eysenck Personality Questionnaire(EPQ)were used to investigate the selected subjects.Results:①SDS scored(54.62±16.81)and total social support scored(36.52±8.35)in hysterectomy patients,The scores of personality traits in all dimensions were:Extroversion(8.45±2.79),neurotic(17.52±4.31),mental(6.73±2.24)and cover(7.56±2.19)points,②The correlation analysis showed that postoperative depression in patients with uterine hysterectomy was negatively correlated with social support and extroversion(r=-0.675,-0.527;P<0.01),and was positively correlated with psychoticism,neuroticism and disguise(r=0.641,0.518,0.642;P<0.01),③To further understand the relationship between depression status and personality characteristics and social support in patients with hysterectomy,using depression score as independent variable and multiple regression analysis with social support,extroversion,neuroticism and psychotic as dependent variables,The analysis showed that social support,introversion,neuroticism and spirituality all entered the regression equation.Conclusion:The postoperative depression rate of patients after hysterectomy is obviously higher than that of normal adult women.The reason may be related to the social support of patients and personal personality characteristics.
Objective:To investigate the correlation between postoperative depression symptoms,personality traits and social support in patients undergoing total hysterectomy.Methods:A total of 80 cases of hysterectomy in our hospital from March 2013 to February 2017 were selected as the research object,Social support scale(SSRS),depression scale(SDS)and Eysenck Personality Questionnaire(EPQ)were used to investigate the selected subjects.Results:①SDS scored(54.62±16.81)and total social support scored(36.52±8.35)in hysterectomy patients,The scores of personality traits in all dimensions were:Extroversion(8.45±2.79),neurotic(17.52±4.31),mental(6.73±2.24)and cover(7.56±2.19)points,②The correlation analysis showed that postoperative depression in patients with uterine hysterectomy was negatively correlated with social support and extroversion(r=-0.675,-0.527;P<0.01),and was positively correlated with psychoticism,neuroticism and disguise(r=0.641,0.518,0.642;P<0.01),③To further understand the relationship between depression status and personality characteristics and social support in patients with hysterectomy,using depression score as independent variable and multiple regression analysis with social support,extroversion,neuroticism and psychotic as dependent variables,The analysis showed that social support,introversion,neuroticism and spirituality all entered the regression equation.Conclusion:The postoperative depression rate of patients after hysterectomy is obviously higher than that of normal adult women.The reason may be related to the social support of patients and personal personality characteristics.
引文
[1]郭文佳.高血压病伴焦虑抑郁状态的人格特征及中医证型的相关性研究[D].郑州:河南中医药大学,2016
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[10]黄芳,陈爱萍,徐喆,等.全喉切除术后喉癌患者社会支持与社会功能相关性分析[J].护理管理杂志,2015,15(6):398-399
[11]Leanza V,Castronovo G,Maiorana A,et al.The impact of hysterectomy as uterine fibroid therapy on personality traits and psychological symptoms of patients[J].Giornale Italiano Di Ostetricia E Ginecologia,2016,38(2):253-259
[12]王秀军,高宁,张小云,等.耐药肺结核患者焦虑抑郁状况与社会支持水平的相关性分析[J].中华现代护理杂志,2013,48(36):70-72
[13]杨磊,鱼星锋,李妍,等.女性人格特征、情绪控制与乳腺癌发生危险的相关分析[J].中国健康心理学杂志,2016,24(2):202-206
[14]蔡贞,罗雪.大学新生心理健康和人格特征的关系:心理适应能力的中介作用[J].保健医学研究与实践,2014,11(3):17-20
[15]姚海娟,张忠堂.人格特征在中学生社会支持与心理韧性中的中介作用[J].中国健康心理学杂志,2014,22(1):93-96
[16]侯金兰,杜彩素,王晓润.子宫肌瘤手术患者人格与术前焦虑的相关性研究[J].中国保健营养,2017,27(4):163-164
[2]党国伟.全子宫切术患者焦虑抑郁情绪的社会支持与护理对策[J].中国实用神经疾病杂志,2012,15(7):77-79
[3]王莉.全程优质护理模式对子宫切除术患者焦虑抑郁情绪的影响[J].中国医药导报,2013,10(13):108-109
[4]杨印杭,孙龙,刘庆明.抑郁症患者神经内分泌与临床特征的相关性[J].中国健康心理学杂志,2015,23(6):814-816
[5]Kruithof W J,Post M W,van Leeuwen C M,et al.Course of social support and relationships between social support and patients'depressive symptoms in the first 3years post-stroke[J].Journal of Rehabilitation Medicine,2015,47(7):599-604
[6]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,3(2):98-100
[7]王敬斋,张树荣.Zung焦虑抑郁自评量表对消化内科门诊患者焦虑抑郁的测评[J].临床消化病杂志,2016,28(3):150-153
[8]钱铭怡,武国城,朱荣春,等.艾森克人格问卷简式量表中国版(EPQ-RSC)的修订[J].心理学报,2000,32(3):317-323
[9]赵彩萍,方建群,李媛,等.胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究[J].中华护理杂志,2012,47(1):65-67
[10]黄芳,陈爱萍,徐喆,等.全喉切除术后喉癌患者社会支持与社会功能相关性分析[J].护理管理杂志,2015,15(6):398-399
[11]Leanza V,Castronovo G,Maiorana A,et al.The impact of hysterectomy as uterine fibroid therapy on personality traits and psychological symptoms of patients[J].Giornale Italiano Di Ostetricia E Ginecologia,2016,38(2):253-259
[12]王秀军,高宁,张小云,等.耐药肺结核患者焦虑抑郁状况与社会支持水平的相关性分析[J].中华现代护理杂志,2013,48(36):70-72
[13]杨磊,鱼星锋,李妍,等.女性人格特征、情绪控制与乳腺癌发生危险的相关分析[J].中国健康心理学杂志,2016,24(2):202-206
[14]蔡贞,罗雪.大学新生心理健康和人格特征的关系:心理适应能力的中介作用[J].保健医学研究与实践,2014,11(3):17-20
[15]姚海娟,张忠堂.人格特征在中学生社会支持与心理韧性中的中介作用[J].中国健康心理学杂志,2014,22(1):93-96
[16]侯金兰,杜彩素,王晓润.子宫肌瘤手术患者人格与术前焦虑的相关性研究[J].中国保健营养,2017,27(4):163-164