自我护理咨询对子宫内膜异位症女性抑郁和焦虑的影响：一项随机对照试验。
Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial.
机构信息
Student Research Committee, Midwifery Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
BMC Psychiatry. 2020 Jul 29;20(1):391. doi: 10.1186/s12888-020-02795-7.
BACKGROUND
Considering the prevalence of endometriosis and consequent depression and anxiety as well as the resultant effects on the body, mind, and quality of life of patients, this study aimed to determine the effects of self-care counselling on depression and anxiety (primary outcome) and on quality of life (secondary outcome) among women with endometriosis.
METHOD
This randomized controlled clinical trial was conducted on 76 women with endometriosis who were treated at Al-Zahra Teaching and Treatment Center of Tabriz within the 2015-2019 period. The random blocking method was employed to divide the patients into intervention (counselling) and control groups. In the intervention group, seven self-care group counselling sessions were held on a weekly basis. The control group received routine care. A sociodemographic questionnaire, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory (STAI) and the SF-36 Quality of Life Questionnaire were completed by the researcher through an interview before and 4 weeks after the intervention.
RESULTS
There was no significant difference between the intervention and control groups in terms of sociodemographic characteristics (p > 0.05). After the intervention, the mean scores of state anxiety (mean difference: - 0.12, 95% confidence interval: - 9.6 to - 14.4, p < 0.001) and trait anxiety (mean difference: - 10.9: 95% confidence interval: - 9.1 to - 12.7, p = 0.001) were significantly lower in the counselling group than those of the control group. The mean score of depression was lower in the counselling group than in the control group; however, it was not significant (p = 0/565). The mean score of quality of life for physical health (mean difference = 17.2, 95% confidence interval: 13.8 to 20.5, p < 0.001) and for mental health (mean difference = 12.0, 95% confidence interval: 9.0 to 14.9, p < 0.001) were significantly higher in the counselling group than in the control group.
CONCLUSION
Self-care counselling affects the anxiety and quality of life of women with endometriosis. Therefore, in addition to other therapies, this method is proposed to improve quality of life and mental health of patients with endometriosis.
TRIAL REGISTRATION
IRCT Registration Number: IRCT 20111219008459 N13, registered on February 10, 2019 ( https://irct.ir/user/trial/35915 ).
背景
考虑到子宫内膜异位症的普遍性以及随之而来的抑郁和焦虑，以及对患者身体、心理和生活质量的影响，本研究旨在确定自我护理咨询对子宫内膜异位症患者的抑郁和焦虑（主要结果）和生活质量（次要结果）的影响。
方法
本随机对照临床试验于 2015 年至 2019 年期间在大不里士 Al-Zahra 教学治疗中心对 76 名子宫内膜异位症患者进行，采用随机分组方法将患者分为干预（咨询）组和对照组。在干预组中，每周进行 7 次自我护理小组咨询。对照组接受常规护理。研究人员通过访谈在干预前和干预后 4 周完成社会人口学问卷、贝克抑郁量表、斯皮尔伯格状态-特质焦虑量表（STAI）和 SF-36 生活质量问卷。
结果
干预组和对照组在社会人口学特征方面无统计学差异（p>0.05）。干预后，咨询组状态焦虑的平均得分（平均差异：-0.12，95%置信区间：-9.6 至-14.4，p<0.001）和特质焦虑的平均得分（平均差异：-10.9：95%置信区间：-9.1 至-12.7，p=0.001）均显著低于对照组。咨询组抑郁的平均得分低于对照组，但无统计学意义（p=0.565）。咨询组生理健康（平均差异=17.2，95%置信区间：13.8 至 20.5，p<0.001）和心理健康（平均差异=12.0，95%置信区间：9.0 至 14.9，p<0.001）的平均得分均显著高于对照组。
结论
自我护理咨询影响子宫内膜异位症患者的焦虑和生活质量。因此，除其他治疗方法外，建议采用这种方法来提高子宫内膜异位症患者的生活质量和心理健康。
试验注册
IRCT 注册号：IRCT 20111219008459N13，注册于 2019 年 2 月 10 日（https://irct.ir/user/trial/35915）。
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