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复发性宫外孕患者的心理困扰:一项横断面研究。

Psychological Distress in Patients With Recurrent Ectopic Pregnancies: A Cross-Sectional Study.

机构信息

Division 2 of Common Gynecological Department, Guiyang Maternal and Child Health Care Hospital, Guiyang Children's Hospital, Gui Zhou, China.

Philippine Women's University School of Nursing, Manila, Metro Manila, Philippines.

出版信息

Nurs Open. 2024 Nov;11(11):e70069. doi: 10.1002/nop2.70069.

Abstract

AIM

Most patients with ectopic pregnancies experience a high level of psychological distress for various reasons. The psychological state and needs of patients with recurrent ectopic pregnancies need to be seriously addressed. However, psychological distress in patients with recurrent ectopic pregnancy has not been widely studied. The purpose of this study is to investigate and understand the prevalence and factors influencing psychological distress in patients with recurrent ectopic pregnancies.

DESIGN

A cross-sectional study.

METHODS

This study follows the STROBE guidelines. The Kessler Psychological Distress Scale (K10) was utilised to assess the level of psychological stress in patients. The Kruskal-Wallis test or Mann-Whitney U test was used to compare the factors influencing psychological stress in patients with different conditions.

RESULTS

A total of 134 patients with recurrent ectopic pregnancies completed the survey, and most patients experienced moderate-to-severe psychological distress. The psychological distress experienced by patients with recurrent ectopic pregnancies is complex and dynamic, influenced by various factors. Among them, the main factors affecting the psychological distress of patients were age, education level, number of children, number of abortions, medical insurance and economic pressure (p < 0.05).

CONCLUSION

This study suggests that the psychological distress experienced by patients with recurrent ectopic pregnancies is universal and cannot be ignored. It is necessary to pay attention to the psychological needs of patients with recurrent ectopic pregnancies and carry out scientific and effective psychological care management.

摘要

目的

由于各种原因,大多数异位妊娠患者都会经历高度的心理困扰。需要认真对待复发性异位妊娠患者的心理状态和需求。然而,复发性异位妊娠患者的心理困扰尚未得到广泛研究。本研究旨在调查和了解复发性异位妊娠患者心理困扰的流行情况和影响因素。

设计

横断面研究。

方法

本研究遵循 STROBE 指南。采用 Kessler 心理困扰量表(K10)评估患者的心理压力水平。采用 Kruskal-Wallis 检验或 Mann-Whitney U 检验比较不同情况下患者心理压力影响因素。

结果

共有 134 例复发性异位妊娠患者完成了调查,大多数患者经历了中重度心理困扰。复发性异位妊娠患者的心理困扰是复杂和动态的,受多种因素影响。其中,影响患者心理困扰的主要因素是年龄、教育水平、子女数量、流产次数、医疗保险和经济压力(p<0.05)。

结论

本研究表明,复发性异位妊娠患者普遍存在心理困扰,不容忽视。有必要关注复发性异位妊娠患者的心理需求,开展科学有效的心理护理管理。

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Research Progress on Psychological Distress in Patients with Ectopic Pregnancy in China.中国异位妊娠患者心理困扰的研究进展
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本文引用的文献

1
Research Progress on Psychological Distress in Patients with Ectopic Pregnancy in China.中国异位妊娠患者心理困扰的研究进展
Neuropsychiatr Dis Treat. 2023 Jul 21;19:1633-1639. doi: 10.2147/NDT.S410320. eCollection 2023.
4
Recurrent Ectopic Pregnancy: Current Perspectives.复发性异位妊娠:当前观点
Int J Womens Health. 2020 Aug 4;12:597-600. doi: 10.2147/IJWH.S223909. eCollection 2020.
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Screening for serious mental illness in the general population.普通人群中严重精神疾病的筛查。
Arch Gen Psychiatry. 2003 Feb;60(2):184-9. doi: 10.1001/archpsyc.60.2.184.

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