绝经前妇女子宫切除前后心理状况调查分析

目的　了解子宫切除前后女性的心理状况改变趋势、程度和影响因素。方法　采用前瞻性研究方法调查 83例接受子宫切除手术女性入院时和术后 3月的心理状况。结果　心理状况调查自评得分显示术后BDI分值、SCL 90(偏执因子除外 )各因子得分显著低于术前 ,与他评调查HAMD评分一致 ,中、重度抑郁症发生率由术前 3 3 .7%降至术后 10 .1% ;不同年龄段患者SCL 90改变程度不同 ;术后BDI分值和HAMD得分与术前水平显著正相关 ;术前HAMD评分与受教育年限负相关 ,与主诉正相关 ,术后与产次、有内科合并症正相关 ,与年龄负相关。结论　子宫切除有利于患者身心健康 ;围手术期抑郁好发于年轻、多产、文化程度低、诉述痛经和月经过多及有其他内科疾患的妇女。

Psychological outcome before and after hysterectomy in 83 premenopausal hospitalized women

Objective To investigate women's psychological o utcome and its effect factors before and after hysterectomy. Methods In the clinical prospective study, 83 women were investigated for the ir psychiatric status with BDI, HAMD and SCL-90 questionnaires at the time of a dmission and 3 months after hysterectomy. Results The posto perative scales of BDI, HAMD, and SCL-90 were significantly lower than the preo perative ones. The morbidity of depression was decreased from 33.7% to 10.1%. Th e changes of SCL-90 were varied among different age groups. Before hysterectomy , HAMD scales were related negatively to women's educational level, but positiv ely to chief complaints. However, after hysterectomy, HAMD scales were related p ositively to parity, having other physical diseases, but negatively related to p atient's age. Conclusion Hysterectomy is beneficial to wom en's psychiatric and somatic health. Depression occurring before and after hyst erectomy is seen more often in women younger, having more parity, less-educate d, complaining of dysmenorrhea and/or menorrhagia and having other diseases.