子宫内膜异位症患者的焦虑:对临床实践的影响
Tomas Kupec1, Rebecca Caspers1, Philipp Meyer-Wilmes1
1Clinic for Gynaecology and Obstetrics, University Hospital RWTH Aachen, Aachen, Germany.
Geburtshilfe und Frauenheilkunde
|December 9, 2024
概括
子宫内膜异位症显著影响妇女的生活质量,导致高度焦虑. 详细的咨询和多模式治疗计划有效地减少了患者的焦虑症状.
科学领域:
- 妇科 妇科医生 妇科
- 精神病学是一个精神病学.
- 医学心理学 医学心理学
背景情况:
- 子宫内膜异位症影响至少10%的生育年龄妇女,导致慢性疼痛,并对身体和心理健康产生负面影响.
- 子宫内膜异位症的症状与严重的焦虑有关,降低了患者的整体生活质量.
研究的目的:
- 为了调查参加专门的子宫内膜异位症门诊的妇女的焦虑水平.
- 评估广泛的咨询和多模式治疗计划对子宫内膜异位症患者焦虑的影响.
主要方法:
- 分析了183名患有下腹痛或怀疑患有子宫内膜异位症的患者的数据.
- 使用德国版本的国家特征焦虑清单 (STAI) 来测量干预前后的焦虑水平.
- 子宫内膜异位症的诊断由高级专家根据病史,妇科检查和超声波证实,遵守ESHRE指南.
主要成果:
- 在预检前,STAI-State平均得分为48.44±11.56,STAI-Trait平均得分为45.68±11.27.
- 在检查和治疗计划后,平均STAI-State得分显著下降至42.43±10.01 (p < 0.0001).
- 观察到STAI-Trait平均得分的最小但显著下降,为45.01 ± 11.57 (p < 0.05).
结论:
- 子宫内膜异位症与受影响妇女的焦虑水平升高密切相关.
- 综合性患者咨询和多模式治疗策略的开发显著缓解子宫内膜异位症患者的焦虑.
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