标题：复发性外阴阴道假丝酵母菌病患者心理健康状况及个性疏导干预效果分析

      作者：段渭云，王冬梅，史志艳    (秦皇岛市妇幼保健院妇产科，河北 秦皇岛 066000)

      卷次： 2017年28卷11期

      【摘要】 目的 调查复发性外阴阴道假丝酵母菌病(RVVC)患者的心理健康情况，并探讨个性疏导干预的临床效果。方法 选取2014年1月至2015年12月秦皇岛市妇幼保健院妇产科收治的150例RVVC患者作为病例组，将其以随机数表法分为干预组(n=75)和对照组(n=75)，另选50例同期体检并行阴道分泌物假丝酵母菌检查且显示阴性者为阴性组。问卷调查病例组、阴性组临床信息，采用心理症状自评量表(SCL-90)评估心理健康情况。对照组患者及性伴侣在口服伊曲康唑治疗基础上给予常规护理干预，干预组在此基础上给予个性疏导干预，护理干预时间均为1个月。统计病例组、阴性组患者心理健康评估结果，比较干预组和对照组遵医嘱情况、干预前后心理健康改善情况及1年内按时复诊、疾病复发情况。结果 ①病例组人际关系敏感、抑郁、焦虑等症状评分均显著高于阴性组，差异均有显著统计学意义(P<0.01)；②干预组患者的遵医嘱服药、夫妻同时治疗、坚持自我护理的患者占比92.00%、84.00%、96.00%，明显高于对照组的72.00%、65.33%、77.33%，差异均有统计学意义(P<0.05)；③干预组、对照组干预后心理健康各项评分均较干预前明显降低，且干预组人际关系敏感、抑郁、焦虑等等症状评分均显著低于对照组，差异均有显著统计学意义(P<0.01)；④干预组按时复诊率为81.33%，明显高于对照组的60.00%，疾病复发率为12.00%，明显低于对照组的28.00%，差异均有统计学意义(P<0.05)。结论 RVVC患者可伴发严重的焦虑、抑郁、人际交际敏感等不良心理情绪，个性疏导干预可明显改善患者心理健康状况，并可增强患者遵医嘱意识，有效减少复发。
      【关键词】 复发性外阴阴道假丝酵母菌病；心理健康；个性疏导干预；效果
      【中图分类号】 R711.72 【文献标识码】 A 【文章编号】 1003—6350（2017）11—1764—04

Psychological health status and intervention effect of personalized counseling in patients with recurrentvulvovaginal candidiasis.
DUAN Wei-yun, WANG Dong-mei, SHI Zhi-yan. Department of Gynecology and Obstetrics,Maternal and Child Health Care Hospital of Qinhuangdao, Qinhuangdao 066000, Hebei, CHINA
【Abstract】 Objective To investigate the psychological health status of patients with recurrent vulvovaginalcandidiasis (RVVC), and explore the clinical effect of personalized counseling intervention. Methods A total of 150cases of patients with RVVC who treated in Department of Gynecology and Obstetrics in Maternal and Child HealthCare Hospital of Qinhuangdao from January 2014 to December 2015 were selected as the case group. The patients weredivided into the intervention group (n=75) and the control group (n=75) by random number table method. At the sametime, another 50 cases who received physical examination and were negative in Candida albicans detection of vaginal se-cretions were included into the negative group. The clinical data of the case group and the negative group were investi-·论 著·doi:10.3969/j.issn.1003-6350.2017.11.015