中国健康心理学杂志

目的:研究心理干预用于围绝经期妇女在牙科治疗中的作用。方法:选取2014年12月至2015年12月到我院口腔科门诊就诊的围绝经期妇女208例,随机分为对照组(n=104)和观察组(n=104)。对照组实施口腔门诊常规治疗操作,观察组联合应用心理干预。采用汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评定患者治疗前后的心理状态,同时比较两组的治疗配合度、不良事件情况及满意度情况。结果:观察组患者治疗后的HAMA评分明显好于治疗前(χ²=30.654,P<0.01),而HAMD评分与治疗前无明显差异。对照组患者治疗前后HAMA评分和HAMD评分均无明显差异。观察组患者的治疗配合度及满意度都明显好于对照组(χ²=6.933,36.117;P<0.05),不良事件发生情况明显低于对照组(χ²=6.082,P<0.05)。结论:心理干预有助于缓解围绝经期妇女在牙科治疗过程中的焦虑症状,使患者配合医师顺利完成治疗,降低不良事件的发生,提高治疗的满意度,具有较高的安全性,更易为患者所接受,值得临床推广使用。

Objective:To explore the effect of psychological intervention on peri-menopausal women treated in the department of stomatology.Methods A total of 208 peri-menopausal women treated in our department of stomatology from December 2014 to December 2015 were collected and randomly divided into control group(n=104)and observation group(n=104).The psychological status was evaluated before and after the psychological intervention using the Hamilton Anxiety Scale(HAMA)and the Hamilton Depression Scale(HAMD).Treatment compliance,adverse event and satisfaction were compared between control group and observation group.Results:There were no significant differences of HAMA score and HAMD score in control group.After the psychological intervention,HAMA score in observation group was better than that before the psychological intervention(χ²=30.654,P<0.01),but there was no significant difference in HAMD between before and after the psychological intervention in observationgroup.Treatment compliance and satisfaction in observation group were better than those in control group(χ²=6.933,36.117;P<0.05).Incidence of adverse event in observation group was lower than that in control group(χ²=6.082,P<0.05).Conclusion:The psychological intervention can relieve anxiety status of perimenopausal women treated in the department of stomatology,reduce the incidence of adverse event and improve treatment compliance and satisfaction.