论文部分内容阅读
目的探讨宫颈上皮内瘤变(CIN)发病的社会心理因素。方法对105例CINⅠ级、CINⅡ~Ⅲ级的患者(研究组)及61例正常女性(对照组)进行问卷调查,内容包括基本情况、性生活史、妊娠生育史、性传播疾病(STD)史、吸烟史,并采用生活事件量表(LES)、社会支持评定量表、防御机制问卷(DSO)进行心理测评。结果多因素Logistic回归分析发现年龄、收入、性伴侣个数、妊娠次数及STD病史均为CIN发病的危险因素。研究组生活事件中的总事件、负性事件、家庭有关问题的评分高于对照组(P<0.05)。研究组中的社会支持总分、客观支持得分和对支持的利用度的评分低于对照组(P<0.05)。两组掩饰因子评分比较差异有统计学意义(P<0.05)。将不成熟因子、掩饰因子、负性事件纳入多因素Logistic回归模型,发现年龄、收入、性伴侣个数、妊娠次数及STD病史为CIN发病的危险因素。结论社会心理因素与CIN的发病有关,不成熟因子、掩饰因子、负性事件等社会心理因素为CIN发病的风险因素。
Objective To investigate the psychosocial factors of cervical intraepithelial neoplasia (CIN). Methods A total of 105 patients with CINⅠ, CINⅡ ~ Ⅲ (study group) and 61 normal women (control group) were surveyed. The questionnaire included basic information, sex history, gestational pregnancy history, history of sexually transmitted disease (STD) , Smoking history, and use of life events scale (LES), social support rating scale, defense mechanism questionnaire (DSO) for psychological evaluation. Results Multivariate Logistic regression analysis found that age, income, number of sexual partners, number of pregnancies and history of STD were all risk factors for CIN. The total events, negative events and family-related problems in the study group were higher than those in the control group (P <0.05). The scores of social support scores, objective support scores and supportive utilization in the study group were lower than those in the control group (P <0.05). There was significant difference between the two groups of masking factor scores (P <0.05). Multivariate Logistic regression model was used to include immature factors, masking factors and negative events. It was found that the age, income, the number of sexual partners, the number of pregnancies and the history of STD were the risk factors of CIN. Conclusions Social psychological factors are related to the onset of CIN. Psychosocial factors such as immature factors, masking factors and negative events are the risk factors of CIN.