人乳头瘤病毒阳性女性疾病进展恐惧现状的研究

Study on status of fear for disease progression in human papillomavirus positive women

  • 摘要:
      目的  调查分析人乳头瘤病毒(HPV)阳性女性的疾病进展恐惧现状及其存在的心理问题。
      方法  第1阶段为质性研究,选取11名HPV阳性女性进行半结构式访谈,以资料饱和为原则,采用主题分析法进行资料整理;第2阶段为量性研究,以第1阶段的研究结果为基础编制HPV阳性女性疾病进展恐惧量表,选取180例HPV阳性女性为调查对象,采用一般资料问卷、HPV阳性女性疾病进展恐惧量表进行调查。
      结果  HPV阳性女性的访谈结果得出3个主题,分别为担心疾病进展及对感染转归的情感反应较重、对生理健康的恐惧、对家庭社会功能的恐惧。问卷总均分为(55.58±9.23)分,情感反应、生理健康、家庭社会功能维度的得分分别为(4.32±0.89)、(3.29±1.07)、(2.95±1.11)分。
      结论  HPV阳性女性对疾病进展的恐惧心理较严重,在生理健康及家庭社会功能方面均存在恐惧感,医务人员应充分重视并积极干预,以减轻HPV阳性女性的疾病进展恐惧心理。

     

    Abstract:
      Objective  To investigate and analyze the fear of disease progression and the existing psychological problems in human papillomavirus(HPV) positive women.
      Methods  The first stage of study was a qualitative study, 11 HPV-positive women were selected for semi-structured interviews. Based on the principle of data saturation, thematic analysis was used to collect the data. The second stage was quantitative research. Based on the results of the first qualitative stage, the HPV Positive Women's Fear of Disease Progression Scale was compiled. After the scale was formed, 180 cases of HPV positive women were selected as study subjects, and were investigated by general information questionnaire and HPV Positive Women's Fear of Disease Progression Scale.
      Results  The interview results showed that there were three aspects they concerneddisease progression as well as emotion response caused by infection, physical health, and family as well as social function. The total average score of the questionnaire was (55.58±9.23), emotional response score was (4.32±0.89), physical health score was (3.29±1.07), and family social function score was (2.95±1.11).
      Conclusion  HPV positive women have a serious psychological fear for disease progression, and they have a fear of physical health and family as well as social function. Medical staff should pay attention to the status of these patients with fear of disease progression to alliviate their fear of disease progression.

     

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