康碧芸  陈丽丽

[摘要] 目的 探讨围绝经期心理健康的护理。 方法 本次选择100例围绝经期存在心理问题的患者作研究对象，均为我院2012年9月～2013年9月收治，采用数字表抽取法随机分组，就常规护理（对照组，n=50）与针对性心理健康护理（观察组，n=50）效果进行比较。 结果 干预后在日常生活能力、社会活动情况、抑郁心理状况、焦虑心理状况四方面观察组患者的生活质量评分分别为（24.6±1.4）、（12.3±70.9）、（14.2±0.9）、（11.8±1.3），对照组分别为（40.7±1.2）、（20.7±0.4）、（26.2±0.7）、（23.9±0.4），比较可知，观察组明显优于对照组，差异有统计学意义（P＜0.05）。 结论 加强围绝经期妇女心理健康护理，可显著提高生活质量，减轻负性情绪，具有非常重要的实施价值。

[关键词] 围绝经期；心理健康；针对性护理

[中图分类号] R271.11   [文献标识码] B   [文章编号] 2095-0616（2014）08-117-03

Nursing analysis of perimenopausal psychological health

KANG Biyun  CHEN Lili

Department of Gynecology, Hui'an Hospital, Hui'an 362100,China

[Abstract] Objective To investigate the nursing of perimenopausal psychological health. Methods One hundred patients with perimenopausal psychological problems admitted to our hospital from September 2012 to September 2013 were selected as the study subjects and divided into two groups using the randomization number table extraction method. The effects of conventional nursing(control group, n=50) and specific psychological health nursing(observation group, n=50) were compared. Results In the observation group, the quality of life scores in activities of daily living, social activities, psychological state of depression, and psychological state of anxiety were (24.6±1.4), (12.3±70.9), (14.2±0.9) and (11.8±1.3) respectively. In the control group, the scores were (40.7±1.2), (20.7±0.4), (26.2±0.7) and (23.9±0.4) respectively. The observation group was significantly better than the control group, with statistically significant differences(P＜0.05). Conclusion Strengthening psychological health nursing for perimenopausal women can significantly improve their quality of life and reduce negative emotions, which is very important practice value.

[Key words] Perimenopausal; Psychological health; Specific nursing

以往，卵巢功能衰退过程多习惯用“更年期”形容，现已被“围绝经期”代替，是妇女从壮年过渡至老年的阶段。女性生命进程中，绝经为必然生理过程，女性心理、生理在此阶段均有不适症状出现，但因女性在职业特点、身体素质、文化程度、心理状况等方面的不同，围绝经期症状也存在个体差异，重视心理健康的护理，对改善预后，提高围绝经期妇女生存质量具有非常重要的意义[1-2]。本次选取围绝经期存在心理问题的病例，就常规护理与针对性心理健康护理效果进行对比，现将结果总结报道如下。

1 资料与方法

1.1 研究对象

本次共选择研究对象100例，均为我院2012年9月～2013年9月收治，采用数字表抽取法随

机按观察组和对照组各50例划分，观察组患者年龄45～53岁，平均（49.7±2.6）岁，平均病程（2.3±0.9）年。……