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Pregnancy induced hypertension clinical study of psychological problems


Rarely reported. To this end, we PIH mental health and personality surveys of mental health and pregnancy-induced hypertension personality for clinical treatment and care to provide psychological basis. Object and Methods, the object 1. PIH group from December 1999 to December 2001 to our hospital obstetric diagnosis and treatment of 70 cases of PIH. According to the National Medical Colleges version 4 undergraduate textbook on diagnostic criteria for diagnosis of pregnancy-induced hypertension. Patients aged 21 to 37 years, mean (27.89 ± 2.65) years; Occupation: 21 cases of cadres and teachers, workers in 10 cases, 14 cases of staff, medical staff in 4 cases, 9 cases of self-employed, housewives in 12 cases. Education: College or above 28 cases, secondary schools (including college) in 32 cases, 10 cases of primary or below. 2. 1:1 matched control group were randomly selected women over the same period to the hospital examination, aged 20 to 37 years, mean age (26.12 ± 5.14) years; Occupation: 22 cases of cadres and teachers, workers in 10 cases, staff of the 13 cases, medical personnel, in 2 cases, 10 cases of self-employed, housewives 13; Education: College or above 27 cases, secondary schools (including college) in 31 cases, 12 cases of primary or below. Y t test or the test results showed two groups of age, occupation, education level had no significant difference (P> 0.05), ie group Q has a good comparable. Second,[link widoczny dla zalogowanych], the method used symptom checklist (SCL a 90) I2],[link widoczny dla zalogowanych], by the subjects according to their week and severity of the situation at 1 - 5 rating scale, analysis of indicators for the 10 symptom factors; the same time with Gong Yao first developed by Eysenck Personality Questionnaire Manual (Amendment) (EPQ) evaluation, analysis of indicators for the four dimensions. SCL-90 criteria is a factor of ≥ 2 that either meet or exceed the level of moderate pain, to have psychological problems; EPQ in N. P ≥ 60 as a personality dimension of the problem. All subjects were given standard in the answer sheet before the directive language,[link widoczny dla zalogowanych], and then self-completed the questionnaire,[link widoczny dla zalogowanych], complete papers all qualified. The results of a two groups of 90 indicators of a difference in SCL compared in Table 1. Second, EPQ evaluation results in Table 2. SCL reflects a 90 to discuss the different groups, different periods of psychological problems, reflect different aspects of psychological health. Evaluation of this article a 90 SCL results show that the PIH group, somatization, anxiety, interpersonal sensitivity, depression, anxiety, hostility, phobia, paranoid factor scores were significantly higher. This suggests that poor mental health in patients with pregnancy induced hypertension, there are several psychological barriers. * 533.1 Document code: A Article ID :1005 -8559 (2002) 05-533 A pair of EPQ can reflect a person's personality traits. EPQ assessment results indicate that this paper, N min was significantly higher than normal,[link widoczny dla zalogowanych], while the N points is a measure of the stability of a sentiment indicator, suggesting that preeclampsia has obvious neurotic patients tend to often appears as emotional instability, anxiety, tension, worry, irritability, a strong response to various stimuli, emotional arousal it very difficult to heal. Table 1 SCL-90 test groups (z ±) of pregnancy induced hypertension patients may be psychological barriers above with the following factors: 1. Pregnant women during pregnancy the body of the organ system of the enormous physiological changes, psychological preparation is not sufficient, physical and psychological stress of sudden a psychological imbalance. 2. Patriarchal, family line of thought in our part of the population still exist, especially in rural areas, therefore, has the potential to affect women psychologically. 3. Most of the pregnant women during childbirth fears in varying degrees, particularly primipara. 4. The higher the educational level of pregnant women, knowledge more widely, more problems to consider, such as whether fetal malformations, fetal smooth delivery, whether the intellectual development of children grow up normal and so, thinking, emotions more complex, the day is anxiety and tension. More than pregnancy induced hypertension patients given the presence of mental disorders, clinical work, we should actively promote mental health education during pregnancy, through the mission, so that pregnant women be treated correctly in the psychological physiological processes of pregnancy. Because pregnancy-induced hypertension of unknown etiology, still can not be completely prevent the disease, but the right to prevent the disease, psychological intervention may have important significance. [
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