认知培训联合行为指导在SLE女性避孕中应用OA
The application of cognitive train combined with behavioral guidance in contraception of SLE women
目的:探究认知培训联合行为指导在系统性红斑狼疮(SLE)女性患者避孕中的应用价值;方法:选择 2019 年 3 月至 2021年 3 月于本院接受治疗的 84 例确诊SLE患者为研究对象,将其按照干预方式的差异区分为研究组(42 例)与对照组(42 例),研究组接受认知培训联合行为指导,对照组接受常规的健康教育指导,对比两组患者避孕状况、避孕效果、避孕依从性、避孕满意度以及不良情绪得分;结果:1)研究组患者避孕状况优于对照组,尤其是口服避孕药、口服避孕药+避孕套、放置宫内节育器等方面(P<0.05);2)干预后 5 个月时,研究组患者的妊娠率明显低于对照组(P<0.05);3)研究组患者避孕依从性和干预满意度得分均明显高于对照组患者(P<0.05);4)干预 6 个月后研究组患者的HAMA和HAMD得分均低于对照组患者(P<0.05);结论:对SLE女性开展认知培训联合行为指导有助于提高避孕成功率,改善患者的不良情绪,提高其治疗依从性和干预满意度.
Objective:To explore the application value of cognitive training combined with behavioral guidance in contraception for female patients with systemic lupus erythematosus(SLE).Methods:84 patients with SLE who were treated in our hospital from March 2019 to March 2021 were selected as research objects,and divided into study group(42 cases)and control group(42 cases)according to the difference of intervention methods.The study group received cognitive training combined with be-havioral guidance,while the control group received routine health education guidance.Contraceptive status,contraceptive effect,contraceptive compliance,contraceptive satisfaction and bad mood scores of the two groups were compared.Results:1)The contraceptive status of patients in the study group was better than that in the control group,especially in oral contracep-tive,oral contraceptive plus condom and IUD placement(P<0.05).2)Five months after intervention,the pregnancy rate of patients in the study group was significantly lower than that in the control group(P<0.05).3)The scores of contraceptive compliance and intervention satisfaction in the study group were higher than those in the control group(P<0.05).4)After 6 months of intervention,the scores of HAMA and HAMD in the study group were lower than those in the control group(P<0.05).Conclusion:Carrying out cognitive training and behavioral guidance for SLE women can improve the success rate of contraception,improve patients'bad mood,and improve their treatment compliance and intervention satisfaction.
丛洁洁;宋文亚;周晶;陈俊婷
南京医科大学附属无锡人民医院(南京医科大学无锡医学中心)风湿免疫科,江苏 无锡 214023
临床医学
认知培训行为指导系统性红斑狼疮女性避孕
Cognitive trainingBehavior guidanceSystemic lupus erythematosusFemale contraception
《中外女性健康研究》 2024 (003)
14-17 / 4
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