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Study on influence of psychological interventions on anxiety reactions and saliva SIgA of women accepting artificial abortion

Cheng Jinlian,Sun Yumei,Liang Zhiqun,et al(First Hospital of Shanxi Medical University,Shanxi 030001 China)  
Objective:To know about anxiety of women before accepting artificial abortion and its influencing factors,so as to explore the influence of comprehensive psychological intervention on anxiety emotion of women undergoing artificial abortion.Methods:A total of 100 women of pregnancy 6 to 10 weeks requested termination pregnancy and came to outpatient service of the first affiliated hospital of Shanxi medical university from December of 2004 to August of 2005 were selected.All women were the first time accepting artificial abortion and without contraindications.Patients were given a serial number based on their visiting sequences.According to the serial number,all cases were randomly divided into intervention group and control group 50 cases each by adopting random digits table.Patients of intervention group were given comprehensive psychological intervention before and during their operation.Patients of control group were not accepted psychological intervention at all.General data including age,education background,occupation,days and times of pregnant of all patients had been collected.And physiological indexes(blood pressure,pulsation,pain degree,artificial abortion syndrome) and immunological indexes of all cases(saliva SIgA) were determined.And psychological indexes of all patients were measured by adopting self-rating anxiety scale(SAS),Eysenck personality questionnaire(EPQ),and social support rating scale(SSRS).Equilibration test among two groups had been carried out before intervention.Evaluation method of psychological intervention effect for patients comes from the related literatures.Psychological interventions included preoperative propaganda,breathing relaxation training,intraoperative psychological nursing and music therapy.Results:Two group of subjects were quite balanced.In psychological intervention group,only 18% of cases had severe pain.Compared to 44% of control group cases,there was statistical significant difference(P0.05).The incidence rate of artificial abortion syndrome was 4% in intervention group(2 cases),and in control group were 8 cases which accounted for 16%.There was statistical significant difference between the two groups by chi square test(P0.05).It demonstrated that psychology intervention may relieve pain for women accepting artificial abortion to a certain extent.However,in terms of systolic pressure,diastolic pressure,and pulsation changes,there were no statistical significant differences between the two group cases before intervention,and before,during,and after operation(all P0.05).After intervention,saliva SIgA of intervention group cases,which was lowered obviously compared to that before intervention.There was statistical significant difference between before and after intervention(P0.05).However,there was no statistical significance between the two groups.In terms of SAS scoring of psychological indexes in intervention group women,there was statistical significance compared with the common model(P0.05).The SAS scoring of intervention group cases was 44.33±8.70 higher than that conventional model 37.00±13.00 obviously.The multi-dimensional factor regression analysis showed that the influential factors on SAS were the N standard score,times of pregnant,education background,and social support in turn.Among which,times of pregnant and total scoring of social support of patients were negatively correlated with SAS of them.Both education background and the N standard score of patients were positively correlated with their SAS.After intervention,in terms of the SAS standard scoring,there was statistical significant difference between the two groups.Conclusion:Comprehensive psychological intervention could relieve the anxiety of women undergoing artificial abortion.It could lower both the salivary concentration of SIgA and the incidence of artificial abortion syndrome for women undergoing artificial abortion and relieve pain for them.Therefore,comprehensive psychological intervention is an effective and a feasible method for women undergoing artificial abortion.
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