腰椎间盘突出症患者MED术前心理状态调查与分析  

An Analysis of Mental Health and Its Related Factors Among MED-Preoperative in Patients with Lumbar Disc Herniation

作　　者：麻超[1] 张桂青[2] 张玉玲[1] 翟永丽[1] 杨建霞[2] 

机构地区：[1]石河子大学医学院,新疆石河子832008 [2]石河子大学医学院附属心理康复科,新疆石河子832008

出　　处：《医学与哲学（B）》2008年第2期54-55,共2页Medicine & Philosophy(B)

基　　金：新疆兵团医药卫生专项课题;项目编号:05GG38

摘　　要：为了研究腰椎间盘突出症患者行MED微创治疗前的心理状况,对442例行MED手术治疗的患者应用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行术前心理评估。结果显示MED微创治疗前患者SAS、SDS测量分明显高于常模组。患者性别、年龄、婚姻状况、文化程度、病程长短等都与心理状况的改变相关。有34.9%的患者SAS得分和36.7%的患者SDS得分显示阳性。因此,临床骨科医师应重视心理因素的作用,在MED术前应对患者进行心理状况评估,并对心理状况较差的患者进行术前干预,才能取得更好的临床疗效。To explore mental health and its related factors of patients with lumbar disc herniation in MED-preoperation and propose effective measures. Totally 442 patients with lumbar disc herniation in MED-preoperation, were involved in this study. The preoperative psychology was assessed with Self-rating Anxiety Scale（SAS）, Self-rating Depression Scale（SDS）. The SAS and SDS scores of patients with lumbar disc herniation in MED-preoperation were significantly higher than those of the nationalnorm, The degree of anxiety and depression were related to gender, age, marital status, scholar degree, acourse of an illness. We should take many kinds of measures to alleviate the degree of anxiety and depression in patients with lumbar disc herniation in MED-preoperation, promote their mental health and improve their life quality.

关 键 词：心理因素 腰椎间盘突出症 MED手术 

分 类 号：R681.53[医药卫生—骨科学]