慢性腰椎间盘突出患者心理健康状况调查及相关因素分析  

Investigation and analysis on the mental health status and correlative factors of patients with chronic lumber disc herniation

作　　者：柳霞[1] 丁卫星[1] 刘益善[1] 

机构地区：[1]空军总医院康复理疗科,北京100036

出　　处：《第四军医大学学报》2009年第20期2239-2240,共2页Journal of the Fourth Military Medical University

摘　　要：目的:了解慢性腰椎间盘突出患者心理健康水平及相关因素的关系.方法:对临床诊断为慢性腰椎间盘突出的234例患者进行症状自评量表(SCL-90),艾森克个性问卷(EPQ)测评,并对结果进行相关分析.结果:慢性腰椎间盘突出患者SCL-90的躯体化、强迫、焦虑、抑郁等因子分及EPQ的神经质(N)分比对照组高(P<0.05,P<0.01);而EPQ的神经质(E)分比对照组低(P<0.01);SCL-90各症状因子得分与EPQ的神经质(N)因子呈显著正相关(P<0.01).结论:慢性腰椎间盘突出患者的心理健康水平低,心理(量表)评估提示在治疗中必要进行针对性的心理干预.AIM： To study the mental health status and correlative factors of patients with chronic lumber disc herniation. METHODS： By carrying out observation on 234 cases clinicallydiagnosed chronic lumber disc herniation patients through Symptom checklist 90（SCL-90） and Eysenck personality questionnaire （ EPQ ）, making correlation analyses. RESULTS ： The factor scores of somatization, obsessive-compulsive, depression, anxiety, etc of SCL-90 and the morale dimension of EPQ is significantly higher than that of control group（P 〈 0.05, P 〈 0.01 ）. E scale of EPQ is below control group（P 〈 0.01 ）. Somatization, obsessire-compulsive, interpersonal relationship, depression, anxiety, hostility, phobia, paranoid, psychosis correlated positively with N scale of EPQ （ P 〈 0.01 ）. CONCLUSION ： Patients with chronic lumber disc herniation have a rather low standard of mental health. Therefore, it is necessary to give mental intervention with a clear aim in the course of treatment.

关 键 词：腰椎间盘突出 心理健康 

分 类 号：R395.1[哲学宗教—心理学] R681.57[医药卫生—医学心理学]