肾病综合症患者肾穿刺活检术前后心理状况调查分析  

Psychological Status and Influencing Factors in Patients with Nephritic Syndrome before and after Percutaneous Renal Biopsy

作　　者：彭涛[1] 夏青[1] 胡昭[1] 杨向东[1] 

机构地区：[1]山东大学齐鲁医院肾内科,山东济南250012

出　　处：《中国医学伦理学》2009年第5期35-36,共2页Chinese Medical Ethics

摘　　要：目的了解肾病综合症患者行肾穿刺活检术前后的心理状况及影响因素,树立患者对手术的坚定信心。方法235例患者入选,术前24h及术后6h应用90项症状清单(SCL-90)和状态-特质焦虑询问量表(STAI)评价患者的心理状况。结果术前焦虑情绪较高,躯体化、焦虑、恐怖等因子分高于常模,术后躯体化因子分仍高;男性患者得分高于女性;术后强迫症状、抑郁、焦虑情绪较术前减低;60岁以上患者阳性症状均分低于60岁以下患者。结论肾病综合症患者肾活检前后心理状况是多因素共同作用的结果。Objective： To study the psychological status and influencing factors in patients with nephritic syndrome （ NS ） before and after percutaneous renal biopsy （ PRB ） Methods ： 235 cases of NS were examined by Symptom Check List -90 （ SCL -90）and STAI 24 hours before and 6 hours after PRB. Results： Before PRB, factorial anxiety and phobic anxiety were higher than norm, while after the procedure, only somatization score was still higher than norm; In men, there was a higher score than that of women after PRB, all indices were seen decreased significantly; Higher scores were seen in under -60 years old than over -60 years old. Conclusions： Before and after PRB, many factors were involved in and responsible for patients＇psychological symptoms.

关 键 词：肾穿刺活检术 心理状况 

分 类 号：R692[医药卫生—泌尿科学]