医源性脊髓损伤患者的社会心理因素研究  

The Psychological and Social Factors in Patients with Iatrogenic Spinal Cord Injury

作　　者：方忠[1] 李锋[1] 熊伟[1] 李光辉[1] 肖骏[1] 陈奇[1] 杜杏莉[1] 陈安民[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院骨科,武汉430030

出　　处：《华中科技大学学报（医学版）》2010年第3期399-401,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：国家"十一五"科技支撑计划资助项目(No.2007BAI04B07)

摘　　要：目的研究医源性脊髓损伤患者的心理因素及社会支持情况。方法采用调查问卷方法 ,运用心理状况自评量表(SCL-90)、艾森克个性问卷(EPQ)、生活事件量表(LES)及社会支持评定量表(SSRS)分别对19例医源性脊髓损伤患者(研究组)和30例非医源性脊髓损伤患者(对照组)进行调查,采用t检验及方差分析对各项指标均数进行统计分析。结果医源性脊髓损伤组的患者具有较多的社会心理因素障碍,其中心理状况中的躯体化、抑郁、焦虑及精神病性4个因子评定指标均显著高于对照组(均P<0.05);个性特征中的精神质与神经质显著高于对照组(P<0.05);生活事件中的紧张总值、负性事件紧张总值、生活事件数均显著高于对照组(P<0.05);社会支持中的客观支持、支持利用度及社会支持总分评分均显著低于对照组(P<0.05)。结论医源性脊髓损伤患者病后存在较多的身心健康问题和社会支持力低下,对患者在给予药物、手术治疗的同时,应给予适当的心理治疗与社会支持干预。Objective To investigate the mental health and social support in patients with iatrogenic spinal cord injury（ISCI）.Methods Questionnaires were performed on 19 patients with ISCI and 30 with non-iatrogenic spinal cord injury using Symptom check list 90（SCL-90）,Eysenck Personality Questionnaire（EPQ）,Life events scale（LES）and Social Support Rating Scale（SSRS）.Statistical analyses were processed using Student’s t test and ANOVA test.Results The patients in ISCI group were influenced by more psychological and social factors.The scores of somatization,depression,anxiety,psychotism and the mean of positive factors of SCL-90 in ISCI group were significantly higher than in control group（P〈0.05）.The objective supports,supported degree and total score of social supports of the SSRS also had the same results（P〈0.05）;The scores of the EPQ and LES in ISCI group were significantly lower than in control group（P〈0.05）.Conclusion The ISCI has more physical and mental problems,which should be given proper psychological treatment and more social supports besides the medical treatment.

关 键 词：医源性脊髓损伤 心理学 临床 社会学 医学 

分 类 号：R395.2[哲学宗教—心理学]