职业性噪声聋患者心理健康与应对方式关联研究  

Correlation study on mental health and coping style of patients with occupational noise-induced deafness

作　　者：赖丽丽[1] 郑倩玲[1] 蔡品[1] 温绿琴[1] 龙秀荣[1] 黄丽屏[1] 

机构地区：[1]广东省职业病防治院、广东省职业病防治重点实验室,广东广州510300

出　　处：《中国职业医学》2014年第3期310-314,共5页China Occupational Medicine

基　　金：国家临床重点专科建设项目(2011-09);广东省职业病防治重点实验室(2012A061400007)

摘　　要：目的：分析职业性噪声聋（ ONID）患者心理健康状况与应对方式特点，探讨两者的关联性。方法采用随机抽样方法抽取96例ONID患者作为调查对象，采用症状自评量表（ SCL-90）和简易应对方式问卷（ SCSQ ）进行问卷调查，分析两者的关系。结果96例ONID患者检出SCL-90筛查阳性患者63例，占65.62％。与全国常模比较，ONID患者SCL-90总分和躯体化、强迫症状、抑郁、焦虑、恐怖和精神病性等6个因子得分均较高（ P＜0.05）。与广东省职业病患者常模比较，ONID患者SCL-90总分和躯体化、强迫症状、抑郁、焦虑、敌对、偏执等6个因子得分均较低（P＜0.05），精神病性因子得分较高（P＜0.01）。 ONID患者SCSQ积极应对和消极应对的因子得分均低于全国常模（P≤0.01）；其消极应对因子得分低于积极应对因子得分（P＜0.01）。除躯体化和焦虑2个因子外， SCL-90总分及其余7个因子得分与消极应对因子得分均呈正相关（ P≤0.01）；SCL-90总分及各因子与积极应对因子得分均不相关（ P＞0.05）。 Logisitc回归分析结果显示，SCL-90筛查阳性与采用消极应对方式有关联[优势比为4.15，95％可信区间为（1.64～10.52），P＜0.01]，但与采用积极应对方式无关联（P＞0.05）。结论 ONID患者的心理健康水平仍较低。消极应对方式对其心理健康水平影响较大，应重视其心理干预和健康教育，以提高心理健康水平。Objective To analyze the status of mental health and coping style in patients with occupational noise -induced deafness （ ONID） , and to discuss their correlation .Methods Totally 99 patients with ONID were selected as subjects by random sampling .The Symptom Checklist 90 （ SCL-90 ） and simplified coping style questionnaire （ SCSQ ） were used to survey the cases , and the relationship between the two scales was analyzed .Results Among 96 patients with ONID , 63 cases showed screening positive , accounting for 65.62%.The total score of SCL-90, and the factor scores of somatization , obsession, depression, anxiety, fear and psychoticism in these patients were higher than those of the national norms respec -tively （P〈0.05）.Compared with the occupational disease patients＆#39;norms in Guangdong province, the total score of SCL-90, and the factor scores of somatization , interpersonal sensitivity , depression, anxiety, hostility and crankiness in these patients were lower respectively , and the score of psychoticism was higher （P〈0.01）.The SCSQ factor scores of positive coping style and passive coping style were lower than those of the national norms respectively （P≤0.01）, and the score of passive coping style was lower than the positive one .Except the factor score of somatization and anxiety in these patients , the total score of SCL-90, the other 7 factor scores were positively correlated with the score of passive coping style respec-tively （P≤0.01）.However, no significant correlation was found between the total score of SCL-90, the other 7 factor scores and the score of positive coping style （P〉0.05）.Logistic regression analysis showed that the screening positive of SCL-90 was concerned with the using of passive coping style （ Odds ratio：4.15, 95% confidence interval：1.64-10.52, P〈0.01）,but it was not concerned with the using of positive coping style （P〉0.05）.Conclusion Patients with ONID still have poor mental health level .Passive coping style had a grea

关 键 词：职业病 噪声聋 心理健康 应对方式 症状自评量表 简易应对方式问卷 影响因素 关联研究 

分 类 号：R135[医药卫生—劳动卫生]