鲜红斑痣患者自我缺陷感的问卷调查及影响因素分析  

Questionnaire survey and influencing factors of self-defect in patients with bright red nevus

作　　者：徐艳 林碧华[1] 钟桂钦[1] 陈小松[1] Xu Yan;Lin Bihua;Zhong Guiqin;Chen Xiaosong(Department of Plastic and Aesthetic Surgery,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院整形外科,福州350001

出　　处：《中华医学美学美容杂志》2023年第5期385-388,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的:通过接受光动力治疗鲜红斑痣患者自我缺陷感的问卷调查及分析影响因素。方法:2019年1月至2021年7月,福建医科大学附属协和医院整形外科收治海姆泊芬光动力治疗鲜红斑痣患者183例,男47例、女136例,年龄14~41(24.8±7.0)岁。于入院时对调查对象用一般资料调查量表和缺陷感量表(FIS)通过问卷星在线填写进行资料收集。结果:183例光动力治疗鲜红斑痣患者自我缺陷感的总分高于国内常模,年龄(F=4.19)、生活居住地(F=14.90)、共同居住者(F=3.21)、文化水平(F=4.39)、婚姻状态(F=2.47)、收入水平(F=9.51)、职业(F=5.82)与患者的自我缺陷感水平高低差异有统计学意义(P<0.05)。多元线性回归分析结果提示,生活居住地(t=2.76)和收入水平(t=2.20)是影响患者产生自我缺陷感的主要因素(P<0.05)。结论:鲜红斑痣患者自我缺陷感较严重,自身综合条件和家庭结构会影响鲜红斑痣患者的自我缺陷感,应特别关注来自市级城市和低收入水平患者的心理健康,适时开展临床护理教育和心理引导工作,提高患者治疗的依从性和合作性,促进患者的快速康复。Objective To investigate the self-defect sensation and its influencing factors in patients scheduled for photodynamic therapy for port wine stains.Methods A total of 183 patients scheduled for photodynamic therapy for port wine stains in our hospital were selected and investigated by online questionnaire.The data of the respondents were collected by means of online filling in the questionnaire star using the General Data Survey Scale and the Defect Perception Scale(FIS)at admission.Results The total score of self-defect in 183 patients with bright red nevus treated by photodynamic therapy was higher than that of the domestic norm.Age(t=4.19),place of residence(F=14.90),co-resident(F=3.21),education level(F=4.39),marital status(F=2.47),income level(F=9.51)and occupation(F=5.82)had significantly related with the level of self-deficiency of patients(P<0.05).The results of multiple linear regression analysis indicated that residence and income level were the main factors affecting patients′sense of self-deficiency(F=4.96,P<0.05).Conclusions The overall self-defect sense of 183 patients with port wine stains treated with photodynamic therapy in this survey is more serious,their own comprehensive conditions and family structure will affect the self-defect sense of patients with port wine stains.We should pay special attention to the mental health of patients from municipal cities and low-income levels,timely carry out clinical nursing education and psychological guidance,jointly improve the compliance and cooperation of patients with treatment,and promote the rapid recovery of patients.

关 键 词：鲜红斑痣 调查问卷 自我缺陷感 现况调查 影响因素 

分 类 号：R758.61[医药卫生—皮肤病学与性病学]