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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

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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.
Investigation and analysis on the mental health status and correlative factors of patients with chronic lumber disc herniation
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 clinically-diagnosed 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, obsessive-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.

lumber disc herniationmental health

柳霞、丁卫星、刘益善

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空军总医院康复理疗科,北京100036

腰椎间盘突出 心理健康

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(20)
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