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重度头皮银屑病患者消极身体意象影响因素分析

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目的 了解重度头皮银屑病患者产生消极身体意象的影响因素,指导临床干预.方法 收集2020年1月-2022年12月某三甲医院收治的银屑病头皮严重程度指数(PSSI)≥60分的重度头皮银屑病患者临床资料,根据身体意象状态量表(BISS)评分将其分为积极身体意象组与消极身体意象组,并运用多因素Logistic回归分析重度头皮银屑病患者产生消极身体意象的相关因素.结果 本研究共有91例重度头皮银屑病患者完成研究,平均BISS评分为(18.66±5.91)分,积极身体意象25例,占比27.47%,消极身体意象66例,占比72.53%.单因素分析显示,不同性别、性格、病耻感、歧视知觉、家庭关怀度、心理状态患者两组间比较差异有统计学意义(P<0.05);多因素Logistic回归分析显示,性别、支配型性格、影响型性格、病耻感、歧视知觉、家庭关怀度、心理状态是重度头皮银屑病患者产生消极身体意象的影响因素.结论 重度头皮银屑病患者易产生消极身体意象,女性、影响型和支配型性格、严重病耻感和歧视知觉、负性情绪、家庭关怀度不足均是重度头皮银屑病患者产生消极身体意象的危险因素.
Analysis about the influencing factors of negative body image in patients with severe scalp psoriasis
Objective To understand the influencing factors of negative body image in patients with severe scalp psoriasis and guide clinical interventions.Methods Clinical data of patients with psoriasis scalp severity index(PSSI)≥60 scores admitted to a top-three hospital from January 2020 to December 2022 were collected.According to the Body Image State Scale(BISS)score,they were divided into positive body image group and negative body image group.Multivariate logistic regression analysis was used to ana-lyze the related factors of negative body image in patients with severe scalp psoriasis.Results A total of 91 patients with severe scalp psoriasis completed the study,with an average BISS score of(18.66±5.91).There were 25 cases with positive body images,account-ing for 27.47%,and 66 cases with negative body images,accounting for 72.53%.Univariate analysis showed that there were statistically significant differences in gender,personality,stigma,perception of discrimination,family care degree,and psychological state between the two groups(P<0.05);Multivariate logistic regression analysis showed that gender,dominant personality,influential personality,sense of shame,perception of discrimination,family care degree,and psychological state were the influencing factors of negative body images for patients with severe scalp psoriasis.Conclusion Patients with severe scalp psoriasis are prone to negative body image.Fe-male,influential and dominant personalities,severe stigma and discrimination perception,negative emotions,and insufficient family care are all risk factors for negative body image in patients with severe scalp psoriasis.

Psoriasis of the scalpSevere degreeNegative body imageryInfluence factors

张艳艳、赵靓、李英梅

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河南省南阳市中心医院,河南南阳 473000

头皮银屑病 重度 消极身体意象 影响因素

河南省科技攻关项目

2010200547

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(2)
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