摘要
目的探讨妇科门诊手术患者的心理特征,提出相应的应对措施,以期能为以后工作中能准确把握患者的心理状态并且消除不良心理提供参考。方法选取300例妇科门诊手术患者,术前进行一般资料问卷、症状自评量表(SCL-90)、抑郁自评量表(SDS)、焦虑自评量表(SAS)问卷调查,问卷在术前患者当场填写,当场回收。结果调查问卷回收率为100%,经过整理分析剔除24份不合格问卷,问卷合格率为92.00%;患者问卷调查结果SCL-90量表中抑郁、焦虑因子评分分别为(1.58±0.60)分、(1.47±0.47)分,阳性项目数总分、阳性项目均分分别为(27.94±19.50)分、(2.78±0.67)分,高于国内常模,比较差异具有统计学意义(P<0.05),躯体化、强迫症状、人际关系敏感、恐怖、敌对、偏执、精神病性7个因子评分与国内常模比较差异无统计学意义(P>0.05);患者SDS评分为(53.27±4.17)分,SAS评分为(52.18±7.18)分,高于国内常模,比较差异具有统计学意义(P<0.05)。结论妇科门诊手术患者主要存在焦虑及抑郁心理,妇科医生在术前应针对引起患者焦虑及抑郁心理的问题进行心理干预。
Objective To explore the psychological characteristics of patients with gynecologic outpatient operation,put forward the corresponding countermeasures,in order to provide the reference to accurately grasp the patients＇ psychological status and to eliminate adverse psychology.Methods Three hundred patients with gynecologic outpatient operation were selected and enrolled in the study.The general data was investigated by questionnaires preoperatively,including Self-reporting Inventory （SCL-90）,Self-rating Depression Scale （SDS）,and Self-rating Anxiety Scale （SAS）.The questionnaires were filled by the patients preoperatively on the spot.Results The recovery rate of the questionnaires was 100%.After sorting and analyzing,24 unqualified questionnaires were eliminated.The rate of qualified questionnaires was 92.00%.The depression,anxiety factor score of SCL-90 scale were （1.58±0.60）,（1.47±0.47）,respectively,and the total score and average score of the positive items were （27.94± 19.50）,（2.78±0.67）,respectively,significantly higher than the domestic norm （P〈0.05）.The patients＇ somatization,force symptom,interpersonal sensitivity,terror,hostility,paranoid and psychotic seven factor score showed no statistically significant difference with the domestic norm （P〉0.05）.The SDS score and SAS score of the patients were （53.27±4.17）,（52.18±7.18）,respectively,significantly higher than domestic norm （P〈0.05）.Conclusion The patients with gynecologic outpatient operation mainly show anxiety and depression.Psychological intervention to anxiety and depression should be applied before operation.
出处
《海南医学》
CAS
2013年第21期3255-3257,共3页
Hainan Medical Journal
关键词
门诊
手术
症状自评量表
抑郁自评量表
焦虑自评量表
Outpatient department
Operation
Self-reporting Inventory
Self-rating Depression Scale
Self-rating Anxiety Scale
