慢性咽炎患者的心理評估
發(fā)布時(shí)間：2018-07-20 17:51
【摘要】：目的:采用90項(xiàng)癥狀自評量表(Symptom Check list,SCL-90)及焦慮自評量表(Self-Rating Anxiety Scale,SAS)對就診的慢性咽炎患者進(jìn)行調(diào)查,評估慢性咽炎患者的心理狀況,從而為實(shí)施針對性心理干預(yù)提供參考依據(jù)。方法:對2015年10月至2016年12月就診于皖南醫(yī)學(xué)院弋磯山醫(yī)院耳鼻喉頭頸外科門診的慢性咽炎患者,進(jìn)行SCL-90和SAS量表問卷調(diào)查,回收問卷并進(jìn)行數(shù)據(jù)錄入,采用SPSS軟件包進(jìn)行數(shù)據(jù)分析。對慢性咽炎患者SAS量表及SAS癥狀指描述性統(tǒng)計(jì)分析;將慢性咽炎患者的病史時(shí)間與SCL-90、SAS的總得分進(jìn)行相關(guān)性分析;將收集到病例中的男性患者于女性患者得分進(jìn)行比較,采用t檢驗(yàn);將慢性咽炎患者的SCL-90及SAS各指標(biāo)均數(shù)與全國常模之間進(jìn)行比較,采取t檢驗(yàn)。結(jié)果:(1)本研究從2015年10月至2016年12月共調(diào)查慢性咽炎患者104例,其中所有患者均按要求完成癥狀自評量表(SCL90)及焦慮自評量表(SAS),其中男性患者26例,占總數(shù)25%,女性患者78例,占總數(shù)75%,其中最小年齡為24歲,年齡最大者為69歲,病史時(shí)長從4個(gè)月到3年不等。(2)對慢性咽炎患者SAS量表及SAS癥狀指描述性統(tǒng)計(jì)分析,按照SAS標(biāo)準(zhǔn)分分級為:其中得分為50-60分人數(shù)為16人,為輕度焦慮患者;其中得分為61-70分人數(shù)為6人,為中度焦慮患者;得分在50分以下人數(shù)為82人,為無明顯焦慮癥狀的患者。SCL-90癥狀指數(shù)在0.5-1.5的人數(shù)為40人,占總?cè)藬?shù)比例為38.46%,癥狀指數(shù)在1.5~2.5之間人數(shù)為53人,占總?cè)藬?shù)比例為50.96%,癥狀指數(shù)在2.5-3.5之間人數(shù)為11人,占總?cè)藬?shù)比例為10.58%,其中癥狀程度輕度的占38.46%,輕到中度占50.96%,中到嚴(yán)重程度占10.58%。(3)將慢性咽炎病史時(shí)長和scl-90的總得分?jǐn)?shù)進(jìn)行相關(guān)性的分析得出結(jié)果為,r=0.274,p0.05,無統(tǒng)計(jì)學(xué)意義,而慢性咽炎病史時(shí)長與sas總得分進(jìn)行相關(guān)性分析得出,先關(guān)系數(shù)r=0.274,p=0.000.05,存在相關(guān)性,即慢性咽炎病史時(shí)長和scl-90的總得分?jǐn)?shù),無明確的直線相關(guān)性,但病史時(shí)長與sas存在相關(guān)性。(4)104例慢性咽炎患者scl-90總得分均分為(159.76±49.68)分,每題均分為(1.77±0.55)分,高于全國常模。男性患者總得分均分和每題均分分別為(161.73±39.33)和(1.74±0.68),雖然男性患者總得分均分和每題均分分別為(161.73±39.33)和(1.79±0.44),雖然高于女性患者(159.10±52.89)和(1.76±0.59),但差異無統(tǒng)計(jì)學(xué)意義(p0.05);軀體化得分(1.69±0.50)高于全國正常人常模(1.37±0.48),差異有統(tǒng)計(jì)學(xué)意義(t=6.50,p0.05)。強(qiáng)迫癥狀因子得分(2.05±0.74)高于全國正常人常模(1.62±0.58),差異有統(tǒng)計(jì)學(xué)意義(t=5.87,p0.05)�；颊呷穗H關(guān)系敏感得分(1.64±0.65)與全國正常人常模(1.65±0.51)相比,差異無統(tǒng)計(jì)學(xué)意義(t=-0.16,p=0.87);患者抑郁得分(1.90±0.72)顯著高于全國正常人常模(1.50±0.59),差異有統(tǒng)計(jì)學(xué)意義(t=3.57,p0.05)。與全國正常人常模(1.39±0.43)相比,慢性咽炎患者焦慮得分(1.86±0.69)顯著升高(t=10.39,p0.05)�；颊邤硨σ蜃拥梅�(1.83±0.84)高于全國正常人常模(1.48±0.56),差異有統(tǒng)計(jì)學(xué)意義(t=4.24,p0.05)�；颊呖植酪蜃拥梅�(1.51±0.59)顯著高于全國正常人常模(1.23±0.41)其中(t=4.85,p0.05)具有統(tǒng)計(jì)學(xué)意義。與全國正常人常模(1.43±0.57)相比,慢性咽炎患者偏執(zhí)得分(1.54±0.62),p0.05差異無統(tǒng)計(jì)學(xué)意義�；颊呔癫⌒缘梅譃�(1.72±0.69),與全國正常人常模(1.29±0.42)明顯更高(t=6.39,p0.05),有統(tǒng)計(jì)學(xué)意義。(5)104例慢性咽炎患者sas總得分均分為(44.17±8.38)分,其中正評題15項(xiàng)單分均值為(2.42±1.72)分,反向5個(gè)項(xiàng)目均分為(1.91±1.38)分;其中全國常模(n=1158)sas的20項(xiàng)總分均值為(30.78±6.54),正評15項(xiàng)單分均值為(1.30±1.09),反向5個(gè)項(xiàng)目均分(2.31±1.83),差異有統(tǒng)計(jì)學(xué)意義(t=17.52,p0.001)。男性患者總得分均分和每題均分分別為(43.76±9.15),其中正評題15項(xiàng)單分均值為(2.33±1.65)分,反向5個(gè)項(xiàng)目均分為(1.88±1.40)分,女性患者得分為(44.46±8.19),其中正評題15項(xiàng)單分均值為(2.50±1.76)分,反向5個(gè)項(xiàng)目均分為(2.01±1.36)分,但差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:慢性咽炎患者存在一定的焦慮、抑郁及恐懼等心理健康問題,對疾病存在痛苦認(rèn)知。慢性咽炎患者的病史長短與焦慮心理狀態(tài)呈正相關(guān)性,與性別無關(guān)。
[Abstract]:Objective: To investigate the patients with chronic pharyngitis by using 90 Symptom Check list (SCL-90) and Self-Rating Anxiety Scale (SAS) to assess the psychological status of patients with chronic pharyngitis, so as to provide reference for the implementation of targeted psychological intervention. Methods: from October 2015 to December 2016. The patients with chronic pharyngitis in the outpatient of Otolaryngology and head and neck surgery at Yi La Shan Hospital of Wangnan Medical College were investigated by the SCL-90 and SAS questionnaire. The questionnaires were collected and the data were recorded by the SPSS software package. The SAS scale and the SAS symptoms of chronic pharyngitis were analyzed, and the history time of the chronic pharyngitis patients and the SCL-9 were analyzed. 0, the total score of SAS was analyzed. The scores of the male patients in the cases were compared with the t test, and the average number of SCL-90 and SAS in the patients with chronic pharyngitis was compared with the national norm, and the t test was taken. (1) the study was conducted from October 2015 to December 2016 to investigate 1 patients with chronic pharyngitis. 04 cases, of which all patients were required to complete the symptom checklist (SCL90) and self rating Anxiety Scale (SAS), of which 26 were male, 25% and 78 in women, accounting for 75%, of which the minimum age was 24, the oldest was 69, and the duration of the disease ranged from 4 to 3 years. (2) the SAS scale and SAS symptom of chronic pharyngitis patients. The descriptive statistical analysis, according to the SAS standard, was divided into 16 people with a score of 50-60 and mild anxiety, with a score of 61-70 in 6 and moderate anxiety, with a score of less than 50 in the number of 82 people, and 40 in the number of.SCL-90 symptom indexes in 0.5-1.5 without obvious anxiety symptoms, accounting for the total number of people. For example 38.46%, the number of symptom indices between 1.5~2.5 was 53, the proportion of the total number was 50.96%, and the number of symptom indices between 2.5-3.5 was 11, accounting for 10.58% of the total number, including 38.46% of mild symptoms, 50.96% from mild to moderate, and 10.58% in moderate to moderate severity. (3) the total score of chronic pharyngitis history and SCL-90 were scored. The correlation analysis concluded that r=0.274, P0.05, without statistical significance, and the correlation analysis of the chronic pharyngitis history time and the total score of SAS concluded that the first relationship was the number of r=0.274, p=0.000.05, and there was a correlation, that is, the length of chronic pharyngitis and the total score of SCL-90, there is no clear linear correlation, but the history of the disease is long with SAS. (4) the total scores of SCL-90 in 104 patients with chronic pharyngitis were divided into (159.76 + 49.68) points, each of which was divided into (1.77 + 0.55) points, higher than the national norm. The total score of the male patients was (161.73 + 39.33) and (1.74 + 0.68), respectively, although the total score of the male patients and the average score of each question were (161.73 + 39.33) and (1.79 + 159.76), respectively. Although it was higher than the female (159.10 + 52.89) and (1.76 + 0.59), the difference was not statistically significant (P0.05); the somatization score (1.69 + 0.50) was higher than the normal norm (1.37 + 0.48), and the difference was statistically significant (t=6.50, P0.05). The score of the compulsive symptom factor (2.05 + 0.74) was higher than that of the normal norm of the national (1.62 + 0.58), and the difference was statistically significant (t= 5.87, P0.05). The patient's interpersonal sensitivity score (1.64 + 0.65) was not statistically significant (t=-0.16, p=0.87) compared with the national normal norm (1.65 + 0.51), and the depression score (1.90 + 0.72) was significantly higher than that of the national normal norm (1.50 + 0.59), and the difference was statistically significant (t=3.57, P0.05). Compared with the normal norm (1.39 + 0.43) of the national normal person (1.39 + 0.43) The score of anxiety in the patients with sexual pharyngitis was significantly higher (1.86 + 0.69) (t=10.39, P0.05). The score of the adversarial factor (1.83 + 0.84) was higher than that of the national normal norm (1.48 + 0.56), and the difference was statistically significant (t=4.24, P0.05). The score of the terrorist factor (1.51 + 0.59) was significantly higher than that of the normal norm (1.23 + 0.41) of the national (t=4.85, P0.05). Compared with the normal norm (1.43 + 0.57), the paranoid score of chronic pharyngitis was (1.54 + 0.62), and there was no significant difference in P0.05. The score of psychosis was (1.72 + 0.69) and was significantly higher (1.29 + 0.42) (t=6.39, P0.05). (5) the total score of SAS in 104 patients with chronic pharyngitis was (44.17) (5) The average value of 15 items in the positive evaluation was (2.42 + 1.72), and the 5 items in the reverse were (1.91 + 1.38). The average value of the national norm (n=1158) SAS was (30.78 + 6.54), and the average value of the 15 items was (1.30 + 1.09). The difference was statistically significant (t=17.52, p0.001). The average score of score and the average score of each question were (43.76 + 9.15), of which the average value of 15 items in the positive evaluation was (2.33 + 1.65), and the 5 items in the reverse were (1.88 + 1.40), and the scores of female patients were (44.46 + 8.19), among them, the average value of the positive evaluation was (2.50 + 1.76), and the other items were equally divided, but the difference was not statistically significant (P0 .05) conclusion: the patients with chronic pharyngitis have some mental health problems, such as anxiety, depression and fear, and have a painful cognition of the disease. The history of chronic pharyngitis is positively related to the state of anxiety and anxiety, and has nothing to do with sex.
【學(xué)位授予單位】：皖南醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R766.14
本文編號：2134288
[Abstract]:Objective: To investigate the patients with chronic pharyngitis by using 90 Symptom Check list (SCL-90) and Self-Rating Anxiety Scale (SAS) to assess the psychological status of patients with chronic pharyngitis, so as to provide reference for the implementation of targeted psychological intervention. Methods: from October 2015 to December 2016. The patients with chronic pharyngitis in the outpatient of Otolaryngology and head and neck surgery at Yi La Shan Hospital of Wangnan Medical College were investigated by the SCL-90 and SAS questionnaire. The questionnaires were collected and the data were recorded by the SPSS software package. The SAS scale and the SAS symptoms of chronic pharyngitis were analyzed, and the history time of the chronic pharyngitis patients and the SCL-9 were analyzed. 0, the total score of SAS was analyzed. The scores of the male patients in the cases were compared with the t test, and the average number of SCL-90 and SAS in the patients with chronic pharyngitis was compared with the national norm, and the t test was taken. (1) the study was conducted from October 2015 to December 2016 to investigate 1 patients with chronic pharyngitis. 04 cases, of which all patients were required to complete the symptom checklist (SCL90) and self rating Anxiety Scale (SAS), of which 26 were male, 25% and 78 in women, accounting for 75%, of which the minimum age was 24, the oldest was 69, and the duration of the disease ranged from 4 to 3 years. (2) the SAS scale and SAS symptom of chronic pharyngitis patients. The descriptive statistical analysis, according to the SAS standard, was divided into 16 people with a score of 50-60 and mild anxiety, with a score of 61-70 in 6 and moderate anxiety, with a score of less than 50 in the number of 82 people, and 40 in the number of.SCL-90 symptom indexes in 0.5-1.5 without obvious anxiety symptoms, accounting for the total number of people. For example 38.46%, the number of symptom indices between 1.5~2.5 was 53, the proportion of the total number was 50.96%, and the number of symptom indices between 2.5-3.5 was 11, accounting for 10.58% of the total number, including 38.46% of mild symptoms, 50.96% from mild to moderate, and 10.58% in moderate to moderate severity. (3) the total score of chronic pharyngitis history and SCL-90 were scored. The correlation analysis concluded that r=0.274, P0.05, without statistical significance, and the correlation analysis of the chronic pharyngitis history time and the total score of SAS concluded that the first relationship was the number of r=0.274, p=0.000.05, and there was a correlation, that is, the length of chronic pharyngitis and the total score of SCL-90, there is no clear linear correlation, but the history of the disease is long with SAS. (4) the total scores of SCL-90 in 104 patients with chronic pharyngitis were divided into (159.76 + 49.68) points, each of which was divided into (1.77 + 0.55) points, higher than the national norm. The total score of the male patients was (161.73 + 39.33) and (1.74 + 0.68), respectively, although the total score of the male patients and the average score of each question were (161.73 + 39.33) and (1.79 + 159.76), respectively. Although it was higher than the female (159.10 + 52.89) and (1.76 + 0.59), the difference was not statistically significant (P0.05); the somatization score (1.69 + 0.50) was higher than the normal norm (1.37 + 0.48), and the difference was statistically significant (t=6.50, P0.05). The score of the compulsive symptom factor (2.05 + 0.74) was higher than that of the normal norm of the national (1.62 + 0.58), and the difference was statistically significant (t= 5.87, P0.05). The patient's interpersonal sensitivity score (1.64 + 0.65) was not statistically significant (t=-0.16, p=0.87) compared with the national normal norm (1.65 + 0.51), and the depression score (1.90 + 0.72) was significantly higher than that of the national normal norm (1.50 + 0.59), and the difference was statistically significant (t=3.57, P0.05). Compared with the normal norm (1.39 + 0.43) of the national normal person (1.39 + 0.43) The score of anxiety in the patients with sexual pharyngitis was significantly higher (1.86 + 0.69) (t=10.39, P0.05). The score of the adversarial factor (1.83 + 0.84) was higher than that of the national normal norm (1.48 + 0.56), and the difference was statistically significant (t=4.24, P0.05). The score of the terrorist factor (1.51 + 0.59) was significantly higher than that of the normal norm (1.23 + 0.41) of the national (t=4.85, P0.05). Compared with the normal norm (1.43 + 0.57), the paranoid score of chronic pharyngitis was (1.54 + 0.62), and there was no significant difference in P0.05. The score of psychosis was (1.72 + 0.69) and was significantly higher (1.29 + 0.42) (t=6.39, P0.05). (5) the total score of SAS in 104 patients with chronic pharyngitis was (44.17) (5) The average value of 15 items in the positive evaluation was (2.42 + 1.72), and the 5 items in the reverse were (1.91 + 1.38). The average value of the national norm (n=1158) SAS was (30.78 + 6.54), and the average value of the 15 items was (1.30 + 1.09). The difference was statistically significant (t=17.52, p0.001). The average score of score and the average score of each question were (43.76 + 9.15), of which the average value of 15 items in the positive evaluation was (2.33 + 1.65), and the 5 items in the reverse were (1.88 + 1.40), and the scores of female patients were (44.46 + 8.19), among them, the average value of the positive evaluation was (2.50 + 1.76), and the other items were equally divided, but the difference was not statistically significant (P0 .05) conclusion: the patients with chronic pharyngitis have some mental health problems, such as anxiety, depression and fear, and have a painful cognition of the disease. The history of chronic pharyngitis is positively related to the state of anxiety and anxiety, and has nothing to do with sex.
【學(xué)位授予單位】：皖南醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R766.14
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