142例甲亢手术患者心理状态调查分析.doc

142例甲亢手术患者心理状态调查分析[摘要] 目的 对甲亢手术患者心理状态进行调查，为手术的成功奠定基础。 方法 应用症状自评量表（SCL-90）对142例甲亢手术患者的不同心理状态进行调查，主要包括性别、年龄、职业。 结果 ①甲亢患者的SCL-90评分、阳性项目评分以及躯体化、强迫、抑郁、焦虑、敌对、恐怖、偏执症状的评分分别明显高于健康对照组，差异有统计学意义（P ＜ 0.05或P ＜ 0.01）。②男性甲亢患者SCL-90评分调查结果显示，躯体化、抑郁、焦虑、敌对、偏执的评分明显高于女性患者，差异有统计学意义（P ＜ 0.05）。③甲亢组142例患者术前的正性刺激量、负性刺激量、总刺激量评分均明显高于健康对照组，差异有统计学意义（P ＜ 0.05）。术后甲亢组142例患者的正性刺激量、负性刺激量、总刺激量评分分别与术前比较，差异有统计学意义（P ＜ 0.05）。但术后分别与健康对照组比较，差异无统计学意义（P ＞ 0.05）。结论 于围术期即术前、术中及术后根据患者的具体情况和心理问题产生的原因，给予积极的心理治疗及护理，引导患者采取积极的态度面对疾病，尽量回避负性生活事件的刺激或改变对负性事件的看法，才能减轻患者的心身痛苦，从而有利于疾病的恢复。 [关键词] 甲亢手术；心理状态；调查；SCL-90量表；生活事件量表（LES） [中图分类号] R581.1 [文献标识码] B [文章编号] 1673-9701（2012）06-0019-02 The psychological state of patients with hyperthyroidism: an investigation and analysis of 142 cases YE Yinju LIU Minzhi Xiangshan Dancheng Central Heath Hospital in Zhejiang Province, Xiangshan 315700, China [Abstract] Objective The mental state of patients with hyperthyroidism surgery research, lay the foundation for the success of the operation. Methods Hundred and forty-two cases of hyperthyroidism in patients with different mental state surgical applications symptom checklist (SCL-90) table to study, mainly from sex, age, occupation, three research studies. Results ① Patients with hyperthyroidism items of SCL-90 score in the total score, positive items, scores and somatization, depression, anxiety, hostility, phobia, paranoid symptoms scores were significantly higher than the healthy control group, the difference was statistically significance (P 0.05). Conclusion Perioperative that in the preoperative, intraoperative and postoperative patients based on the specific circumstances and causes of psychological problems, to give a positive psychological treatment and care, patients are guided to take a positive attitude towards the disease, try to avoid negative life events or changes on stimulus view negative events, in order to reduce the patient’s physical and mental pain, thus contributing to the recovery of the disease.