基层医院耳鼻喉门诊患者心理状况调查探究.docVIP

基层医院耳鼻喉门诊患者心理状况调查探究 　 作者：谭结梅 胡国文 区美仪 刘跃辉 袁佛良 【摘要】 目的 对基层医院耳鼻喉科门诊患者的心理状况及生活质量进行调查，为开展心理社会干预提供依据。 方法 学采用SCL-90、EPQ、SAS、SDS、生活质量问卷及心理需求问卷，对基层医院耳鼻喉科疾病患者及同期健康体检人群共878例，分别进行调查评估，并进行统计学分析。 结果 耳鼻喉科疾病对患者心理状态均存在不同程度影响，其中焦虑发生率最高，抑郁及强迫次之，并且使患者的生活质量下降，主要表现为睡眠质量、生活乐趣及治愈信心下降，患者迫切想知道疾病的知识、得到社会支持及康复知识。结论 心理因素与耳鼻喉科疾病之间存在密切的关系，并且与诊治效果密切相关，它可以作为诱因、加强因素存在，也可作为致病因素，在疾病的发生、发展、转归中起重要作用。在临床工作中忽视社会心理因素的作用可能导致严重后果，医护人员自觉提高自身素质，加强与患者的沟通，加强医护人员之间的合作，完善社会心理因素病史记录，从单纯生物医学模式转变为生物、心理、社会医学模式，有利于患者疾病的康复，并使患者达到真正意义上的健康，回归社会。 【关键词】 耳鼻喉科疾病 医学心理学 门诊 【Abstract】Objective ENT outpatient hospital on the primary psychological condition and quality of life survey， for the carrying out psychosocial interventions. Methods Using SCL-90， EPQ， SAS， SDS， the quality of life questionnaires and psychological needs questionnaire， ENT diseases， to grass-roots hospital patients and people over the same period a total of 878 cases of physical examination were investigated evaluated and analyzed statistically. Results ENT disease exist in psychological status of patients affected in varying degrees， of which the highest incidence of anxiety， depression and forced the second， and so decline in the quality of life of patients， mainly for the quality of sleep， life enjoyment and confidence in the cure， patients are eager to know about disease knowledge， social support and rehabilitation expertise.Conclusion Psychological factors and ENT diseases， close relationship that exists between， and with the diagnosis and treatment are closely related， it can be as an incentive to strengthen the presence of factors， but also as a pathogenic factor in the occurrence of the disease， development， and prognosis play an important role in . In clinical work， ignored the role of psychosocial factors may lead to serious consequences， and consciously improve their own quality of health care workers， strengthening communication with patients to strengthen cooperation among health care workers， improve the social and psychological factors， med