颈肩腰腿疼痛与心理因素的相关性研究.docVIP

颈肩腰腿疼痛与心理因素的相关性研究 　　【摘要】 目的：研究颈肩腰腿疼痛与心理因素的相关性。方法：选取2012年5月-2014年2月本院骨科符合纳入标准的颈肩腰腿疼痛住院患者121例作为研究对象，共填写心理评估量表121份。结果：得到有效问卷117份。117例住院颈肩腰腿疼痛患者SCL-90统计指标中躯体化、抑郁、人际关系、强迫、焦虑等因子分较常模明显增高。117例住院颈肩腰腿疼痛患者抑郁情绪的发生率明显高于焦虑情绪，患者较容易表现为抑郁情绪或抑郁合并焦虑情绪，较少表现为单纯的焦虑情绪。结论：颈肩腰腿疼痛的治疗管理，还需要积极地关注和处理患者因疼痛而引发的心理障碍、心理疾病，不仅要重视躯体的疾病，还要重视患者的心理健康。 　　【关键词】 颈肩腰腿疼痛； 心理因素相关性； 心理治疗； 负性情绪 　　Study on the Correlation between the Neck and Leg Pain and Psychological Factors/WANG Yong.//Medical Innovation of China，2016，13（08）：072-074 　　【Abstract】 Objective：To study the correlation between neck shoulder waist pain and psychological factors.Method：121 hospitalized patients with neck， shoulder，waist and leg pain in our hospital from May 2012 to February 2014 were selected as research objects，121 psychological assessment scale were filled.Result：117 valid questionnaires were obtained.117 cases of hospitalization of somatization， depression， interpersonal relationship， compulsion， anxiety factor in the neck，shoulder， waist and leg pain patients SCL-90 statistical index were significantly increased. 117 hospital incidence of neck， shoulder， waist and leg pain patients with depression were significantly higher than those of the anxiety， patients were prone to depression or depression combined with anxiety and less performance for pure anxiety.Conclusion：The treatment of neck shoulder waist pain management，and also need to actively pay attention to and processing caused by the pain of patients with mental disorder，mental disease，not only should attach great importance to the diseases of the body，but also attaches great importance to the mental health of patients. 　　【Key words】 Neck shoulder waist pain； Psychological factors correlation； Psychotherapy； Negative emotions 　　First-author’s address：Xichang People’s Hospital， Xichang 615000，China 　　doi：10.3969/j.issn.1674-4985.2016.08.020 　　笔者在十多年的骨科临床工作中注意到，颈肩腰腿疼痛患者，在经历了长时间的疼痛折磨、承担了高成本的治疗费用之后，开始对治疗效果失去了信心，开始对主管医生、护士表现出抱怨及不信任，开始对家人、朋友表现出不耐烦的情绪。从患者淡漠或焦虑、急躁的表现中，周围的人能够