nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2019, 11, v.42 1484-1486+1491
慢性鼻-鼻窦炎患者心理学特征分析研究
基金项目(Foundation): 新疆维吾尔自治区自然科学基金(2017D01C281)
邮箱(Email):
DOI:
摘要:

目的分析研究慢性鼻-鼻窦炎(Chronic rhinosinusitis,CRS)患者心理学特征。方法选取2013年1月-2015年9月在新疆医科大学第一附属医院耳鼻咽喉科住院的124例CRS患者为研究对象,采用宗氏焦虑自评量表(self-rating anxiety scale, SAS)、宗氏抑郁自评量表(self-rating depression scale, SDS)和症状自评量表(symptom checklist-90,SCL-90)对CRS患者心理健康状况进行评估,与全国常模进行比较分析。结果回收CRS患者有效问卷124份,回收率100%。CRS患者SAS平均得分为(36.27±10.34)分,SDS平均得分为(49.02±9.83)分。全国常模SAS得分平均为(29.78±10.07)分,SDS得分平均为(41.88±10.57)分。与中国常模比较,124例CRS患者SAS、SDS得分增高,差异有统计学意义(P<0.05)。与中国常模比较,CRS患者躯体化症状、人际关系敏感、抑郁及焦虑4项因子得分升高,差异均有统计学意义(P均<0.01)。结论 CRS患者存在一定程度的心理健康问题,主要表现在躯体化症状、人际关系敏感、焦虑及抑郁等方面。

Abstract:

Objective To analyze the psychopathological characteristics of patients with chronic rhinosinusitis(CRS). Methods A total of 124 CRS patients hospitalized in the Department of Otolaryngology, the First Affiliated Hospital of Xinjiang Medical University from January 2013 to September 2015 were selected as the subjects. Self-rating anxiety scale(SAS), self-rating depression scale(SDS) and symptom checklist scale(SCL-90) were used to evaluate the mental health of CRS patients. Results One hundred twenty-four valid questionnaires were collected from CRS patients with a recovery rate of 100%. The average scores of SAS and SDS in CRS patients were(36.27±10.34) and(49.02±9.83) respectively. The average SAS score of national norm was(29.78±10.07) and the average SDS score was(41.88±10.57). Compared with the Chinese norm, the scores of SAS and SDS in 124 patients with CRS increased significantly(P<0.05). Compared with the Chinese norm, the scores of somatization symptoms, interpersonal sensitivity, depression and anxiety in CRS patients increased significantly(all P<0.01). Conclusion High prevalence of Psychiatric disorders such as somatization, interpersonal sensitivity, anxiety and depression were found in CRS patients.

参考文献

[1] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组.中华医学会耳鼻咽喉头颈外科学分会鼻科学组慢性鼻-鼻窦炎诊断和治疗指南(2012年,昆明)[J].中华耳鼻咽喉头颈外科杂志,2013,48(2):92-94.

[2] 方必基,谢云天,刘彩霞.近十一年医生症状自评量表(SCL-90)调查结果的Meta分析及常模确定[J].现代预防医学,2017,44(9):1642-1646.

[3] BALON R.Rating scales for anxiety/anxiety disorders[J].Curr Psychiatry Rep,2007,9(4):271-277.

[4] SAHLSRRAND-JOHNSON P,OHLSSON B,VON BUCHWALDd C,et al.A multi-centre study on quality of life and absenteeism in patients with CRS referred for endoscopic surgery[J].Rhinology,2011,49(4):420-428.

[5] SIMOPOULOS E,KATOTOMICHELAKIS M,GOUVERIS H,et al.Olfaction-associated quality of life in chronic rhinosinusitis:adaptation and validation of an olfaction-specific questionnaire[J].Laryngoscope,2012,122:1450-1454.

[6] ROZANSKA-KUDELSKA M,SZULC A,MATULKA M,et al.Quality of life,depression and anxiety symptoms in patients with chronic rhinosinusitis with polyps treated by endoscopic sinus surgery[J].Pol Merkur Lekarski,2012,32(190):228-231.

[7] CLINGER J D,MZCE J C,SMITH T L.Quality-of-life outcomes following multiple revision endoscopic sinus surgery[J].Int Forum Allergy Rhinol,2012,2(6):444-452.

[8] SOLER Z M,SMITH T L.Quality of life outcomes after functional endoscopic sinus surgery[J].Otolaryngol Clin North Am ,2010,43(3):605-612.

[9] 梁分凤,刘晖,成斌.鼻源性头痛81例诊治分析[J].中国耳鼻咽喉颅底外科杂志,2013,19(3):258-259.

[10] 刘建华.鼻源性头痛原因分析及内镜下鼻腔结构的重建[J].中国耳鼻咽喉颅底外科杂志,2013,19(3):254-256.

[11] 李健忠.慢性鼻窦炎患者心理状况调查与分析[J].齐齐哈尔医学院院报,2014,35(11):1625-1626.

[12] RODNEY J,SCHLOSSER M D,SELBY E.Burden of illness:A systematic review of depression in chronic rhinosinusitis[J].Am J Rhinol Allergy,2016,30(4):250-256.

[13] KILTY S J,MCDONALD J T,JOHNSON S,et a1.Socioeconomic status:a disease modifier of chronic rhinosinusitis[J].Rhinology,2011,49(5):533-537.

[14] DAVIS G E,YUEH B,WALKER E,et al.Psychiatric distress amplifies symptoms after surgery for chronic rhinosinusitis[J].Otolaryngol Head Neck Surg,2005,132 (2):189-196.

[15] WASAN A,FERNADEZ E,JAMISON R N,et al.Association of anxiety and depression with reported disease severity in patients undergoing evaluation for chronic rhinosinusitis[J].Ann Otol Rhinol Laryngol,2007,116(7):491-497.

[16] NANAYAKKARA J P,IGWE C,ROBERTS D,et al.The impact of mental health on chronic rhinosinusitis symptom scores[J].Eur Arch Otorhinolaryngol,2013,270:1361-1364.

[17] 田昊,马有祥,丁秀勇,等.慢性鼻-鼻窦炎患者内镜手术心理学特征初步分析[J].中华耳鼻咽喉头颈外科杂志,2015,50(3):210-214.

[18] 卫来,王志强.慢性鼻-鼻窦炎患者心理障碍及相关因素分析[J].中华耳鼻咽喉头颈外科杂志,2014,49(12):969-974.

[19] 董震,杨占泉.躯体形式障碍-耳鼻咽喉-头颈外科医师应认识的一种疾病[J].临床耳鼻咽喉科杂志,2006,20(8):337-338.

[20] HOBBS K,SYMONDS T,ABRAHAM L,et al.Sexual dysfunction in partners of men with prematureejaculation[J].Int J Impot Res,2008,20(5):512-517.

基本信息:

中图分类号:R765

引用信息:

[1]冯娟,阳玉萍,王燕,等.慢性鼻-鼻窦炎患者心理学特征分析研究[J].新疆医科大学学报,2019,42(11):1484-1486+1491.

基金信息:

新疆维吾尔自治区自然科学基金(2017D01C281)

投稿时间:

2019-03-09

投稿日期(年):

2019

终审时间:

2019-07-05

终审日期(年):

2019

审稿周期(年):

1

发布时间:

2019-11-12

出版时间:

2019-11-12

检 索 高级检索

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文