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目的:了解我科各型白内障患者围手术期的心理健康状况,为该特定人群特定时期的心理评估和心理干预工作提供依据。方法:应用症状自评量表(SCL-90)对在我科2008-06/2009-06确诊的278名各型白内障患者在围手术期进行无记名问卷调查。在术前和术后分别进行问卷调查,其结果与常模作比较;将患者分为两组,A组为年龄相关性白内障,B组为伴有青光眼,外伤或代谢性疾病的白内障患者,分别将这二组的结果进行比较。结果:各型白内障患者术前和术后的躯体化,抑郁,焦虑和恐惧因子的阳性得分高于常模,其差异具有统计学意义(P<0.05),尤其是躯体化因子(P<0.01)。B组的焦虑,躯体化,抑郁和恐惧因子阳性得分高于A组,其差异具有统计学意义(P<0.05),其中焦虑因子的差异具有显著的统计学意义(P<0.01)。结论:各型白内障患者在术前和术后都存在不同程度的躯体化表现和抑郁,焦虑,恐惧情绪,尤以躯体化明显;合并有外伤,青光眼或者代谢性疾病的白内障患者的上述表现比年龄相关性白内障更加显著,尤其是焦虑。
Objective: To understand the perioperative mental health of all types of cataract patients in our department and provide the basis for the psychological assessment and psychological intervention of the specific population during the specific period. Methods: A total of 278 cataract patients diagnosed in our department from June 2008 to June 2009 were randomly divided into two groups according to the symptom checklist (SCL-90). Questionnaires were performed preoperatively and postoperatively, and the results were compared with normotensive patients. The patients were divided into two groups: group A was age-related cataract, group B was cataract with glaucoma, trauma or metabolic disease, The results of these two groups were compared respectively. Results: The positive scores of somatization, depression, anxiety and fear factors in all types of cataract patients before and after operation were higher than those of the normal ones (P <0.05), especially somatization (P <0.01) ). The positive scores of anxiety, somatization, depression and fear factor in group B were higher than those in group A (P <0.05), and the difference of anxiety factor in group B was statistically significant (P <0.01). CONCLUSIONS: All types of cataract patients have somatic manifestations and depression, anxiety and fear emotions, especially somatization, before and after operation. The above-mentioned performance of cataract patients with trauma, glaucoma or metabolic diseases Age-related cataracts are more pronounced, especially anxiety.