颈椎病理疗康复患者的心理状况和心理干预的研究

发布时间：2018-06-03 21:06

本文选题：人格 + 心理健康　；参考：《第四军医大学》2006年硕士论文

【摘要】：目的：探讨颈椎病理疗康复患者的心理健康状况和人格特征，通过了解该类患者的心理特征及接受理疗康复治疗的同时介入心理康复治疗，与单纯的理疗康复治疗的颈椎病患者在疗效上的差异，为颈椎病理疗康复治疗的同时采取相应心理干预措施提供科学依据。方法：①采用吴文源修订的症状自评量表(SCL-90)和龚耀先修订的艾森克人格问卷(EPQ)，对60名颈椎病患者的心理健康状况和人格特征进行检测、评定，并与60名健康对照组进行对照研究。②将60例符合颈椎病诊断标准的患者随机分为治疗组(在实施理疗康复治疗的同时，施加心理干预)、对照组(单纯实施理疗康复治疗)，心理健康状况检测采用症状自评量表(SCL-90)，人格个性特征评定采用艾森克个性问卷(EPQ)，理疗康复效果评定采用日常生活活动能力(ADL)量表(Barthel)指数。结果：①颈椎病组患者的症状自评量表总分、总均分、阳性症状项目数、阳性症状均分、躯体化、抑郁、人际敏感、焦虑、恐怖因子均高于对照组，差异有显著性意义(P＜0.05)。②颈椎病组患者艾森克人格问卷中神经质分和精神质分与对照组比较差异有显著性意义(P＜0.05)，内外倾分和掩饰性与各自对照组相比，，差异无显著性意义(P＞0.05)。③神经质分与症状自评量表的所有因子都存在相关关系，内外倾分与抑郁、
[Abstract]:Objective: to investigate the mental health status and personality characteristics of patients with cervical spondylopathy after physical therapy. The difference of curative effect between patients with cervical spondylopathy treated with physical therapy and rehabilitation therapy provided scientific basis for the rehabilitation treatment of cervical spondylopathy and the corresponding psychological intervention measures. Methods by using the symptom Checklist 90 (SCL-90) revised by Wu Wenyuan and Eysenck Personality questionnaire (EPQ) revised by Gong Yaoxian, 60 patients with cervical spondylopathy were examined and evaluated. 60 patients who met the diagnostic criteria of cervical spondylopathy were randomly divided into treatment group (while physical therapy and rehabilitation treatment was carried out at the same time). Psychological intervention was applied in the control group (physical therapy and rehabilitation therapy alone, SCL-90 for mental health status, Eysenck personality questionnaire for personality assessment, and routine students for physiotherapy and rehabilitation). The Index of living activity (ADL) scale was Barthel. Results the total score, mean score, number of positive symptom items, mean score of positive symptoms, somatization, depression, interpersonal sensitivity, anxiety, and phobic factors in the patients with cervical spondylosis were higher than those in the control group. The scores of neuroticism and psychoticism in Eysenck personality questionnaire of patients with cervical spondylopathy were significantly different from those in control group (P < 0.05), and the scores of introversion and extroversion and concealment were higher than those of control group (P < 0.05). There was no significant difference (P > 0.05) between neuroticism score and all the factors of symptom Checklist (SCL-90), but there was no significant correlation between the scores of introversion and extroversion and depression.
【学位授予单位】：第四军医大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R681.55;R395

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