成人白癜风患者心理水平与生活质量调查分析

发布时间：2018-05-11 17:31

  本文选题：成人白癜风 + 心理水平　； 参考：《复旦大学》2011年硕士论文

【摘要】：目的 初步探讨成人白癜风临床特点,评估该病对患者心理健康状况和生活质量的影响。为患者尽早进行心理治疗提供依据。 方法 门诊收集成人白癜风患者作为研究对象,采用统一的设计的问卷调查表对患者进行调查。并收集正常人作为对照,通过问卷的形式了解白癜风发病的危险因素,了解患者与正常人群心理状况和生活质量的差异。使用Epidata3.1数据库建立,SPSS1.5数据分析。 结果 白癜风患者共827人,其中男性377例,女性450例,比例为1：1.19,平均年龄为30.6岁。病程2-653月,平均74.9月。对照组男性59例,女性71例,比例为1：1.20平均年龄为31.3岁。调查发现平时服用维生素C类药物(至少半年)、日晒时间、偏食以及有家族史在统计学中有统计学意义(P0.05)。 1.心理水平SCL-90问卷中患者在抑郁、焦虑、敌对项目中比常模要高(P0.05)。年龄≤35的患者在人际关系敏感、焦虑、偏执、精神病性方面得分高于年龄35岁的患者(P0.05)。文化程度低的患者(高中及以下)在人际关系敏感、躯体化、恐怖、精神病性方面得分高于文化程度高的患者(大专及以上)(P0.05)。进展期患者在人际关系敏感、焦虑、抑郁、敌对方面得分高于稳定期患者(P0.05)。 2.WHOQOL-BREF中发现病例组心理领域较对照组低(P0.05)。文化程度高的患者(大专及以上)在心理领域得分高于文化程度低的患者(高中及以下)(P0.05)。其余在性别、年龄、收入水平、病程、疾病分型、分期等方面无显著差异。 结论 白癜风患者心理水平低于正常人群,暴露组较非暴露组心理更易有心理损伤。生活质量中病例组明显低于正常人群。未来白癜风治疗除了口服与外用和光照治疗,应针对性的配合心理上的治疗以提高疗效,改善患者心理水平减轻压力。
[Abstract]:Purpose Objective: to explore the clinical characteristics of adult vitiligo and evaluate the influence of the disease on mental health and quality of life. To provide evidence for early psychotherapy. Method Adult patients with vitiligo were collected from outpatient clinic and investigated by uniform questionnaire. The risk factors of vitiligo and the difference of psychological status and quality of life between the patients and the normal people were investigated by questionnaire. Use Epidata3.1 database to establish SPSS 1.5 data analysis. Result There were 827 patients with vitiligo, of whom 377 were males and 450 were females. The ratio was 1: 1.19, with an average age of 30.6 years. The course of disease ranged from 2 to 653 months with an average of 74.9 months. There were 59 males and 71 females in the control group, the average age was 31.3 years. The survey found that vitamin C drugs (at least half a year, sun time, partial eating and a family history) were statistically significant in statistics. 1. The psychological level of patients in SCL-90 questionnaire was higher than that of norm in depression, anxiety and hostility (P 0.05). The scores of interpersonal sensitivity, anxiety, paranoid ideation and psychosis in patients with age 鈮，

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