慢性咽炎患者的心理评估
发布时间：2018-07-20 17:51
【摘要】：目的:采用90项症状自评量表(Symptom Check list,SCL-90)及焦虑自评量表(Self-Rating Anxiety Scale,SAS)对就诊的慢性咽炎患者进行调查,评估慢性咽炎患者的心理状况,从而为实施针对性心理干预提供参考依据。方法:对2015年10月至2016年12月就诊于皖南医学院弋矶山医院耳鼻喉头颈外科门诊的慢性咽炎患者,进行SCL-90和SAS量表问卷调查,回收问卷并进行数据录入,采用SPSS软件包进行数据分析。对慢性咽炎患者SAS量表及SAS症状指描述性统计分析;将慢性咽炎患者的病史时间与SCL-90、SAS的总得分进行相关性分析;将收集到病例中的男性患者于女性患者得分进行比较,采用t检验;将慢性咽炎患者的SCL-90及SAS各指标均数与全国常模之间进行比较,采取t检验。结果:(1)本研究从2015年10月至2016年12月共调查慢性咽炎患者104例,其中所有患者均按要求完成症状自评量表(SCL90)及焦虑自评量表(SAS),其中男性患者26例,占总数25%,女性患者78例,占总数75%,其中最小年龄为24岁,年龄最大者为69岁,病史时长从4个月到3年不等。(2)对慢性咽炎患者SAS量表及SAS症状指描述性统计分析,按照SAS标准分分级为:其中得分为50-60分人数为16人,为轻度焦虑患者;其中得分为61-70分人数为6人,为中度焦虑患者;得分在50分以下人数为82人,为无明显焦虑症状的患者。SCL-90症状指数在0.5-1.5的人数为40人,占总人数比例为38.46%,症状指数在1.5~2.5之间人数为53人,占总人数比例为50.96%,症状指数在2.5-3.5之间人数为11人,占总人数比例为10.58%,其中症状程度轻度的占38.46%,轻到中度占50.96%,中到严重程度占10.58%。(3)将慢性咽炎病史时长和scl-90的总得分数进行相关性的分析得出结果为,r=0.274,p0.05,无统计学意义,而慢性咽炎病史时长与sas总得分进行相关性分析得出,先关系数r=0.274,p=0.000.05,存在相关性,即慢性咽炎病史时长和scl-90的总得分数,无明确的直线相关性,但病史时长与sas存在相关性。(4)104例慢性咽炎患者scl-90总得分均分为(159.76±49.68)分,每题均分为(1.77±0.55)分,高于全国常模。男性患者总得分均分和每题均分分别为(161.73±39.33)和(1.74±0.68),虽然男性患者总得分均分和每题均分分别为(161.73±39.33)和(1.79±0.44),虽然高于女性患者(159.10±52.89)和(1.76±0.59),但差异无统计学意义(p0.05);躯体化得分(1.69±0.50)高于全国正常人常模(1.37±0.48),差异有统计学意义(t=6.50,p0.05)。强迫症状因子得分(2.05±0.74)高于全国正常人常模(1.62±0.58),差异有统计学意义(t=5.87,p0.05)。患者人际关系敏感得分(1.64±0.65)与全国正常人常模(1.65±0.51)相比,差异无统计学意义(t=-0.16,p=0.87);患者抑郁得分(1.90±0.72)显著高于全国正常人常模(1.50±0.59),差异有统计学意义(t=3.57,p0.05)。与全国正常人常模(1.39±0.43)相比,慢性咽炎患者焦虑得分(1.86±0.69)显著升高(t=10.39,p0.05)。患者敌对因子得分(1.83±0.84)高于全国正常人常模(1.48±0.56),差异有统计学意义(t=4.24,p0.05)。患者恐怖因子得分(1.51±0.59)显著高于全国正常人常模(1.23±0.41)其中(t=4.85,p0.05)具有统计学意义。与全国正常人常模(1.43±0.57)相比,慢性咽炎患者偏执得分(1.54±0.62),p0.05差异无统计学意义。患者精神病性得分为(1.72±0.69),与全国正常人常模(1.29±0.42)明显更高(t=6.39,p0.05),有统计学意义。(5)104例慢性咽炎患者sas总得分均分为(44.17±8.38)分,其中正评题15项单分均值为(2.42±1.72)分,反向5个项目均分为(1.91±1.38)分;其中全国常模(n=1158)sas的20项总分均值为(30.78±6.54),正评15项单分均值为(1.30±1.09),反向5个项目均分(2.31±1.83),差异有统计学意义(t=17.52,p0.001)。男性患者总得分均分和每题均分分别为(43.76±9.15),其中正评题15项单分均值为(2.33±1.65)分,反向5个项目均分为(1.88±1.40)分,女性患者得分为(44.46±8.19),其中正评题15项单分均值为(2.50±1.76)分,反向5个项目均分为(2.01±1.36)分,但差异无统计学意义(P0.05)。结论:慢性咽炎患者存在一定的焦虑、抑郁及恐惧等心理健康问题,对疾病存在痛苦认知。慢性咽炎患者的病史长短与焦虑心理状态呈正相关性,与性别无关。
[Abstract]:Objective: To investigate the patients with chronic pharyngitis by using 90 Symptom Check list (SCL-90) and Self-Rating Anxiety Scale (SAS) to assess the psychological status of patients with chronic pharyngitis, so as to provide reference for the implementation of targeted psychological intervention. Methods: from October 2015 to December 2016. The patients with chronic pharyngitis in the outpatient of Otolaryngology and head and neck surgery at Yi La Shan Hospital of Wangnan Medical College were investigated by the SCL-90 and SAS questionnaire. The questionnaires were collected and the data were recorded by the SPSS software package. The SAS scale and the SAS symptoms of chronic pharyngitis were analyzed, and the history time of the chronic pharyngitis patients and the SCL-9 were analyzed. 0, the total score of SAS was analyzed. The scores of the male patients in the cases were compared with the t test, and the average number of SCL-90 and SAS in the patients with chronic pharyngitis was compared with the national norm, and the t test was taken. (1) the study was conducted from October 2015 to December 2016 to investigate 1 patients with chronic pharyngitis. 04 cases, of which all patients were required to complete the symptom checklist (SCL90) and self rating Anxiety Scale (SAS), of which 26 were male, 25% and 78 in women, accounting for 75%, of which the minimum age was 24, the oldest was 69, and the duration of the disease ranged from 4 to 3 years. (2) the SAS scale and SAS symptom of chronic pharyngitis patients. The descriptive statistical analysis, according to the SAS standard, was divided into 16 people with a score of 50-60 and mild anxiety, with a score of 61-70 in 6 and moderate anxiety, with a score of less than 50 in the number of 82 people, and 40 in the number of.SCL-90 symptom indexes in 0.5-1.5 without obvious anxiety symptoms, accounting for the total number of people. For example 38.46%, the number of symptom indices between 1.5~2.5 was 53, the proportion of the total number was 50.96%, and the number of symptom indices between 2.5-3.5 was 11, accounting for 10.58% of the total number, including 38.46% of mild symptoms, 50.96% from mild to moderate, and 10.58% in moderate to moderate severity. (3) the total score of chronic pharyngitis history and SCL-90 were scored. The correlation analysis concluded that r=0.274, P0.05, without statistical significance, and the correlation analysis of the chronic pharyngitis history time and the total score of SAS concluded that the first relationship was the number of r=0.274, p=0.000.05, and there was a correlation, that is, the length of chronic pharyngitis and the total score of SCL-90, there is no clear linear correlation, but the history of the disease is long with SAS. (4) the total scores of SCL-90 in 104 patients with chronic pharyngitis were divided into (159.76 + 49.68) points, each of which was divided into (1.77 + 0.55) points, higher than the national norm. The total score of the male patients was (161.73 + 39.33) and (1.74 + 0.68), respectively, although the total score of the male patients and the average score of each question were (161.73 + 39.33) and (1.79 + 159.76), respectively. Although it was higher than the female (159.10 + 52.89) and (1.76 + 0.59), the difference was not statistically significant (P0.05); the somatization score (1.69 + 0.50) was higher than the normal norm (1.37 + 0.48), and the difference was statistically significant (t=6.50, P0.05). The score of the compulsive symptom factor (2.05 + 0.74) was higher than that of the normal norm of the national (1.62 + 0.58), and the difference was statistically significant (t= 5.87, P0.05). The patient's interpersonal sensitivity score (1.64 + 0.65) was not statistically significant (t=-0.16, p=0.87) compared with the national normal norm (1.65 + 0.51), and the depression score (1.90 + 0.72) was significantly higher than that of the national normal norm (1.50 + 0.59), and the difference was statistically significant (t=3.57, P0.05). Compared with the normal norm (1.39 + 0.43) of the national normal person (1.39 + 0.43) The score of anxiety in the patients with sexual pharyngitis was significantly higher (1.86 + 0.69) (t=10.39, P0.05). The score of the adversarial factor (1.83 + 0.84) was higher than that of the national normal norm (1.48 + 0.56), and the difference was statistically significant (t=4.24, P0.05). The score of the terrorist factor (1.51 + 0.59) was significantly higher than that of the normal norm (1.23 + 0.41) of the national (t=4.85, P0.05). Compared with the normal norm (1.43 + 0.57), the paranoid score of chronic pharyngitis was (1.54 + 0.62), and there was no significant difference in P0.05. The score of psychosis was (1.72 + 0.69) and was significantly higher (1.29 + 0.42) (t=6.39, P0.05). (5) the total score of SAS in 104 patients with chronic pharyngitis was (44.17) (5) The average value of 15 items in the positive evaluation was (2.42 + 1.72), and the 5 items in the reverse were (1.91 + 1.38). The average value of the national norm (n=1158) SAS was (30.78 + 6.54), and the average value of the 15 items was (1.30 + 1.09). The difference was statistically significant (t=17.52, p0.001). The average score of score and the average score of each question were (43.76 + 9.15), of which the average value of 15 items in the positive evaluation was (2.33 + 1.65), and the 5 items in the reverse were (1.88 + 1.40), and the scores of female patients were (44.46 + 8.19), among them, the average value of the positive evaluation was (2.50 + 1.76), and the other items were equally divided, but the difference was not statistically significant (P0 .05) conclusion: the patients with chronic pharyngitis have some mental health problems, such as anxiety, depression and fear, and have a painful cognition of the disease. The history of chronic pharyngitis is positively related to the state of anxiety and anxiety, and has nothing to do with sex.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R766.14
本文编号：2134288
[Abstract]:Objective: To investigate the patients with chronic pharyngitis by using 90 Symptom Check list (SCL-90) and Self-Rating Anxiety Scale (SAS) to assess the psychological status of patients with chronic pharyngitis, so as to provide reference for the implementation of targeted psychological intervention. Methods: from October 2015 to December 2016. The patients with chronic pharyngitis in the outpatient of Otolaryngology and head and neck surgery at Yi La Shan Hospital of Wangnan Medical College were investigated by the SCL-90 and SAS questionnaire. The questionnaires were collected and the data were recorded by the SPSS software package. The SAS scale and the SAS symptoms of chronic pharyngitis were analyzed, and the history time of the chronic pharyngitis patients and the SCL-9 were analyzed. 0, the total score of SAS was analyzed. The scores of the male patients in the cases were compared with the t test, and the average number of SCL-90 and SAS in the patients with chronic pharyngitis was compared with the national norm, and the t test was taken. (1) the study was conducted from October 2015 to December 2016 to investigate 1 patients with chronic pharyngitis. 04 cases, of which all patients were required to complete the symptom checklist (SCL90) and self rating Anxiety Scale (SAS), of which 26 were male, 25% and 78 in women, accounting for 75%, of which the minimum age was 24, the oldest was 69, and the duration of the disease ranged from 4 to 3 years. (2) the SAS scale and SAS symptom of chronic pharyngitis patients. The descriptive statistical analysis, according to the SAS standard, was divided into 16 people with a score of 50-60 and mild anxiety, with a score of 61-70 in 6 and moderate anxiety, with a score of less than 50 in the number of 82 people, and 40 in the number of.SCL-90 symptom indexes in 0.5-1.5 without obvious anxiety symptoms, accounting for the total number of people. For example 38.46%, the number of symptom indices between 1.5~2.5 was 53, the proportion of the total number was 50.96%, and the number of symptom indices between 2.5-3.5 was 11, accounting for 10.58% of the total number, including 38.46% of mild symptoms, 50.96% from mild to moderate, and 10.58% in moderate to moderate severity. (3) the total score of chronic pharyngitis history and SCL-90 were scored. The correlation analysis concluded that r=0.274, P0.05, without statistical significance, and the correlation analysis of the chronic pharyngitis history time and the total score of SAS concluded that the first relationship was the number of r=0.274, p=0.000.05, and there was a correlation, that is, the length of chronic pharyngitis and the total score of SCL-90, there is no clear linear correlation, but the history of the disease is long with SAS. (4) the total scores of SCL-90 in 104 patients with chronic pharyngitis were divided into (159.76 + 49.68) points, each of which was divided into (1.77 + 0.55) points, higher than the national norm. The total score of the male patients was (161.73 + 39.33) and (1.74 + 0.68), respectively, although the total score of the male patients and the average score of each question were (161.73 + 39.33) and (1.79 + 159.76), respectively. Although it was higher than the female (159.10 + 52.89) and (1.76 + 0.59), the difference was not statistically significant (P0.05); the somatization score (1.69 + 0.50) was higher than the normal norm (1.37 + 0.48), and the difference was statistically significant (t=6.50, P0.05). The score of the compulsive symptom factor (2.05 + 0.74) was higher than that of the normal norm of the national (1.62 + 0.58), and the difference was statistically significant (t= 5.87, P0.05). The patient's interpersonal sensitivity score (1.64 + 0.65) was not statistically significant (t=-0.16, p=0.87) compared with the national normal norm (1.65 + 0.51), and the depression score (1.90 + 0.72) was significantly higher than that of the national normal norm (1.50 + 0.59), and the difference was statistically significant (t=3.57, P0.05). Compared with the normal norm (1.39 + 0.43) of the national normal person (1.39 + 0.43) The score of anxiety in the patients with sexual pharyngitis was significantly higher (1.86 + 0.69) (t=10.39, P0.05). The score of the adversarial factor (1.83 + 0.84) was higher than that of the national normal norm (1.48 + 0.56), and the difference was statistically significant (t=4.24, P0.05). The score of the terrorist factor (1.51 + 0.59) was significantly higher than that of the normal norm (1.23 + 0.41) of the national (t=4.85, P0.05). Compared with the normal norm (1.43 + 0.57), the paranoid score of chronic pharyngitis was (1.54 + 0.62), and there was no significant difference in P0.05. The score of psychosis was (1.72 + 0.69) and was significantly higher (1.29 + 0.42) (t=6.39, P0.05). (5) the total score of SAS in 104 patients with chronic pharyngitis was (44.17) (5) The average value of 15 items in the positive evaluation was (2.42 + 1.72), and the 5 items in the reverse were (1.91 + 1.38). The average value of the national norm (n=1158) SAS was (30.78 + 6.54), and the average value of the 15 items was (1.30 + 1.09). The difference was statistically significant (t=17.52, p0.001). The average score of score and the average score of each question were (43.76 + 9.15), of which the average value of 15 items in the positive evaluation was (2.33 + 1.65), and the 5 items in the reverse were (1.88 + 1.40), and the scores of female patients were (44.46 + 8.19), among them, the average value of the positive evaluation was (2.50 + 1.76), and the other items were equally divided, but the difference was not statistically significant (P0 .05) conclusion: the patients with chronic pharyngitis have some mental health problems, such as anxiety, depression and fear, and have a painful cognition of the disease. The history of chronic pharyngitis is positively related to the state of anxiety and anxiety, and has nothing to do with sex.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R766.14
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