CAJ | 학술논문

目的：探讨青少年特发性脊柱侧凸（adolescent idiopathic scoliosis，AIS）患者支具治疗前后心理状况的差异，明确支具治疗对患者心理情绪的影响。方法选取65例接受支具治疗的轻中度（Cobb 角﹤45°）女性青少年特发性脊柱侧凸患者，使用焦虑自评量表（self-rating anxiety scale，SAS）和抑郁自评量表（self-rating depression scale，SDS）在支具治疗前后对患者进行测评，将治疗前后的测评结果进行比较，并采用配对 t 检验进行统计分析。结果65例女性AIS 患者初诊时年龄10~16岁，平均13.1岁；初诊时原发弯 Cobb 角20°~45°，平均29.6°。患者支具治疗前 SAS 平均得分为（31.70±2.78）分，SDS 平均得分为（35.37±5.55）分，支具治疗6个月后，AIS 患者 SAS 平均得分为（33.53±4.71）分，SDS 平均得分为（39.13±7.61）分，支具治疗后青少年特发性脊柱侧凸患者 SAS 和 SDS 评分均明显高于支具治疗前患者 SAS 和 SDS 评分，差异具有统计学意义（P ﹤0.05）。结论支具治疗增加青少年特发性脊柱侧凸患者的心理压力水平，全面评价支具治疗的效果应包括心理压力水平的评估。
목적：탐토청소년특발성척주측철（adolescent idiopathic scoliosis，AIS）환자지구치료전후심리상황적차이，명학지구치료대환자심리정서적영향。방법선취65례접수지구치료적경중도（Cobb 각﹤45°）녀성청소년특발성척주측철환자，사용초필자평량표（self-rating anxiety scale，SAS）화억욱자평량표（self-rating depression scale，SDS）재지구치료전후대환자진행측평，장치료전후적측평결과진행비교，병채용배대 t 검험진행통계분석。결과65례녀성AIS 환자초진시년령10~16세，평균13.1세；초진시원발만 Cobb 각20°~45°，평균29.6°。환자지구치료전 SAS 평균득분위（31.70±2.78）분，SDS 평균득분위（35.37±5.55）분，지구치료6개월후，AIS 환자 SAS 평균득분위（33.53±4.71）분，SDS 평균득분위（39.13±7.61）분，지구치료후청소년특발성척주측철환자 SAS 화 SDS 평분균명현고우지구치료전환자 SAS 화 SDS 평분，차이구유통계학의의（P ﹤0.05）。결론지구치료증가청소년특발성척주측철환자적심리압력수평，전면평개지구치료적효과응포괄심리압력수평적평고。
Objective To evaluate the Psychological Stress Level of female children with adolescent idiopathic scoliosis treated with a brace. Methods This study selected 65 females treated with a brace with mild and moderate scoliosis(Cobb’s angle ﹤ 45°). Using Self-rating anxiety scale(SAS)and Self-rating depression scale(SDS),psychological stress level of pa-tients with adolescent idiopathic scoliosis was evaluated,the results were compared after six months brace treatment. Results The clinical data of 65 female patients were reviewed. Mean age of patients at the first visit was 13. 1(10 ~ 16)years old, cobb ’s angle ranged from2 0 ° to 4 5 ° ,with an average of 2 9 . 6 ° . The mean score of SAS and SDS were 3 1 . 7 0 ± 2 . 7 8 and 35. 37 ± 5. 55 respectively before brace treatment. After more than six months bracing,the mean score of SAS and SDS were 33. 53 ± 4. 71 and 39. 13 ± 7. 61 respectively which were significantly different(P ﹤ 0. 05). Conclusion Brace wearing may increase the level of psychological stress in children with adolescent idiopathic scoliosis. Comprehensive assessment of conser-vative treatment should include evaluation of emotional stress.