CAJ | 학술논문

目的：调查骨科创伤住院患者的心理健康状况并分析其影响因素。方法采用症状自评量表（SCL-90）和相关项目结合编制的“创伤患者健康状况调查表”，对西安市各大医院骨科的创伤住院患者进行现况调查。结果82．7％的患者有轻度及中度的心理不适，心理问题阳性检出率为14．7％。抑郁、敌对、人际关系敏感、焦虑及躯体化是本次调查患者主要的心理表现。单因素分析显示，女性、文化程度低、对所患的疾病缺乏了解、人际关系不佳、性格偏内向、觉得住院花费难以承受、对所住医院的环境不满意、病情比较严重且治疗效果差等患者心理健康状况相对较差。多因素Logistic回归分析显示，患者病情严重程度、人际关系及性别是影响患者心理健康的重要因素。结论骨科创伤住院患者的心理存在不同程度的问题，疾病严重程度、人际关系和性别是影响他们心理健康的主要因素。
목적：조사골과창상주원환자적심리건강상황병분석기영향인소。방법채용증상자평량표（SCL-90）화상관항목결합편제적“창상환자건강상황조사표”，대서안시각대의원골과적창상주원환자진행현황조사。결과82．7％적환자유경도급중도적심리불괄，심리문제양성검출솔위14．7％。억욱、활대、인제관계민감、초필급구체화시본차조사환자주요적심리표현。단인소분석현시，녀성、문화정도저、대소환적질병결핍료해、인제관계불가、성격편내향、각득주원화비난이승수、대소주의원적배경불만의、병정비교엄중차치료효과차등환자심리건강상황상대교차。다인소Logistic회귀분석현시，환자병정엄중정도、인제관계급성별시영향환자심리건강적중요인소。결론골과창상주원환자적심리존재불동정도적문제，질병엄중정도、인제관계화성별시영향타문심리건강적주요인소。
Objective To investigate psychologically healthy condition of traumatic inpatients in orthopedics and analyze its in-fluence factors .Methods Cross-sectional study was conducted in Xi′an city .The mental health questionnaires for traumatic patients which include the Symptom Check List-90(SCL-90)and the related items were used .Results The results showed that 82 .7% of patients suffered from mild and moderate mental discomfort .The positive rate of mental problem was 14 .7% .The main mental rep-resentations of traumatic inpatients were depression ,hostility ,interpersonal relationship senstivity ,anxiety and somatization .The re-sults of single factor analysis showed that the bad mental health had the following characteristics :female ,low educational level ,little knowledge about disease ,bad interpersonal relationship ,introverted character ,cost ,dissatisfied with hospital ,severe disease and bad treatment .Logistic regression analysis revealed that the interpersonal relationship ,the degree of disease and gender were the main factors influencing patients′mental health .Conclusion The mental problem exists among traumatic inpatients in orthopedics .The degree of disease ,the interpersonal relationship and gender are the main factors affecting their mental health .