CAJ | 학술논문

目的：评估结节性甲状腺肿患者心理健康状况,并分析其应对方式。方法采用随机数字表法在哈尔滨市某三级甲等医院普外科选取169例结节性甲状腺肿患者进行问卷调查,评估患者心理健康状况,并分析其应对方式。测评工具包括一般资料、症状自评量表、简易应对方式量表、生活事件量表。结果结节性甲状腺肿患者躯体化、人际关系敏感、焦虑、恐怖评分分别为(1.59±0.56),(1.37±0.46),(1.50±0.56),(1.34±0.48)分,明显高于常模的(1.37±0.48),(1.65±0.51),(1.39±0.43),(1.23±0.41)分,差异有统计学意义(χ2值分别为5.747,8.022,2.806,3.362；P<0.01)；心理问题组患者消极应对得分为(1.04±0.50)分,显著高于心理健康组的(0.79±0.60)分,差异有统计学意义(t=-2.36,P<0.05)。结论结节性甲状腺肿患者总体心理健康状况较差,有应对方式不良等特点,这与社会支持有着直接关系。
목적：평고결절성갑상선종환자심리건강상황,병분석기응대방식。방법채용수궤수자표법재합이빈시모삼급갑등의원보외과선취169례결절성갑상선종환자진행문권조사,평고환자심리건강상황,병분석기응대방식。측평공구포괄일반자료、증상자평량표、간역응대방식량표、생활사건량표。결과결절성갑상선종환자구체화、인제관계민감、초필、공포평분분별위(1.59±0.56),(1.37±0.46),(1.50±0.56),(1.34±0.48)분,명현고우상모적(1.37±0.48),(1.65±0.51),(1.39±0.43),(1.23±0.41)분,차이유통계학의의(χ2치분별위5.747,8.022,2.806,3.362；P<0.01)；심리문제조환자소겁응대득분위(1.04±0.50)분,현저고우심리건강조적(0.79±0.60)분,차이유통계학의의(t=-2.36,P<0.05)。결론결절성갑상선종환자총체심리건강상황교차,유응대방식불량등특점,저여사회지지유착직접관계。
Objective To assess the relationship between the psychological state and the coping style of patients with nodular goiter. Methods A total of 169 nodular goiter patients, who came from general surgical department, the First Affiliated Hospital of Harbin Medical University, were asked to complete general information, symptom checklist scale (SCL-90), simplified coping style questionnaire (SCSQ) and self-composed general questionnaire. Results Nodular goiter patients′self-rating scale points showed somatization, interpersonal sensitivity, anxiety and horror scores were (1. 59 ± 0. 56), (1. 37 ± 0. 46), (1. 50 ± 0. 56), (1. 34 ± 0. 48) significantly higher than the norm (1. 37 ± 0. 48), (1. 65 ± 0. 51), (1. 39 ± 0. 43), (1. 23 ± 0. 41) score (t=5. 747, 8. 022, 2. 806, 3. 362,respectively;P<0. 01); the negative coping scores of patients with mental disorder was (1.04 ±0.50) higher than (0.79 ±0.60) of patients with mental health (t= -2.36,P<0.05). Conclusions Patients with nodular goiter had poor mental health and negative coping style, which is related with social support and psychological health of nodular goiter patients.