CAJ | 학술논문

目的：探讨女性梅毒血清固定者心理状况以及实施针对性心理干预的效果,为改善该类患者的心理状况寻求方法。方法分别选取女性梅毒血清固定者117例和经过治疗甲苯胺红不加热血清试验( TRUST)转阴者115例,采用SCL-90量表对其心理状况进行调查。将血清固定的117例患者随机分为有可比性的两组,对照组57例,实施常规治疗；观察组60例,在对照组基础上给予针对性的心理干预,8周后对两组患者采用SCL-90量表对其心理状况再次进行调查。结果梅毒血清固定者的躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、偏执以及其他8项因子得分均明显高于TRUST转阴者,差异均有统计学意义( t值分别为9.157、11.662、9.751、10.034、10.118、11.207、10.352、9.688,均P<0.05)。经过干预,观察组患者的躯体化、强迫症状、人际关系、抑郁、焦虑、精神病性以及其他7项因子得分均明显低于对照组,差异均有统计学意义( t值分别为10.358、11.227、9.358、12.257、9.254、7.981、8.876,均P<0.05))。结论女性梅毒血清固定者的躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、偏执等不良情绪明显高于TRUST转阴者,而经过针对性的健康教育和心理干预治疗,其心理状况可以得到明显改善。
목적：탐토녀성매독혈청고정자심리상황이급실시침대성심리간예적효과,위개선해류환자적심리상황심구방법。방법분별선취녀성매독혈청고정자117례화경과치료갑분알홍불가열혈청시험( TRUST)전음자115례,채용SCL-90량표대기심리상황진행조사。장혈청고정적117례환자수궤분위유가비성적량조,대조조57례,실시상규치료；관찰조60례,재대조조기출상급여침대성적심리간예,8주후대량조환자채용SCL-90량표대기심리상황재차진행조사。결과매독혈청고정자적구체화、강박증상、인제관계、억욱、초필、활대、편집이급기타8항인자득분균명현고우TRUST전음자,차이균유통계학의의( t치분별위9.157、11.662、9.751、10.034、10.118、11.207、10.352、9.688,균P<0.05)。경과간예,관찰조환자적구체화、강박증상、인제관계、억욱、초필、정신병성이급기타7항인자득분균명현저우대조조,차이균유통계학의의( t치분별위10.358、11.227、9.358、12.257、9.254、7.981、8.876,균P<0.05))。결론녀성매독혈청고정자적구체화、강박증상、인제관계、억욱、초필、활대、편집등불량정서명현고우TRUST전음자,이경과침대성적건강교육화심리간예치료,기심리상황가이득도명현개선。
Objective To investigate the psychological status of women with serofast reaction and the implementation effect of targeted psychological interventions, so as to seek methods for improving patient’ s psychological status. Methods Totally 117 cases of serofast reaction and 115 cases negative in toluidine red unheated serum test ( TRUST ) after treatment were selected for the study, and their psychological status was investigated with SCL-90 scale. These 117 patients were randomly divided into control group with 57 cases receiving conventional treatment and observation group with 60 cases given targeted psychological intervention on the basis of the control group. Eight weeks later, psychological conditions of the cases in two groups were investigated again using SCL-90 scale. Results The cases with serofast reaction had higher scores on somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, paranoia and other eight factors (1. 89 ± 0. 12) points, (2. 07 ± 0. 10) points, (2. 06 ± 0. 21) points, (2. 24 ± 0. 28) points, (2. 21 ± 0. 79) points, (1. 99 ± 0. 38) points, (2. 11 ± 0. 69) points and (2. 07 ± 0. 44) points, scored significantly higher than those TRUST negative,t values were:9. 157, 11. 662, 9. 751, 10. 034, 10. 118, 11. 207, 10. 352, 9. 688; after the intervention, the observation group patients with somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, psychosis, and other seven scores were (1. 88 ± 0. 11) points, (2. 08 ± 0. 13) points, (2. 03 ± 0. 42) points, (2. 24 ± 0. 18) points, (2. 17 ± 0. 25) points, (1. 72 ± 0. 35) points and (2. 04 ± 0. 28) points, significantly lower than the control group,t values were: 10. 358, 11. 227,9. 358,12. 257, 9. 254,7. 981,8. 876. These differences were statistically significant (P<0. 05). Conclusion Women who sero somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, paranoia and other negative emotions were significantly higher than TRUST negative, and after health education and psychological intervention targeted psychological condition can been significantly improved.