目的 探讨综合医院脊柱外科门诊患者的心理状况,并通过分组探讨患者术前心理情况,为开展心理干预提供依据.方法 采用症状自评量表(SCL-90)调查了综合医院104例脊柱外科门诊患者,并将其中确诊准备手术的患者纳入准备手术组,其余为非准备手术组.结果 被调查患者的躯体化、强迫状态、抑郁、焦虑、敌对5个因子分的得分均显著高于常模(P<0.01).而其中准备手术组的躯体化、强迫状态、抑郁、焦虑、恐怖5个因子的得分均显著高于非准备手术组(P<0.01).结论 脊柱外科患者伴发心理障碍并不少见,尤其是准备手术治疗的患者,建议在传统药物及手术治疗疾病的同时合并心理治疗.%Objective To discuss the psychological status of outpatients in spinal surgery depart-ment and to survey the influence of preoperative psychologic on the patients after divided them into two groups, and to supply data for psychological - social intervention. Methods Symptom Checklist 90 (SCL -90) were used in 104 outpatients which were divided into the ready operation group and the non -ready op-eration group. Results All the patiens gained obviously more scores in the somatization factor, obsession factor, depression factor, anxiety factor, and hostility factor than norm (P < 0.01) . The somatization factor score, obsessive factor score, depressive factor score, anxious factor score and phobic anxiety factor score of the ready operation group were significantly higher than non - ready operation group (P < 0.01). Conclu-sions Patients of spinal surgery suffer psychological disorders, especially for the ready operation patiens. We suggest that biological treatment should combine with psychological intervention.
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