男性创伤性尿道狭窄患者心理症状的相关因素

摘要

目的:探讨男性创伤性尿道狭窄对心理症状的影响因素,并对社会支持及应对方式在创伤性尿道狭窄与心理症状之间的中介效应进行检验.方法:选取北京市某三级甲等医院泌尿外科就诊的男性创伤性尿道狭窄病例43例以及1:1配比的正常对照43例.采用症状自评量表(SCL-90)评估研究对象的心理症状.采用领悟社会支持量表(PSSS)以及特质应对方式问卷(TCSQ)了解研究对象的社会支持程度以及应对方式.采用偏差校正的非参数百分位Bootstrap方法对社会支持及应对方式在创伤性尿道狭窄与心理症状之间的中介效应进行检验.结果:男性创伤性尿道狭窄患者SCL-90总分高于正常男性对照[(2.9±0.6)vs.(2.4±0.7),P＜0.01].未见PSSS家庭内支持得分及家庭外支持得分、T℃SQ积极应对得分及消肖极应对得分在男性患者SCL-90总均分变化中起到中介效应.多重线性回归分析显示,男性创伤性尿道狭窄患者SCL-90总分高于正常对照(β=0.553,95％ CI:0.183～0.922),PSSS家庭内支持得分与SCL-90总分负向关联(β=-0.099,95％CI:-0.142 ～-0.056).结论:男性创伤性尿道狭窄可能引起心理症状,并与家庭内支持存在关联.%Objective:To explore the related factors of the psychological symptoms in males with traumatic urethral stricture and to test the mediating effect of social support and coping style on traumatic urethral stricture and psychological symptoms.Methods:Totally 43 male patientswith traumatic urethral stenosis and 1 ∶ 1 matched 43 healthy control subjects were selected as the study samples in the Urology Department of a Third Grade Hospital in Beijing.The Symptom Checklist 90 (SCL-90) was used to evaluate the psychological symptoms of the subjects.The Perceived Social Support Scale (PSSS) and Trait Coping Style Questionnaire (TCSQ) were used to assess the social support and coping styles of the subjects.The non-parametric percentile Bootstrap method was used to test the mediating effect of social support and coping style between traumatic urethral stricture and psychological symptoms.Results:The SCL-90 total scores were higher in patients with traumatic urethral stricture than in healthy controls [(2.9 ± 0.6) vs.(2.4 ± 0.7),P ＜ 0.01].The mediating effect of social support and coping style on psychological symptoms was not significant (P ＞ 0.05).Multiple linear regression analysis showed that the SCL-90 total scores were higher in males with traumatic urethral stricture than in normal controls (β =0.55,95％ CI:0.18 -0.92).PSSS family support scores were negatively correlated with SCL-90 scores (β =-0.10,95％ CI:-0.14--0.06).Conclusion:It suggests that male traumatic urethral stricture may cause psychological symptoms which may be associated with family support.