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脊柱退行性病变患者的心理状况及医学干预

邱水强 张海伟 罗振东 陈强 张建明 吴德升

临床骨科杂志2016,Vol.19Issue(6):685-688,4.
临床骨科杂志2016,Vol.19Issue(6):685-688,4.DOI:10.3969/j.issn.1008-0287.2016.06.017

脊柱退行性病变患者的心理状况及医学干预

The investigation analysis for the psychological status in the patients with spinal degenerative disorder and medical intervention

邱水强 1张海伟 2罗振东 1陈强 1张建明 1吴德升3

作者信息

  • 1. 上海市虹口区江湾医院骨科,上海 200434
  • 2. 福建省肿瘤医院肿瘤科,福建 福州 364000
  • 3. 同济大学附属东方医院脊柱外科,上海 200120
  • 折叠

摘要

Abstract

Objective To investigate the psychological status of the patients with spinal degenerative disorder before treatment and 3 months after treatment. Methods The psychological status of 683 patients with spinal degenerative disorder were evaluated by the symptom checklist (SCL-90). Statistical analysis was performed by using SPSS 16. 0 software. Results Before treatment, the SCL-90 of 683 patients with spinal degenerative disorder were higher than normal in the physical, obsessive-compulsive, depression, anxiety, and the difference was statistically significant (P<0. 01). Six hundred and nine patients got follow-up in 3 months,and non operative treatment group was 348 ca-ses,the surgical treatment group was 261 cases. The somatization, compulsion, interpersonal relationship, depres-sion, anxiety,hostility, phobia,depression, anxiety, hostility, phobia, paranoia, psychosis, additional factor scores of the surgical treatment group after 3 months were lower than that before treatment, the difference was statistically significant (P<0. 05). The somatization, compulsion, depression, anxiety, hostility, phobia, paranoia and psycho-sis scores of non operative treatment group after 3 months were lower than that before treatment, the difference was statistically significant (P<0. 05). Surgical treatment of somatization, interpersonal relationship, depression, anxie-ty, hostility, phobia, paranoia, psychosis and additional factor scores were lower than those of the non operative treat-ment group, the difference was statistically significant (P<0. 05). Conclusions The psychological status of patients with spinal degenerative disorder is poor, the psychological status of the patients after treatment is improved, and the early psychological condition of the patients after operation is better than that of the non operative treatment.

关键词

脊柱退行性病变/心理状况/医学干预

Key words

spinal degenerative disorder/the psychological status/medical intervention

分类

医药卫生

引用本文复制引用

邱水强,张海伟,罗振东,陈强,张建明,吴德升..脊柱退行性病变患者的心理状况及医学干预[J].临床骨科杂志,2016,19(6):685-688,4.

基金项目

上海市卫生和计划生育委员会面上项目(编号:201440323) (编号:201440323)

临床骨科杂志

OACSTPCD

1008-0287

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