疑似职业性噪声聋患者心理健康与应对方式相关性分析

Correlation analysis of mental health and coping styles in patients with suspected occupational noise-induced hearing loss

目的探讨疑似职业性噪声聋患者心理健康与应对方式相关性。方法采用随机整群抽样方法,选择2017年10月~2019年4月我院收治的疑似职业性噪声聋患者168例。所有患者入院后均采用症状自评量表(SCL-90)与简易应对方式问卷(SCSQ)完成问卷调查,以健康体检者100例为对照组;采用Pearson相关性分析软件对患者心理健康与应对方式进行相关性分析。结果疑似职业性噪声聋患者敌对(1.76±0.51)分、焦虑(1.61±0.42)分、人际关系敏感(1.62±0.43)分、躯体化(1.74±0.49)分、强迫(1.75±0.49)分、恐怖(1.69±0.43)分、精神性(1.66±0.34)分、偏执评分(1.77±0.23)分及抑郁评分(1.70±0.21)分,均高于对照组(t=4.918、5.671、4.092、5.678、8.451、6.856、9.392、5.492、7.471,P均<0.05);疑似职业性噪声聋患者积极应对评分为(1.63±0.39)分、消极应对评分(1.23±0.46)分,均低于对照组(t=6.392、7.791,P <0.05);Pearson相关性分析结果表明:疑似职业性噪声聋患者敌对、焦虑、人际关系敏感、躯体化、强迫、恐怖、精神性、偏执及抑郁评分与应对方式呈负相关性(P <0.05)。结论疑似职业性噪声聋患者心理健康水平相对较差,且与应对方式存在紧密的联系,应重视患者的心理干预与健康教育,提高患者心理健康水平。

Objective To investigate the correlation between mental health and coping styles in patients with suspected occupational noise-induced hearing loss. Methods 168 patients with suspected occupational noiseinduced hearing loss admitted to our hospital from October 2017 to April 2019 were selected as subjects of this study using random cluster sampling method.After admission,all patients completed the questionnaire using the Symptom Checklist(SCL-90)and the Simple Coping Style Questionnaire(SCSQ).100 healthy people were used as the control group.Correlation analysis was performed on the mental health and coping styles of patients using SPSS Pearson correlation analysis software. Results The scores of hostility(1.76±0.51)points,anxiety(1.61±0.42)points,interpersonal sensitivity(1.62±0.43)points,somatization(1.74±0.49)points,compulsion(1.75±0.49)points,horror(1.69±0.43)points,mentality(1.66±0.34)points,paranoia(1.77±0.23)points and depression(1.70±0.21)points of patients with suspected occupational noise-induced hearing loss were higher than those of the control group(t= 4.918,5.671,4.092,5.678,8.451,6.856,9.392,5.492,7.471,respectively,all P < 0.05).The positive response score(1.63±0.39)points and negative response score(1.23±0.46)points of patients with suspected occupational noiseinduced hearing loss were lower than those of the control group(t=6.392,7.791,respectively,P < 0.05).The results of Pearson correlation analysis showed that the scores of hostility,anxiety,interpersonal sensitivity,somatization,compulsion,ho rror,mentality,paranoia and depression were negatively correlated with coping styles in patients with suspected occupational noise-induced hearing loss(P < 0.05). Conclusion The mental health level of patients with suspected occupational noise-induced hearing loss is relatively poor,and is closely related to the coping style.The psychological intervention and health education of patients should be emphasized to improve the mental health level of patients.