围手术期白内障患者278例SCL-90自评量表结果分析(英文)

SCL-90 self-rating scale analysis on 278 cataract patients in pre-and post-operative periods

目的:了解我科各型白内障患者围手术期的心理健康状况,为该特定人群特定时期的心理评估和心理干预工作提供依据。方法:应用症状自评量表(SCL-90)对在我科2008-06/2009-06确诊的278名各型白内障患者在围手术期进行无记名问卷调查。在术前和术后分别进行问卷调查,其结果与常模作比较;将患者分为两组,A组为年龄相关性白内障,B组为伴有青光眼,外伤或代谢性疾病的白内障患者,分别将这二组的结果进行比较。结果:各型白内障患者术前和术后的躯体化,抑郁,焦虑和恐惧因子的阳性得分高于常模,其差异具有统计学意义(P<0.05),尤其是躯体化因子(P<0.01)。B组的焦虑,躯体化,抑郁和恐惧因子阳性得分高于A组,其差异具有统计学意义(P<0.05),其中焦虑因子的差异具有显著的统计学意义(P<0.01)。结论:各型白内障患者在术前和术后都存在不同程度的躯体化表现和抑郁,焦虑,恐惧情绪,尤以躯体化明显;合并有外伤,青光眼或者代谢性疾病的白内障患者的上述表现比年龄相关性白内障更加显著,尤其是焦虑。

AIM： To know the psychological conditions of various cataract patients in pre-and post-operative periods. METHODS： From June 2008 to June 2009, 278 cataract patients had been asked to complete a questionnaire anonymously of their self-evaluation of symptoms scale （SCL） before and after operation. In their pre-operative and post-operative surveys, the results were compared with the norms respectively. Patients were divided into two groups. Group A were age-related cataract patients; while Group B were cataract patients with glaucoma, trauma or metabolic disease. RESULTS： When cataract patients＇ masculine scores of somatization, depression, anxiety and fear factors before and after the operation rank higher than the norms, the differences had statistical significance （ P 〈 0.05）, especially the somatization factor （ P 〈 0.01 ）. While cataract patients with diseases such as glaucoma, trauma or diabetes got higher marks than age-related cataract patients in the aspects of anxiety, somatization, depression （ P 〈 0.05）, and fear factors, the differences were of statistical significance（ P〈 0.01 ）. CONCLUSION： Cataract patients both in pre- and post- and operative periods have somatization behaviors and emotions of depression, anxiety and fear. Cataract patients with glaucoma, trauma or diabetes especially anxiety have more obvious symptoms than age-related cataract patients.