不同理疗方法对痛性结节患者住院前后心理应激状态的影响

Impact of different physical therapy treatments on psychological stress of patients with painful nodules

目的:了解不同理疗方法对输精管结扎术后痛性结节患者住院前后心理应激状态的影响。方法:选择66例因痛性结节住院治疗患者,在入院日和出院日分别采用症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者住院前后心理健康状况进行综合评定。结果:SCL-90各因子、SAS总分和SDS总分均高于常模;出院日SCL-90躯体化、抑郁及焦虑等因子的得分、SAS总分和SDS总分值均明显低于入院日(P<0.05);相对于体外射频治疗,冰冷敷治疗对患者住院前后心理应激状态变化的影响更明显,主要体现在躯体化、抑郁和焦虑等因子。多因素分析结果显示心理应激状态改善与是否合并附睾淤积、是否进行吻合手术、患者年龄以及患者局部疼痛时间长短无关,而与理疗方法有关。结论:痛性结节患者心理应激状态不良,与体外射频治疗相比,冰冷敷治疗更能够有效缓解精神神经症状,特别是明显改善了患者躯体化、抑郁和焦虑状态。

Objective：To explore the impact of different physical therapy treatments on the psychological stress before and after hospitalization for the patients with painful nodules after vasectomy.Methods：A total of 66 hospitalized patients suffering from painful nodules were selected and their psychological stress were evaluated by the combination approach of symptom checklist（SCL-90）,self-rating anxiety scale（SAS）and self-rating depression scale（SDS）on the admission day and the discharge day respectively.Results：Scores of factors from SCL-90 were higher than norm scores,so did the total scores of SAS and those of SDS;the scores of factors including the somatization factor,depression factor and anxiety factor from SCL-90 obtained on the discharge day were significantly lower than those obtained on the admission day,so did the total scores of SAS and those of SDS（P0.05）.Compared to the external radio frequency treatment,the local cold compress therapy would be more effective in improving the deposition of psychological stress status.Multivariate analyses suggested that the improvement of psychological stress had no relations to patient＇s condition with epididymal stasis,history of anastomosis,and age,and the duration of local pain,while it was substantially impacted by physical therapy treatments.Conclusion：Patients with painful nodules had been in a poor state of psychological stress.Compared to the external radio frequency treatment,the local cold compress treatment would relieve most of the neuropsychological symptoms in patients,especially with significant improvement in the somatization,depression and anxiety.