突发性耳聋患者心理健康状况影响因素的调查研究

Influencing Factors of Mental Health in Patients with Sudden Deafness

目的探讨突发性耳聋患者的心理健康的影响因素。方法采用描述性研究设计,用症状自评量表(SymptomChecklist 90,SCL-90)、简易应对方式问卷及患者一般资料调查表对99例住院治疗的突发性耳聋患者进行调查。结果本组突发性耳聋患者的SCL-90总分为(133.71±35.36)分,各因子分中,躯体化、恐怖、精神病性因子差异有统计学意义(P<0.01),阳性因子检出率为49%;SCL-90总分多因素分析结果显示:进入回归方程的变量为职业和消极应对方式(P<0.01),不同职业对SCL-90总分有影响,消极应对方式得分与SCL-90总分呈线性变化关系。结论突发性耳聋患者的心理健康水平较低,其中,躯体化、恐怖、精神病性因子的水平较差;职业和消极应对方式是突发性耳聋患者的心理健康的主要影响因素。

Objective To explore the influencing factors of mental health in patients with sudden deafness.Methods A descriptive design was used in this study.99 patients with sudden deafness were selected as subjects.The Symptom Checklist 90（SCL-90）,Coping Style Questionnaire and a questionnaire of general state of health and state of illness were applied.Results The total score of SCL-90 of patients was（133.71±35.36） and of the total,the scores of somatization,terror and psychoticism were higher than those of the norm and the differences revealed statistical significance（P0.01）.The detection rate of positive factors was 49% and multivariate analysis showed that the variances included in regression equation such as career and passive coping style（P0.01）.Different careers affected the total score of SCL-90,and score of passive coping style was linear to the total score of SCL-90.Conclusion Patients with sudden deafness have poor mental health.Career and passive coping style are the main factors exerting influences on mental health of patients with sudden deafness.