武汉市某三甲医院女性尖锐湿疣患者焦虑状况调查

Survey of Anxious Status on Female Patients with Condyloma Acuminatum in a Grade Ⅲ and Class A Hospital in Wuhan City

目的:探讨女性尖锐湿疣患者(CA)状态焦虑与特质焦虑的特点以及心理干预措施对CA患者两种焦虑的影响。方法:随机入选初发及复发女性CA患者各60例,通过状态特质焦虑量表(state trait anxiety inventory scale STAI-S)分别评定并分析患者的状态焦虑分(state-AI,S-AI)及特质焦虑分(trait-AI,T-AI)。对S-AI或T-AI评分大于或等于55分的CA患者实施以疾病认知及心理疏导相结合的心理干预措施。每周1次,共4次。结果:1.初发组和复发组均有60%的患者存在着异常焦虑状态。2.初发组S-AI及T-AI的评分均值分别为56.65±7.76、52.28±6.44,而复发组分别为49.95±8.68、53.17±7.71。初发组S-AI评分均值明显高于复发组(<0.05)。3.心理干预后,两组患者的S-AI及T-AI的平均分均较基线时显著性下降(<0.05),且复发组的状态焦虑改善优于初发组(<0.05)。结论:初发及复发的女性CA患者较高比例地存在着焦虑状态,且状态焦虑及特质焦虑程度较高;实施以疾病认知及心理疏导相结合的心理干预措施均能有效改善其状态焦虑及特质焦虑。

Objective： To investigate the state and trait anxiety feature of female patients with condyloma acuminatum （CA） and the ef- fects of mental intervention for both anxiety status. Methods： Randomly selective 60 patients with primary CA and 60 recurrent CA were in- vestigated with S-AI and T-AI scoring. Mental intervene including combing illness cognition and psychological guidance were used to treat patients with S-AI and T-AI scores more than 55 once per week for total of 4 weeks. Results： Abnormal anxiety status occured in 60% patients with primary or recurrent CA; The average value of S-AI and T-AI scores were 56.65 -4- 7.76, 52.28 ＋ 6.44 for patients with primary CA and 49.95 ___ 8.68.53.17 _＋ 7.71 for recurrent ones. The S-AI scores in primary CA patients is significantly higher than that in recurrent ones （P 〈 0.05）; The S-AI and T-AI scores decreased significantly after mental intervene for both groups compared to baseline scores（P 〈 0.05） and state anxiety in recurrent group improved more than that in primary group（P 〈 0.05）. Conclusion： The anxious state occurred in high ratio of female patients with primary and recurrent CA patients and state anxiety was more severe than trait anxiety. Mental intervene including com- bing illness cognition and psychological guidance may improve the state anxiety and trait anxiety.