100例慢性盆腔炎患者心理健康调查

Mental Health of 100 Patients with Chronic Pelvic Infection

目的了解慢性盆腔炎患者的心理健康状况及其影响因素。方法采用症状自评量表(SCL-90)对100例慢性盆腔炎患者进行调查,比较分析本组患者症状自评量表(SCL-90)各因子评分与国内常模以及不同年龄、病程、文化程度、户籍地患者之间评分的差别。结果①本组患者SCL-90评分,除恐怖、偏执和精神病性因子外,其余各因子评分和阳性项目数均高于国内常模(t=3.785,2.013,2.281,2.632,3.333,2.586,4.173;P<0.01或P<0.05);②年龄≥40岁组躯体化、强迫、抑郁、焦虑、敌对5因子评分和阳性项目数显著高于<40岁组(t=2.255,2.079,2.112,2.383,2.077,2.538;P均<0.05);③病程≥5年组躯体化、抑郁2因子评分和阳性项目数,显著高于<5年组(t=2.335,2.121,2.273;P均<0.05);④除敌对、恐怖、偏执和精神病性4因子外,其余各因子评分和阳性项目数,文化程度≥高中组高于文化程度<高中组(t=2.235,2.381,2.612,2.228,2.478,2.823;P<0.01或P<0.05),城镇组高于农村组(t=2.472,2.915,2.500,2.326,2.881,2.248;P<0.01或P<0.05)。结论慢性盆腔炎患者普遍存在不同程度的心理问题,并受多种因素影响。

Objective To know mental health of patients with chronic pelvic infection and its related factors. Methods A total of 100 patients with chronic pelvic infection were investigated with Symptom Checklist 90（SCL-90）. Mental health status of the investigated objectives with different age,duration of the disease,educational level and household were compared with the conventional norm. Results ①Factors scores and positive rate of SCL-90 were significantly higher than the norm,except factors scores of photic anxiety,paranoid ideation and psychoticism（t：3. 785,2. 013,2. 281,2. 632,3. 333,2. 586 and 4. 173;P〈0.01 or P〈 0.05）. ②Factors scores of somatization, obsessive-compulsive, depression, anxiety, hostility and positive rate of SCL- 90 in the group of age ≥40 years old were significantly higher than those in the group of 〈40 years old （t= 2. 255,2. 079,2. 112,2. 383,2. 077 and 2. 538,all P〈0.05）. Factors scores of somatization,depression and positive rate of SCL-90 in the group of course of disease ≥ 5years were significantly higher than those in the group of 〈 5 years （t = 2. 335,2. 121 and 2. 273, all P 〈 0. 05）. Factors scores and positive rate in the group of diploma≥senior high school were significantly higher than those in the group of 〈senior high school but factors scores of hostility, photic anxiety, paranoid ideation and psychoticism （t = 2.235,2.381,2.612,2.228,2.478 and 2. 823,P〈0. 01 or P〈0.05）. So as the town group than the rural group. Conclusion There are many mental health problems in patients with chronic pelvic infection,and those problems can be influenced by many factors.