慢性荨麻疹患者心理健康状况调查分析

Investigation and analysis of mental health status of chronic urticaria patients

目的：调查分析慢性荨麻疹患者心理健康状况，并制定相应干预对策。方法：选取我院2012年6月～2014年6月收治的9Q例慢性荨麻疹患者为研究对象，采用症状自评量表对所有研究对象进行心理调查，对两组患者的临床资料进行单因素分析和多因素Logistic回归分析，针对不同维度心理问题和影响因素制定相应的干预策略。结果：90例慢性荨麻疹患者中41例（45．56％）心理健康阳性，分值较高的因子为焦虑（33．98±3．61）分、抑郁（30．64±2．31）分、精神病性（25．35±4．66）分。发病部位、婚姻状态、文化程度差异具有统计学意义（P〈0．05）。影响慢性荨麻疹患者心理健康状况的危险因素程度为发病部位、文化程度、婚姻状态。结论：焦虑、抑郁、神经病性为慢性荨麻疹患者常见心理问题，其主要影响因素为发病部位、婚姻状态、文化程度，临床上应根据主要问题和影响因素制定相应干预措施，解决患者不良心理问题。

Objective ： To investigate and analyze the mental health status of chronic urticaria patients, and made corresponding intervention strategies. Meth- ods：Selected 90 chronic urticaria patients admitted in our hospital from June 2012 to June 2014 as research objects, conducted psychological investigation on all research objects with symptom checklist, conducted univariate and multivariate Logistic regressign analysis on clinical information of patients in the two groups, and made corresponding intervention strategies according to psychological problems and influencing factors in different dimensions. Results：Among the 90 chronic urticaria patients, 41 cases （45.56%） were of positive mental health, factors having relatively high scores were anxiety （33.98 ± 3.61 ） points, depression （30.64 ± 2.31 ） points, and psychoticism （25.35 ± 4.66 ） points. Differences of pathogenic site, marital status and education degree were of statistical significance （ P 〈 0.05 ）. The degree affecting mental health status of chronic urticaria patients were pathogenic site, education degree and marital status. Conclusion ： Anxiety, depression and psychoticism are common psychological problems of chronic urticaria patients, the major influencing fac- tors are pathogenic site, marital status and education degree, and clinical treatment shall make corresponding intervention measures according to main prob- lems and influencing factors to solve patients＂ adverse psychological problems.