秦皇岛市120例重度痤疮学生的心理及睡眠质量状况临床调查分析

Clinical Investigation and Analysis of Psychological and Sleep Quality of 120 Cases of Severe Acne Students in Qinhuangdao City

目的:探究秦皇岛市120例重度痤疮大学生的心理及睡眠质量状况。方法:选取2013年7月-2016年7月笔者科室就诊的120例在校大学生和实习医学生为观察组,均为重度痤疮患者;另选取同时期来笔者科室实习的60例无痤疮医学生为对照组,详细记录两组大学生的各项临床资料,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及90项症状清单(Self-reporting Inventory,SCL-90)的得分评估心理状况,采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评估睡眠质量,并进行分析比较。结果:观察组共15例重度焦虑学生,焦虑率为78.33%;对照组2例中度焦虑学生,焦虑率为45.00%,两组比较有统计学意义(P<0.05);观察组抑郁率65.00%,对照组抑郁率43.33%,两组比较有统计学意义(P<0.05)。观察组各项PSQI得分明显高于对照组,且睡眠质量较差,两组比较有统计学意义(P<0.05)。重度痤疮患者在人际关系敏感、抑郁、焦虑、敌对、偏执以及SCL-90总分方面均显著高于正常无痤疮学生,两组比较有统计学意义(P<0.05)。结论:重度痤疮大学生更易产生焦虑、抑郁等负性情绪,心理障碍患者较多,不良情绪又影响患者睡眠质量,加重痤疮症状,严重妨碍其学习、工作以及生活,降低生活质量。

Objective To explore the psychological and sleep quality of 120 cases of severe acne students in Qinhuangdao City.Methods 120 cases from July 2013 to July 2016 in our hospital department of Dermatology, medical college students and trainee medical students as the research object were the observation group, patients with severe acne, in the same period to acne free medical students as a control group of 60 cases in our hospital department of Dermatology trainee object, a detailed record of severe acne and acne students the students of clinical data the calculation, all patients and no acne students SAS, SDS, PSQI and SCL-90 scores, analysis and comparison. Results The anxiety rate was 78.33% in the severe acne patients, and the moderate anxiety and anxiety rate were 45.00% in the control group, and the difference was statistically significant （P〈0.05）. The depression rate was 65.00% in the patients with severe acne and 43.33% in the control group. There was significant difference between the two groups （P〈0.05）.The scores of PSQI in patients with severe acne were significantly higher than those of normal acne students, and the quality of sleep was poor. There was significant difference between the two groups （P〈0.05）. Patients with severe acne were significantly higher in interpersonal relationships, depression, anxiety, hostility, paranoid and SCL-90 scores than those without normal acne, and the two groups were statistically significant （P〈0.05）. Conclusion Severe acne students are more prone to anxiety, depression and other negative emotions, more psychological disorders, adverse mood and affect the quality of sleep, increase acne, seriously hinder the patient learning, work and life, reduce the quality of life.