SAS、SDS、SCL-90评定情况与胃镜检查耐受性的关系

The relationship between SAS,SDS,SCL-90 assessment and the tolerance of gastroscopy

目的探讨焦虑自评量表(SAS)、抑郁自评量表(SDS)和症状自评量表90(SCL-90)与胃镜检查耐受性的关系。方法选取30例行胃镜检查并确诊为胃癌的患者作为胃癌组,另选取30例行胃镜检查排除胃部病变的健康者作为对照组。两组均于胃镜检查前进行SAS、SDS、SCL-90评定,比较两组SAS、SDS、SCL-90评分。结果胃癌组SAS、SDS评分分别为(67.52±9.26)、(68.52±9.43)分,均高于对照组的(39.62±6.48)、(42.63±7.05)分,差异有统计学意义(P<0.05)。胃癌组躯体化、抑郁、焦虑、恐怖评分及总评分均高于对照组,差异有统计学意义(P<0.05)。结论因患者的心理状态是诱发胃癌的重要因素,且胃癌患者烦躁、抑郁的心理情况比非胃癌患者明显严重,所以行胃镜检查的适应性较低,故通过临床干预心理情况后其胃镜检查的适应性会显著增加。

Objective To discuss the relationship between self-rating anxiety scale(SAS),self-rating depression scale(SDS),symptom checklist-90(SCL-90)and tolerance of gastroscopy.Methods 30 patients who underwent gastroscopy and were diagnosed with gastric cancer were selected as the gastric cancer group,and another 30 healthy individuals who underwent gastroscopy to exclude gastric lesions were selected as the control group.SAS,SDS,and SCL-90 assessment were performed before gastroscopy in both groups,and SAS,SDS,and SCL-90 scores were compared between the two groups.Results SAS and SDS scores of the gastric cancer group were(67.52±9.26)and(68.52±9.43)points,respectively,which were higher than(39.62±6.48)and(42.63±7.05)points of the control group,and the differences were statistically significant(P<0.05).The somatization,depression,anxiety,horror scores and total scores of the gastric cancer group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Patients’psychological status is an important factor to induce gastric cancer,and the psychological condition of irritability and depression of gastric cancer patients is significantly more serious than that of non-gastric cancer patients,so their adaptability to gastroscopy is lower,but their adaptability to gastroscopy will be significantly increased after clinical intervention of psychological condition.