男性外生殖器尖锐湿疣复发患者心理健康与治疗后再复发的关系

The relationship between the mental state of patients with recurrence of condyloma acuminatum on the male external genitalia and the recurrence after treatment

目的分析男性外生殖器尖锐湿疣复发患者心理健康与治疗后再复发的关系。方法选取2019年1月至2020年10月丽水市中心医院收治的221例男性外生殖器尖锐湿疣复发患者作为研究对象。分别采用艾森克人格问卷(EPQ)、状态特质焦虑问卷(STAI)、修订版90项症状清单(SCL-90)了解患者的人格特征、焦虑及心理健康症状,所有患者均接受规范治疗直至病灶清除,并进行12个月的跟踪随访,分析上述心理学指标是否对疾病再复发存在影响。结果单因素分析结果显示,饮酒、熬夜、皮损数量、病灶大小、EPQ-精神质评分、STAI-状态焦虑评分及SCL-90评分与男性外生殖器尖锐湿疣复发患者治疗后再复发有关(P<0.05);多因素分析结果显示,未发现EPQ-精神质评分、STAI-状态焦虑评分及SCL-90评分对男性外生殖器尖锐湿疣复发患者治疗后再复发存在影响。结论心理健康状态可能不会对男性外生殖器尖锐湿疣复发患者治疗后再复发产生影响,因此无需为此调整治疗计划。

Objective To analyze the relationship between the mental state of patients with recurrence of condyloma acuminatum on the male external genitalia and the recurrence after treatment. Methods A total of 221 patients with recurrence of condyloma acuminatum admitted to Lishui Central Hospital from January 2019 to October 2020 were selected as the research objects. The eysenck personality questionnaire(EPQ), state trait anxiety questionnaire(STAI), and the revised 90 symptom list(SCL-90) were used to understand the patient′s personality characteristics, anxiety and mental health symptoms. All patients received standardized treatment until the lesion was cleared, and conducted 12 months follow-up to analyze whether the above-mentioned psychological indicators had an impact on the recurrence of the disease. Results Single factor analysis showed that drinking, staying up late, number of skin lesions, lesions size, EPQ-mental score, STAI-state anxiety score, and SCL-90 score were related to the recurrence of patients with recurrence of condyloma acuminatum on the male external genitalia after treatment(P<0.05). Multi factor analysis showed that EPQ-psychotic score, STAI-state anxiety score, and SCL-90 score did not have the effect on the recurrence of patients with recurrence of condyloma acuminatum on the male external genitalia after treatment. Conclusions Mental state may not effect the recurrence of patients with recurrence of condyloma acuminatum on the male external genitalia after treatment, so there is no need to adjust the treatment plan for this.