中医临床疼痛患者心理健康测量评分比较分析

Comparative Analysis of Mental Health Measurement Evaluation of Patients with Pain in Traditional Chinese Medicine Clinics

目的:分析中医临床疼痛患者心理健康水平差异,了解其临床心理需求,为临床治疗及心理照护提供实证依据。方法:选取2020年1月-2021年1月样本医院收治的206例中医临床疼痛患者作为研究对象,采用SCL-90心理健康量表对临床各类疼痛患者的心理健康因素实施量化评定,探明不同类型疼痛患者群体心理健康水平的差异。结果:女性患者阳性均分及阳性总分均低于男性患者,差异有统计学意义(t=18.940、13.789,P<0.05);城市患者焦虑因子评分低于农村患者,差异有统计学意义(t=89.933,P<0.05);体力劳动患者阳性均分、阳性总分均低于脑力劳动患者,差异有统计学意义(t=22.896、9.584,P<0.05);无配偶患者阳性均分、阳性总分、抑郁因子评分均高于有配偶患者,差异有统计学意义(t=22.922、9.501、61.520,P<0.05)。结论:不同群体、不同类型的中医临床疼痛患者心理健康水平存在差异,在中医临床中,根据患者的不同采取充分认知的相应心理照护具有重要意义。

Objective:To analyze the difference of the mental health level of patients with pain in TCM clinics so as to know their clinical psychological needs,and provide empirical basis for clinical treatment and psychological care.Methods:206 patients with traditional Chinese medicine clinical pain admitted to the hospital from Jan.2020 to Jan.2021 were selected as the research objects,and the SCL-90 mental health scale was used to quantitatively evaluate the mental health factors of patients with clinical moderate and severe pain.Differences in mental health level among groups of patients with different types of pain were compared.Results:The average positive scores and total positive scores of females were lower than those of males,and the difference was significant(t=18.940,13.789;P<0.05).The anxiety factor scores of urban patients were significantly lower than those of rural patients(t=89.933,P<0.05).The positive average score and positive total score of patients without spouse were significantly higher than those of patients with spouse(t=22.922,9.501,61.520;P<0.05).Conclusion:There are differences in the mental health level of pain patients in different groups and types of TCM clinical pain.Taking adequate psychological care according to different patients plays an important role in TCM clinical practice.