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目的分析鼻内镜手术患者心理状况、应对方式及生活质量的现况,并探讨患者心理健康、应对方式与生活质量三者之间的关系。方法本研究为横断面研究,选取广安市广安区鼻内镜手术患者155例,采用症状自评量表(SCL-90)、医学应对问卷(MCMQ)和世界卫生组织生活质量测定量表简表(WHOQOL-BREF)分别对患者的心理健康状况、应对方式和生活质量状况进行测评。结果鼻内镜手术患者SCL-90自评量表总分为(179.9±51.3)分,平均分≥2分的前5位的阳性因子分别为:焦虑、躯体化症状、抑郁、人际关系紧张、恐怖。患者应对方式的3个因子得分从高到低依次为:面对、回避和屈服因子。鼻内镜手术患者与正常对照组相比在生理、心理、独立性、社会关系和总的生活质量与健康状况得分最低(P<0.05);环境和精神支柱与个人信仰得分则高于正常对照组(P<0.05)。鼻内镜手术患者SCL-90总分与患者总体生活质量、生理领域、心理领域得分呈正相关;应对方式中,面对因子与总体生活质量和健康状况、生理领域、心理领域得分呈正相关;屈服因子与总体生活质量和健康状况、心理领域得分呈负相关。结论鼻内镜手术患者心理问题主要表现在焦虑、躯体化症状、抑郁、人际关系紧张、恐怖等方面,多数患者采用积极的面对方式,患者生活质量较低。
Objective To analyze the psychological status, coping style and quality of life of patients undergoing endoscopic sinus surgery, and to explore the relationship between mental health, coping style and quality of life. Methods This study was a cross-sectional study. 155 patients undergoing endoscopic sinus surgery in Guang’an District of Guang’an City were selected. Symptom Checklist 90 (SCL-90), Medical Response Questionnaire (MCMQ) and World Health Organization Quality of Life Scale (WHOQOL-BREF), respectively, the patient’s mental health status, coping style and quality of life were assessed. Results The total score of SCL-90 in patients undergoing endoscopic sinus surgery was (179.9 ± 51.3). The positive scores of the top 5 patients with mean score ≥2 were anxiety, somatization, depression, interpersonal tension, terror. The three factors of the coping style of patients from high to low were: face, avoidance and yield factor. Patients in endoscopic surgery had the lowest score of physical, psychological, independence, social relationship and total quality of life and health status compared with the control group (P <0.05). The score of environmental and mental support and personal belief was higher than that of the normal control Group (P <0.05). The score of SCL-90 in endoscopic sinus surgery patients was positively correlated with overall quality of life, physiological status and psychological score of patients. In coping style, face-to-face factor was positively correlated with overall quality of life and health status, physiological status and psychological score; Factors and overall quality of life and health status, psychological field score was negatively correlated. Conclusions The main psychological problems of patients undergoing endoscopic sinus surgery are anxiety, somatization, depression, interpersonal tension and horror. Most patients adopt a positive approach and their quality of life is low.