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目的探讨睾丸扭转术后患者的心理状况,并对其相关因素进行分析。方法选择2004年1月至2015年9月我院65例睾丸扭转术后患者为病例组,另选65名健康男性为对照组。采用心理卫生自评量表(SCL-90)、Zung氏焦虑(SAS)和抑郁自评量表(SDS)评价患者心理状态,并对存在焦虑情绪、抑郁情绪的睾丸扭转术后患者进行相关因素分析。结果睾丸扭转术后患者SCL-90量表中的强迫症状、人际关系、抑郁、焦虑和恐怖分数均分别显著高于中国青年常模组(P<0.05)。睾丸扭转术后患者的SAS、SDS分别显著高于健康对照组(P<0.05)。未育、文化程度高、睾丸切除术为睾丸扭转术后患者发生焦虑、抑郁的危险因素。结论睾丸扭转术后患者存在焦虑、抑郁等负性情绪心理,其发生原因可能与患者的未育、文化程度高、行睾丸切除术密切相关。
Objective To investigate the psychological status of patients with testicular torsion and to analyze the related factors. Methods From January 2004 to September 2015, 65 patients with testicular torsion in our hospital were selected as the case group, and 65 healthy men were chosen as the control group. The psychological status of the patients was assessed using the SCL-90, Zung’s anxiety (SAS) and depression self-rating scale (SDS), and related factors of post-testicular torsion patients with anxiety and depression analysis. Results Obsessive-compulsive symptoms, interpersonal relationship, depression, anxiety and terror scores in SCL-90 patients after testicular torsion were significantly higher than those in Chinese youth group (P <0.05). SAS and SDS in patients with testicular torsion were significantly higher than those in healthy controls (P <0.05). Infertility, high education, orchiectomy for patients with testicular torsion occurred anxiety, depression risk factors. Conclusions Patients with testicular torsion have negative emotions such as anxiety and depression. The reasons may be related to the non-education, high education and orchiectomy.