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脊柱退行性疾病患者生活质量、人格特征、心理状况的相关分析 预览

Correlation analysis of quality of life,personality and psychological status in patients with spinal degenerative disease
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摘要 目的探讨脊柱退行性疾病(SDD)患者生活质量、人格特征、心理状况的相关性。方法采用生活质量综合评定问卷(GQOLI-74)、症状自评量表(SCL-90)和艾森克个性测试成人式(EPQ)对683例SDD患者的生活质量、人格特征和心理健康状况进行检测、评定,并进行Spearman相关分析。结果GQOLI-74的躯体功能与EPQ精神质、神经质呈负相关(P<0.05、<0.01);GQOLI-74心理功能与EPQ的神经质呈负相关(P<0.05);EPQ的精神质与SCL-90的躯体化、强迫、抑郁、焦虑、敌对、恐怖、精神病性呈正相关(P<0.05、<0.01);EPQ中的内外倾与SCL-90的躯体化、强迫、抑郁、焦虑、精神病性呈负相关(P<0.05、<0.01);EPQ中的神经质与SCL-90的躯体化、强迫、人际、抑郁、焦虑、精神病性、附加因子呈正相关(P<0.05、<0.01);GQOLI-74的躯体功能与SCL-90的躯体化、强迫、人际、抑郁、焦虑、敌对、恐怖、精神病性呈负相关(P<0.05、<0.01);GQOLI-74的心理功能与SCL-90的躯体化、强迫、抑郁、焦虑、敌对、恐怖、精神病性呈负相关(P<0.05、<0.01);GQOLI-74的社会功能与SCL-90的全部因子呈负相关(P<0.05、<0.01);GQOLI-74的物质生活与SCL-90的人际呈正相关(P<0.01)。结论需重视SDD患者生活质量、人格特征、心理状况,以促进患者的康复。 Objective To explore the correlation between quality of life,personality characteristics and psychological status of patients with spinal degenerative disease.Methods The quality of life,personality and mental health of 683 patients were examined and evaluated by using the quality of life comprehensive assessment questionnaire(GQOLI-74),symptom checklist(SCL-90)and eysenck personality questionnaire(EPQ).Results The somatic function of GQOLI-74 was negatively correlated with EPQ psychoticism and neuroticism(P<0.05,<0.01);the mental function of GQOLI-74 was negatively correlated with EPQ neuroticism(P<0.05);the psychoticism of EPQ was positively correlated with SCL-90 somatization, obsession, depression,anxiety,hostility,terror and psychosis(P<0.05,<0.01);neuroticism in EPQ was positively correlated with somatization, compulsion, interpersonal, depression,anxiety, psychoticism and additive factors of SCL-90(P<0.05,<0.01);the somatic function of GQOLI-74 was negatively correlated with the somatization, obsession, interpersonal,depression, anxiety,hostility,phobia and psychosis of SCL-90(P<0.05,<0.01);the psychological function of GQOLI-74 was negatively correlated with the somatization,compulsion, depression, anxiety,hostility,phobia,phobia and psychosis of SCL-90(P<0.05,<0.01);the psychological function of GQOLI-74 was negatively correlated with the somatization,obsession,depression, anxiety,hostility,phobia and psychosis of SCL-90(P<0.05,<0.01);social function of GQOLI-74 was negatively correlated with all factors of SCL-90(P<0.05,<0.01);material life of GQOLI-74 was positively correlated with interpersonal relationship of SCL-90(P<0.01).Conclusions Clinical workers should pay attention to the quality of life,personality and psychological status of patients with spinal degenerative disease,so as to promote their rehabilitation.
作者 陈强 吴德升 刘涛 徐志刚 顾继生 汪欢 邱水强 CHEN Qiang;WU De-sheng;LIU Tao;XU Zhi-gang;GU Ji-sheng;WANG Huan;QIU Shui-qiang(Dept of Orthopaedics,Jiangwan Hospital of Shanghai Hongkou District,Shanghai 200434,China)
出处 《临床骨科杂志》 2019年第1期12-14,共3页 Journal of Clinical Orthopaedics
基金 上海市卫生和计划生育委员会面上项目(编号:201440323).
关键词 脊柱退行性疾病 生活质量 人格特征 心理状况 spinal degenerative diseases quality of life personality psychological status
作者简介 陈强,男,博士,副主任医师,主要从事脊柱外科研究,E-mail:chenqianghn@126.com;通讯作者:邱水强,男,硕士,副主任医师,主要从事脊柱外科研究,E-mail:dapa221@sohu.com
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