颌面创伤住院患者心理状况及影响因素

目的　分析颌面创伤住院患者的心理状态及其影响因素 ,为医护人员进行医疗预防和康复工作提供参考 .方法　采用 SCL - 90 (Symptom check list- 90 )症状自评量表和自制的心理卫生相关因素调查表 ,对我院 1998- 10 /1999- 0 9,12 6例颌面创伤住院患者进行心理测试 .结果　颌面创伤患者SCL- 90总分平均 (15 4± 6 2 )分 .阳性项数目平均为 (32± 2 5 )分 ,显著高于国内常模 (P<0 .0 1) .颌面创伤住院患者 SCL -90各因子分均显著高于国内常模 (P<0 .0 1) .按显著性高低排列 ,前 4位的分别为抑郁、焦虑、恐怖和精神病性 .颌面创伤患者 SCL- 90总均分级别构成符合正态分布 .结论　颌面创伤住院患者的心理健康水平显著低于正常人群 .创伤事件和医源性应激是影响患者心身健康的两个主要原因 .

Analysis of mental health and correlative factors of maxillofacial traumatic inpatients

AIM　To analyze the mental health level and the correlative factors of maxillofacial traumatic inpatients. METHODS　Symptom check li st-90 (SCL-90) and the correlative factor inquiry list were finished by 126 ma xillofacial traumatic inpatients of our hospital from 10/1998 to 09/ 1999. RESULTS　Total mark of SCL-90 was 154±62. The number of symptomatic items was 32±25, which was higher than that of domestic norm (P<0.01). The every factor mark of SCL-90 was also higher than that of domestic norm （P<0.01）. The former f our factors were melancholy, anxiety, horror and psychosis. The constitution of inpa tients showed the normal distribution at the level of total mark of SCL-90. CO NCLUSION　Mental health level of maxillofacial traumatic inpatients is l ower than that of normal people. The mental handcap is caused by traumatic event and nosocomial stress.