择期行减重手术患者的心理控制源状况

目的了解择期行减重手术患者的心理控制源倾向及其与生活质量的相关性。 方法选择2016年9月至2018年6月暨南大学附属第一医院胃肠外科接受减重手术的90例肥胖症患者作为研究对象。采用多维度健康心理控制源量表(MHLC)、广泛性焦虑量表（GAD-7）、患者健康问卷抑郁症状群量表（PHQ-9）、健康调查简表(SF-36)对90例择期行减重手术治疗的住院患者进行问卷调查。 结果择期行减重手术患者心理控制源的健康内部控制分值低于常模(P<0.05),健康权威人士控制和健康机遇控制分值高于常模(P<0.05)。有情绪障碍与无情绪障碍患者之间的健康机遇控制分值差异有统计学意义（P<0.05）。心理控制源健康机遇控制分值与生活质量评分呈负相关(P<0.05)。 结论情绪障碍影响患者心理控制源,心理控制源健康机遇控制与生活质量呈负相关,择期行减重手术患者健康权威人士和机遇心理控制源倾向明显。

Survey on the Health Locus of Control in Obese Patients Undergoing Elective Bariatric Surgery

ObjectiveTo investigate the health locus of control and its correlation with quality of life in patients undergoing elective bariatric surgery. MethodsFrom September 2016 to June 2018, 90 obese patients who underwent elective bariatric surgery in department of gastrointestinal surgery of the first affiliated hospital of Jinan university were selected as research objects. A questionnaire survey was conducted on 90 inpatients who underwent elective bariatric surgery by adopting the multidimensional health psychological control source scale (MHLC), generalized anxiety disorder scale (GAD-7), patient health questionnaire depression symptom group scale (PHQ-9) and health survey brief table (SF-36). ResultsThe score of the internal health locus of control of patients undergoing elective bariatric surgery was lower than the norm (P<0.05), and the score of the powerful others or chance locus of control was higher than the norm (P<0.05). The difference of the chance locus of control between patients with emotional disorder and patients without emotional disorder is statistically significant (P<0.05). There was a negative correlation between the chance locus of control and quality of life score (P<0.05). ConclusionsEmotional disorders affect the health locus of control in patients. The chance locus of control are negatively correlated with the quality of life. Patients with bariatric surgery have obvious tendency to the powerful others or chance locus of control.