犬咬伤患者心理卫生状况的随访研究

目的探讨犬咬伤患者的心理卫生状况及其在短期内的变化。方法选用中文版患者健康问卷（PHQ），在对659例犬咬伤患者常规处理同时，进行心理状态问卷测评，完成随访者613例，其中男368例，女245例，平均年龄（36±14）岁。结果613例患者在初次就诊时均具有轻度或中度躯体症状群（PHQ-15）表现；4周后评分仍有78．0％（478／613）患者存在轻度躯体症状群表现，但中等程度者比例降至3．7％（23／613）。初诊时24．8％（152／613）存在抑郁症状群，4周后随访10．0％（61／613）的患者仍有抑郁症状存在。初诊时46．3％（284／613）有焦虑症状存在，4周后42．1％（258／613）的患者仍存在有轻度焦虑症状群表现，但中等程度者为1．5％（9／613）。结论在犬咬伤患者中心理卫生问题普遍存在且持续一定时间，PHQ可用来检测患者存在的心理症状。

Follow-up survey on psychological health status in persons bit by dogs

Objective To investigate psychological health status and its change in short term among persons bit by dogs.Methods Psychological health status was evaluated with patient health questionnaire (PHQ-15) Chinese version for the 613 wounded persons bit by dogs,including 368 males and 245 females with average age of 36 years plus or minus 14 years (standard deviation),meanwhile their wounds were handled routinely at clinics,as well as health education and cognitive psychological intervention were provided for them.Results All of the 613 persons with dog bites had mild or moderate somatic syndrome in their initial visits and 478 of them (78.0%) still presented mild somatic syndrome and only 23 (3.7%)with moderate symptoms four week after dog bites by PHQ-15 scores.One hundred and fifty-two of 613 (24.8%) followed-up at their initial visits had depressive symptoms,which could remain in 61 of them (10.0%) four weeks after bites.Two hundred and eighty-four of them (46.3%) had anxiety symptoms at initial visits,and 258 (42.1%) still had mild and nine (1.5%) had moderate symptoms four weeks after bites.Conclusions Psychological symptoms were popular in wounded persons by dog bites,which can persist for a certain time.PHQ-15 can be used for evaluating their psychological status.