综合医院脊柱外科门诊患者心理状况调查研究

目的探讨综合医院脊柱外科门诊患者的心理状况，并通过分组探讨患者术前心理情况，为开展心理干预提供依据。方法采用症状自评量表（SCL-90）调查了综合医院104例脊柱外科门诊患者，并将其中确诊准备手术的患者纳入准备手术组，其余为非准备手术组。结果被调查患者的躯体化、强迫状态、抑郁、焦虑、敌对5个因子分的得分均显著高于常模（P〈0．01）。而其中准备手术组的躯体化、强迫状态、抑郁、焦虑、恐怖5个因子的得分均显著高于非准备手术组（P〈0．01）。结论脊柱外科患者伴发心理障碍并不少见，尤其是准备手术治疗的患者，建议在传统药物及手术治疗疾病的同时合并心理治疗。

Survey on psychologic status in outpatients of spinal surgery department in a general hospital

Objective To discuss the psychological status of outpatients in spinal surgery department and to survey the influence of preoperative psychologic on the patients after divided them into two groups, and to supply data for psychological - social intervention. Methods Symptom Checklist 90 （ SCL - 90） were used in 104 outpatients which were divided into the ready operation group and the non -ready operation group. Results All the patiens gained obviously more scores in the somatization factor, obsession factor, depression factor, anxiety factor, and hostility factor than norm （P 〈 0. 01 ） . The somatization factor score, obsessive factor score, depressive factor score, anxious factor score and phobic anxiety factor score of the ready operation group were significantly higher than non - ready operation group （P 〈 0.01 ）. Conclusions Patients of spinal surgery suffer psychological disorders, especially for the ready operation patiens. We suggest that biological treatment should combine with psychological intervention.