女性梅毒血清固定患者不良心理状态调查研究

目的调查女性梅毒血清固定患者的不良心理状态,分析其相关影响因素,为干预措施的制定提供依据。方法选取2011年6月~2012年10月于深圳市光明新区人民医院进行治疗的41例女性梅毒血清固定患者为研究对象,将41例患者分别采用SCL-90量表和PANAS量表进行评估,比较不同文化程度、血清固定时间及社会支持程度者的两个量表评分。结果 41例女性梅毒血清固定患者的SCL-90量表各个项目评分分别为（1.93±0.22）、（2.09±0.23）、（2.15±0.21）、（2.16±0.27）、（2.10±0.22）、（1.98±0.20）、（2.13±0.25）、（2.05±0.26）及（1.93±0.23）分,PANAS量表评分分别为（33.1±4.1）及（23.7±3.9）分,其均差于国内常模（P〈0.05）;且其中低文化程度、血清固定时间较长及低社会支持程度患者的SCL-90量表和PANAS量表评分均差于高文化程度、血清固定时间较短及高社会支持程度的患者（均P〈0.05）。结论女性梅毒血清固定患者存在明显的不良心理及消极情绪,预后信心较低。

Investigation on the adverse psychological state of female patients with syphilis serum-resistance

Objective To investigate the adverse psychological state of female patients with syphilis serum-resistance, analyze the related influence factors, in order to provide evidence for the intervention measures. Methods 41 female patients with syphilis serum-resistance in People＇s Hospital of Guangming New District in Shenzhen City from June 2011 to October 2012 were selected as research objects. All the 41 patients were evaluated with SCL-90 scale and PANAS scale. Then the two scale scores of patients with different educational degrees, serum-resistance time and social support degrees were compared. Results The SCL-90 scores of 41 female patients with syphilis serum-resistance were （1.93 ±0.22）, （2.09±0.23）, （2.15 ±0.21）, （2.16±0.27）, （2.10±0.22）, （1.98 ±0.20）, （2.13 ±0.25）, （2.05 ±0.26） and （1.93±0.23） points respectively, and PANAS scores were （33.1±4.1） and （23.7±3.9） points, they were all worse than those of national norm （P 〈 0.05）. The scores of SCL-90 and PANAS scales among patients with lower educational degree, longer serum-resistance time and lower social support degree were all worse than those with higher educational degree, shorter serum-resistance time and higher social support degree, the differences were statistically significant （P 〈 0.05）. Conclusion The female patients with syphilis serum-resistance generally had state psychological state and negative emotions, and the confidence of patients for the prognosis is low.