磁共振检查患者的心理状况调查分析

目的了解磁共振检查病人的心理状况,为提高磁共振检查效果提供理论依据。方法采用症状自评量表（SCL-90）对150例磁共振检查病人进行心理测评。比较磁共振检查病人SCL-90评分与常模,并比较不同年龄、性别和文化病人的SCL-90评分。结果共发放150份问卷,回收145份。145例病人SCL-90 9个因子评分均高于常模（均有P〈0.05）。50岁以下年龄组的SCL-90总均分低于50岁以上组（t=-3.86,P=0.002）,50岁以下年龄组的躯体化、人际关系、抑郁、焦虑、敌对、偏执和精神症状7个因子评分均低于50岁以上组（均有P〈0.05）。男性的SCL-90总均分低于女性（t=-2.13,P=0.035）,男性的强迫、抑郁和偏执3个因子评分均低于女性（均有P〈0.05）。不同文化程度病人间SCL-90总均分及因子差异均无统计学意义（均有P〉0.05）。结论磁共振检查病人存在不同程度的心理障碍,为了提高磁共振检查效果,及时的心理护理是必须的,尤其是老年病人和女性病人。

Investigation on mental condition of patients with MRI examinations

Objective To learn about mental condition of patients who had MRI （ Magnetic Resonance Image） examinations and provide basis for improving the effectiveness of MRI examinations. Methods 150 patients with MRI examinations were subjected to with the symptom checklist-90 （SCL-90）. The scores of SCL-90 of patients were compared with normal persons, and were compared among different ages, genders and educational levels. Results Giving out 150 ques- tionnaires, retrying 145 questionnaires, we found that the patients＇ scores of SCL-90 were significantly higher than those of the normal persons （ all P 〈 0. 05）. The total average scores of SCL-90 of patients below 50 years of age were significantly lower than those of the patients with more than 50 years （ t = - 3.86,P = 0. 002）, and the factor scores （ somatization, in- terpersonal relationship, depression, dysphoria, hostility, paranoia and mental symptom） of patients below 50 years were significantly lower than those older than 50 years （ all P 〈 0.05 ）. The male＇ s total average scores were significantly lower than those of the female （ t = - 2. 13 ,P = 0. 035 ）, and the male＇ s factor scores （ obsession, depression and paranoia） were significantly lower than those of the female （ all P 〈 0.05 ）. There was no significant difference among different educational levels for the scores of SCL-90 （ all P 〉 0. 05 ）. Conclusions Patients who had MRI examinations have psychologic obstacles to varying degrees. It＇ s necessary to offer mental nursing to improve the effectiveness of MRI examinations, especially for the old people and the female.