摘要
目的:探讨手术前后肾上腺腺瘤型皮质醇增多症(CSA)患者心理状况和生活质量特点。方法 :以32例符合条件的CSA患者为研究对象,分别于术前、术后3个月应用症状自评量表和世界卫生组织生存质量测定简表进行心理健康水平和生活质量评估。结果 :患者术前躯体症状、强迫症状、人际关系敏感、抑郁、焦虑、敌对和精神病性评分均高于常模(P<0.05),而术后评分较术前降低(P<0.05);术前生活质量各领域评分均低于国内常模(P<0.05),术后生理领域、心理领域评分较术前升高(P<0.05),但是环境领域、社会领域评分无明显改变(P>0.05)。结论:CSA患者心理健康状况和生活质量较差,手术难以全面改善患者的生活质量,长期随访和护理是必要的。
[ Objective] To explore the characteristics of psychological status and quality of life before and after surgery in patients with Cushing＇s syndrome with adrenaladenoma （CSA）. [ Method] 32 CSA patients meeting the conditions were included. Symptom Checklist and the World Health Organization＇ s Quality of Life Questionnaire - Brief Version were used to assess mental health and quality of life before surgery and 3 months after surgery, respectively. [Result]The scores of somatic symptoms, obsessive- compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility and psychosis in patients were higher than the norm （ P 〈 0.05）. The scores of quality of life in all areas were lower in patients than the national norm （ P 〈 0.05）. The scores of somatic symptoms, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility and psychosis after surgery were lower than that before surgery （ P 〈 0.05）. The scores in physical domain, psychological domain after surgery were higher than that before surgery （P 〈 0.05）. However, there was no significant change in the social domain and the environmental domain （P 〉 0.05）. [ Conclusion] CSA patients show poor mental health status and quality of life. Surgery is difficult to comprehensively improve the quality of life, so long- term follow- up and care is necessary.
出处
《浙江医学教育》
2016年第2期51-53,63,共4页
Zhejiang Medical Education
基金
温州市科技局项目(编号:Y20140629)
关键词
肾上腺腺瘤型皮质醇增多症
心理健康
生活质量
cushing＇s syndrome with adrenaladenoma
psychological health
puality of life
