摘要
目的调查单耳突发性耳聋患者心理健康状况,并分析其影响因素。方法以2012年1月-2018年1月本院诊治的250例单耳突发性耳聋患者(研究组)和同期在本院体检的35名健康志愿者(对照组)为研究对象,比较两组症状自评量表(SCL90),统计250例突发性耳聋患者心理障碍发生率随,采用比例风险回归模型(Cox模型)分析单耳突发性耳聋患者心理健康的影响因素。结果研究组SCL90量表中各项因子评分及总评分明显高于对照组,差异有统计学意义(P<0.05);250例突发性耳聋患者,有62例存在心理障碍,发生率为24.80%(62/250);文化程度越高、职业与语言和音乐有关、已婚、耳聋程度越严重者的SCL90总评分越高,差异有统计学意义(P<0.05);COX回归分析提示文化程度、职业及耳聋程度是突发性耳聋患者心理健康状况的影响因素(P<0.05)。结论单耳突发性耳聋患者心理健康状况较差,突发性耳聋患者心理健康状况与文化程度、职业及耳聋程度密切相关。
Objective To investigate the mental health status of patients with sudden deafness in one ear and analyze the influencing factors. Methods A total of 250 patients with sudden deafness in one ear (study group) who were diagnosed and treated in the hospital from January 2012 to January 20 1 8 and 35 healthy volunteers (control group) who were examined in the hospital during the same period were selected as study subjects. The Symptom Checklist 90 (SCL90) score was compared between the two groups. The incidence of mental disorders in 250 patients with sudden deafness was statistically analyzed. The proportional hazards regression model (Cox model) was used to analyze the influencing factors of mental health of patients with sudden deafness in one ear. Results The scores of different factors and total scores of SCL90 in the study group were significantly higher than those in the control group (P < 0.05). In 25 0 patients with sudden deafness, there were 62 patients with mental disorders, and the incidence rate was 24.80%(62/250). For the patients with higher the education level, occupations associated with language and music, married and more serious deafness the SCL90 total scores were higher (P < 0.05). COX regression analysis indicated education level, occupation and deafness degree were the influencing factors of mental health status of patients with sudden deafness (P < 0.05). Conclusion The mental health status of patients with sudden deafness in one ear is poor. The mental health status of patients with sudden deafness is closely related to the education level, occupation and deafness degree.
作者
毛海颖
王怡沁
MAO Haiying;WANG Yiqin(Otolaryngology Head and Neck Surgery, Xinhua Hospital Affiliated to Medical School of Shanghai JiaotongUniversity, Shanghai 200092, China)
出处
《长春中医药大学学报》
2019年第5期960-963,共4页
Journal of Changchun University of Chinese Medicine
基金
上海市护理质控中心护理创新研究项目(2014NQ09)
关键词
突发性耳聋
单耳
心理健康
影响因素
sudden deafness
one ear
mental health
influencing factor
