目的 探讨漏斗胸患者的心理健康状况及人格特征,为建立该病的生理—心理—社会综合治疗方案提供依据。方法选取2009-07至2011-05期间入我院胸外科诊治且心理问卷有效的漏斗胸患者146例,使用心理测试软件系统中的明尼苏达多项人格调查表(MMPI)对其进行测试,并与全国成人常模进行差异性比较。结果男性患者效度量表L、F显著低于常模(P<0.01);临床量表Hs、Hy、Ma、Si显著高于常模(P<0.01);女性患者临床量表Hs、Hy、Mf、Si显著高于常模(P<0.05)。结论 漏斗胸患者的心身健康水平较低,有其固定的人格特征,术前术后心理测验对于制定合理治疗方案具有重要意义。
Abstract
Objective To investigate the mental health status and personality characteristics of patients with pectus excavatum so as to provide important data for comprehensive biopsychosocial treatment schemes. Methods Data were collected from 146 volunteer patients by Minnesota Multiphasic Personality Inventory(MMPI) in the Department of Thoracic Surgery of our hospital between 2009 and 2011 and were compared with Chinese norms for adults. Results Compared with the norms, scores of two validity scales of MMPI were significantly low, including Lie(L) and Frequency(F) (P<0.01), scores of four clinical scales were significantly high, including Hypochondriasis(Hs)、Hysteria(Hy)、Mania(Ma)and Social introversion(Si)in male patients, and those of four clinical scales were significantly high, including Hs, Hy, Masculinity-femininity(Mf)and Si in female patients. Conclusions Patients with pectus excavatum are in poorer psychosomatic health than healthy people, with obvious personality characteristics. So it is important for the patients to undergo psychological tests before and after operation to institute a reasonable treatment.
关键词
漏斗胸 /
心理测验 /
明尼苏达多相人格调查表
Key words
pectus excavatum;psychological test /
Minnesota Multiphasic Personality Inventory
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1]杨峥,戴天阳. Muss手术治疗漏斗胸的研究进展[J].重庆医学,2010,39(1):117-118.
[2]杨东元,保阪善昭,原口和久,等.日本和欧美漏斗胸诊疗进展[J].中华整形外科杂志, 2003,19(2):142-143.
[3]李振水,崔玉清,牛志伟,等.胸肋骨截骨内固定法治疗小儿漏斗胸27例[J].武警医学,2003,14(1):31-32.
[4]胡美霞,杨翠芹,吴映红,等.青少年漏斗胸患者心理体验的质性研究[J]. 护理学报,2011, 18(6B): 68-69.
[5]彭晓燕,王贤书,程征海,等. 先天性漏斗胸患儿家属心理状况及社会支持相关性调[J].护理实践与研究,2011,8(10):127-129.
[6]王肃生.美容整形受术者动机的心态分析[J].实用美容整形外科杂志,1995, 6( 3):167.
[7]王锐,张宇鹏.397名大学新生MMPI测试结果与分析[J]. 长春医学,2005,3(1):10-12.
[8]程荑,李建兵,宋建良,等.整形美容受术者MMPI测验的研究[J].实用美容整形外科杂志,1997,8(6):303-305.
[9]李亚玲,陈环,李国荣.躯体形式障碍患者的临床和MMPI特征[J].现代实用医学,2011, 23(1):45-46.
[10]刘文英,王永刚,唐耘熳,等.漏斗胸患儿心身健康调查[J].实用儿科临床杂志,2005,20(2):178-179.
[11]蒋虹,商卫林,唐志雄,等.心理测验在综合医院外科的应用[J].上海医药, 2007, 28(2):88-89.
基金
国际科技合作与交流项目(编号:2010DFA31250)