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目的:探讨恶性骨肿瘤患者手术前后的心理状况及其个性特征,为心理治疗提供参考依据。方法:采用症状自评量表(SCL-90)和艾森克个性问卷(EPQ)对来源于2002-08/2003-12中山大学附属第三医院和附属第一医院骨外科住院30例恶性骨肿瘤和30例骨折患者手术治疗前后进行评定。结果:恶性骨肿瘤患者治疗前、后的各项因子分显著高于对照组,差异有显著性意义(F=2.31～15.62,P=0.000～0.137)。除阳性项目数和睡眠、食欲因子分外,恶性骨肿瘤组治疗后的各项因子分均显著降低,与对照组术后比较,差异有显著性意义(F=8.79～27.93,P=0.000～0.005)。恶性骨肿瘤患者的内外向分(41.13±6.83)明显低于对照组,而掩饰分(43.42±8.81)明显高于对照组,差异有显著性意义(t=2.18,12.33;P=0.045,0.000)。结论:恶性骨肿瘤患者无论手术治疗前,还是治疗后都存在严重的心理障碍,尤其是焦虑、抑郁症状和睡眠、食欲;具有内向和掩饰倾向的个性特征。
Objective: To investigate the psychological status and personality characteristics of patients with malignant bone tumor before and after operation, and to provide a reference for psychological treatment. Methods: Thirty patients with malignant bone from the Department of Orthopedics, the Third Affiliated Hospital of Sun Yat-sen University and the First Affiliated Hospital of Sun Yat-sen University from August to December 2003 were retrospectively analyzed using SCL-90 and EPQ. Tumors and 30 patients with fractures were evaluated before and after surgery. Results: The factors of malignant bone tumor before and after treatment were significantly higher than those of the control group (F = 2.31 ~ 15.62, P = 0.000 ~ 0.137). In addition to the positive number of items and sleep, appetite factors exception, malignant bone tumor group after treatment, the various factors were significantly reduced compared with the control group after surgery, the difference was significant (F = 8.79 ~ 27.93, P = 0.000 ~ 0.005). The external and internal scores of patients with malignant bone tumors (41.13 ± 6.83) were significantly lower than that of the control group (43.42 ± 8.81), the difference was statistically significant (t = 2.18,12.33; P = 0.045,0.000 ). Conclusion: Patients with malignant bone tumors have severe psychological disorders, especially anxiety and depression, sleep and appetite, both before and after surgery. The introverted and disguising personality traits.