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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。
Objective To understand the psychological status of patients undergoing magnetic resonance imaging and to provide a theoretical basis for improving the effect of magnetic resonance imaging. Methods A total of 150 patients with MR examination underwent psychological assessment using the Self-rating Symptom Scale (SCL-90). The SCL-90 score and norm were compared with MRI, and the SCL-90 scores of different age, gender and culture patients were compared. Results A total of 150 questionnaires were sent out and 145 copies were collected. The score of SCL-90 in all 145 patients was higher than that of the norm (all P <0.05). The overall SCL-90 scores for those under 50 years of age were lower than those over 50 (t = -3.86, P = 0.002), somatization, relationships, depression, anxiety, hostility, paranoid, and mental in the age group under 50 Symptoms of 7 factors were lower than 50 years old group (both P <0.05). The total score of SCL-90 in males was lower than that of females (t = -2.13, P = 0.035). The score of males was lower than that of females in both compulsion, depression and paranoid (all P <0.05). There was no significant difference in SCL-90 total scores and factors between patients with different educational level (all P> 0.05). Conclusion There are different degrees of psychological disturbance in MRI examination. In order to improve the effect of MR examination, timely psychological nursing is necessary, especially for elderly patients and female patients.