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目的了解癫痫所致精神障碍患者康复期心理卫生状况。方法对70例癫痫所致精神障碍患者于出院前一周及出院后6个月进行SCL-90测定。结果出院前一周,除强迫因子外,其余各因子及总分、总均分显著高于常模(P<0.05,P<0.01,P<0.001)。其中抑郁、焦虑、敌对,偏执极其显著高于国内常模(P<0.001)。出院6个月,躯体化、敌对、恐怖、偏执、人际关系敏感,精神病性因子分下降显著(P<0.05,P<0.01),但抑郁、焦虑因子分下降不明显,仍极其显著高于国内常模(P<0.001)。结论癫痫所致精神障碍患者康复期存在明显的心理卫生问题。审视自己的临床实践,重视癫痫治疗中抑郁、焦虑问题,这对临床工作者十分必要的。
Objective To understand the psychological health status of patients with mental disorders in convalescence during convalescence. Methods 70 patients with mental disorders caused by epilepsy were measured SCL-90 one week before discharge and 6 months after discharge. Results In the week prior to discharge, all the other factors and total scores, except for forcing factor, were significantly higher than those of the norm (P <0.05, P <0.01, P <0.001). Among them, depression, anxiety, hostility and paranoid were extremely significantly higher than those in China (P <0.001). At 6 months after discharge, there was a significant decrease in somatization, hostility, terror, paranoia, interpersonal sensitivity and psychotic factors (P <0.05, P <0.01), but depression and anxiety were not significantly decreased Normal mode (P <0.001). Conclusion There are obvious mental health problems in the rehabilitation of patients with epilepsy-induced mental disorders. Review their own clinical practice, attention to the treatment of depression, anxiety, epilepsy, which is very necessary for clinicians.