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目的:本研究通过对勃起功能障碍(erectile dysfunction,ED)患者人格特点及患病后心理状况调查分析,根据ED患者不同的人格特点及心理状态进行心理疏导,帮助提高患者的依从性,改善负性心理,达到临床康复,提高生活质量。方法:选择2016年3月—2017年3月至南京大学医学院附属鼓楼医院男科就诊并入院诊疗的ED患者105例,年龄26~64(33.26±9.04)岁,明确诊断后采用问卷调查方式,使用艾森克人格问卷简式量表中国版(Eysenck personality questionnaire,EPQ)、症状自评量表(symptom checklist 90,SCL-90)评估患者人格特征及心理健康状况,采用国际勃起功能指数问卷5(international index of erectile function 5,IIEF-5)评定患者勃起功能。结果:ED患者EPQ量表中内外向、精神病性、神经质与常模比较差异有统计学意义(P<0.05);SCL-90量表中除人际关系外,其余各项因子检验分均高于全国常模(P均<0.05);SCL-90与EPQ测验结果之间相关显著,EPQ的精神病性、神经质与SCL-90中多数因子呈正相关,EPQ中的外倾向与SCL-90中的人际关系呈负相关(P<0.05)。结论:ED患者人格特征与常人差异有统计学意义,并存在明显心理问题,应根据ED患者不同的人格特点及心理状态进行心理疏导,帮助提高患者依从性,改善负性心理,达到临床康复及提高生存质量。本研究为临床ED患者的心理治疗提供理论基础。
Objective: In this study, through investigation and analysis of personality traits and post-illness mental status of erectile dysfunction (ED) patients, we conducted psychological counseling according to different personality traits and psychological status of ED patients to help improve patient compliance and improve negative Sexual psychology, to achieve clinical rehabilitation, improve the quality of life. Methods: From March 2016 to March 2017, 105 patients with ED who were admitted to the Gulou Hospital Affiliated to Nanjing University Medical College and aged from 26 to 64 (33.26 ± 9.04) years were enrolled. A questionnaire was used to confirm the diagnosis. The Eysenck personality questionnaire (EPQ) and symptom checklist 90 (SCL-90) were used to evaluate the personality traits and mental health of the patients. The International Erectile Dysfunction Index Questionnaire 5 (International index of erectile function 5, IIEF-5) to assess erectile function in patients. Results: There was significant difference in EPQ scale among ED patients, psychosis, neuroticism and norm (P <0.05). In addition to interpersonal relationship, SCL-90 scores were higher than those of other factors (P <0.05). There was a significant correlation between SCL-90 and EPQ test results. The psychotic and neuroticism of EPQ were positively correlated with most of SCL-90. The extroversion of EPQ correlated with the interpersonal relationship of SCL-90 The relationship was negatively correlated (P <0.05). Conclusion: There is significant difference between personality traits and common people in ED patients and there are obvious psychological problems. Psychological counseling should be based on different personality traits and psychological status of ED patients, which can help to improve patient compliance, improve negative psychology, achieve clinical rehabilitation and Improve the quality of life. This study provides the theoretical basis for the psychotherapy of patients with clinical ED.