目的 初步测试中文版情绪障碍快速筛查量表K6、SCL-8AD及其分量表(SCL-8、SCL-ANX4及SCL-DEP6)在综合医院内科和精神科住院患者中的适用性。 方法 2011年11月-12月对四川大学华西医院内科(心脏内科、消化内科、风湿免疫科、内分泌科、神经内科)和精神科的住院患者共373例应用由K6和SCL-8AD量表构成的问卷进行自评,分析总问卷、各量表及分量表的信度及相互之间的相关性;在各科患者间进行评分结果差异性比较,并分别将内科及精神科评分结果与住院日进行相关分析。 结果 各量表及全问卷的Cronbach’s α系数和分半系数>0.75(内科:0.802~0.952,精神科:0.774~0.944);其中,K6及SCL-8的Cronbach’s α系数和分半系数在内科及精神科均≥0.817。总问卷、各量表及分量表相互之间均存在较高相关性(r≥0.676);其中,K6及SCL-8与问卷总分均有极高相关性(r≥0.959)。问卷总分、各量表及分量表评分内科组均低于精神科组。 结论 条目少、操作简便的中文版K6和SCL-8量表内部一致性高、其评定结果能较全面反应综合医院内科及精神科住院患者中不同程度的焦虑及抑郁情绪,值得对其进行更深入研究,以便推广应用于非精神科患者情绪障碍的快速筛查。
Objective To review the clinical operation methods of abdominal incisional hernia. Methods Classification, operation method and fellow-up of 78 patients with abdominal incisional hernia were retrospectively analyzed. Results The average time of fellow-up was 26 months. Nineteen cases were repaired with simple suture with 3 cases (15.8%) recurrence, 57 cases were repaired with man-made material with 2 case (3.4%) recurrence. Conclusions Individual operation method should be chosen according to body condition, classification of the size of abdominal loss and abdominal hypertension. It is an effective method to repair the hernia of abdominal incision with man-made material.