慢性阻塞性肺疾病患者心理健康状况及其影响因素的分析研究

发布时间：2018-03-16 04:17

本文选题：慢性阻塞性肺疾病(COPD)　切入点：症状自评(SCL-)　出处：《中国现代医学杂志》2014年29期 　论文类型：期刊论文

【摘要】：目的调查慢性阻塞性肺疾病(COPD)患者的心理状况及基本情况:患者居住地、性别、COPD级别、文化程度、BMI、手术史、高血压等,社会支持度及总体幸福感对其心理状况的影响,对COPD患者的治疗、护理提出指导性意见。方法采用整群抽样方法,对经过肺功能检测筛查为COPD的103例患者进行症状自评量表(SCL-90)、社会支持评定量表(SSRS)、总体幸福感量表(GWB)调查,并了解患者基本情况。结果COPD患者SCL-90各因子得分与全国常模差异有统计学意义(P0.001)。性别在强迫症状、敌对、偏执、精神病性的差异具有统计学意义(P0.05;P0.01;P0.001);患者来源在强迫症状、人际关系、敌对、偏执、精神病性、SCL-90总评分、阳性项数的差异有统计学意义(P0.05;P0.01;P0.001);GWB评分在躯体化、强迫症状、人际关系、恐怖、焦虑、偏执、精神病性、睡眠饮食、SCL-90总评分、阳性项数的差异有统计学意义(P0.05;P0.01;P0.001)。结论 COPD患者心理健康状况较差,且受性别、学历、GWB得分、病情分级等因素的影响,因此心理疏导、干预在COPD患者缓解病情,提高生活质量方面具有重要意义。
[Abstract]:Objective to investigate the psychological status and basic conditions of patients with chronic obstructive pulmonary disease (COPD): the influence of the patients' living place, gender and COPD grade, education level, surgical history, hypertension, social support and general well-being on their psychological status. Methods A cluster sampling method was used to investigate the SCL-90, SSRS and GWBs of 103 patients who were screened for COPD by pulmonary function test. Results the scores of SCL-90 factors in COPD patients were significantly different from the national norm (P 0.001). There were significant differences in obsessive-compulsive symptoms, hostility, paranoid ideation and psychosis between patients with COPD and those with obsessive-compulsive symptoms (P 0.05), P 0.01 (P 0.01) and obsessive-compulsive symptoms (P 0.001). There were significant differences in the total score of SCL-90 and the number of positive items in interpersonal relationship, hostility, paranoid ideation, psychosis, and the number of positive items. The scores of somatization, obsessive-compulsive symptom, interpersonal relationship, terror, anxiety, paranoid ideation, psychosis, sleep diet and SCL-90 were significantly higher than those in the GWB score of somatization, obsessive-compulsive symptom, interpersonal relationship, terror, anxiety, paranoid ideation, psychosis, sleep diet. Conclusion the mental health status of COPD patients is poor, and affected by gender, academic background and GWB score, disease grading and so on. Therefore, psychological guidance and intervention in COPD patients to alleviate the condition, the difference of positive items is statistically significant (P 0.05) and P0.01 (P 0.01) P0.001.Conclusion the mental health status of patients with COPD is poor, and it is affected by gender, educational background, GWB score and disease grading. Improving the quality of life is of great significance.
【作者单位】：兰州大学第二临床医学院呼吸科;兰州大学第二医院呼吸科;
【基金】：兰州大学创新创业项目(No:20131073001058)
【分类号】：R563.9

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