中老年烧伤患者心理健康现况及影响因素

发布时间：2018-09-04 10:18

【摘要】：目的探讨中老年烧伤患者的心理健康现况及其影响因素。方法 205例中年烧伤患者为研究对象,采用问卷调查方式调查患者的一般资料、希望水平、应对方式和社会支持情况。采用结构方程模型分析患者心理健康水平的影响因素。结果中老年烧伤患者的SCL-90评分中抑郁、焦虑、敌对、偏执、躯体不适、精神疾患评分及总分均显著高于国内常模(P0.05);强迫、人际关系和其他方面得分与国内常模比较统计学差异(P0.05)。单因素显示,不同婚姻状况、文化程度、医疗费用、烧伤程度患者间SCL-90总分比较有统计学差异(P0.05)。结构方程模型显示,性别、婚姻状况、文化程度、社会支持及对应方式对患者心理健康水平有直接影响作用。社会支持可以通过对应方式(0.312)间接对患者心理健康水平产生影响,文化程度可以通过对应方式(0.225)间接对患者心理健康水平产生影响。结论中年烧伤患者心理健康水平低于国内常模水平,临床医务人员应知晓其影响因素,开展有针对性的心理干预提升患者的希望水平,以达到缓解患者身心症状和提高生活质量的目的。
[Abstract]:Objective to investigate the mental health status and influencing factors of middle-aged burn patients. Methods 205 cases of middle aged burn patients were investigated by questionnaire. The general data, level of hope, coping style and social support were investigated. Structural equation model was used to analyze the influencing factors of patients' mental health level. Results the scores of depression, anxiety, hostility, paranoid ideation, somatic discomfort, mental disorder and total score in the middle and old aged burn patients were significantly higher than those in the national norm (P0.05), and the scores of compulsion, interpersonal relationship and other aspects were significantly higher than those of the domestic norm (P0.05). Univariate analysis showed that there were significant differences in total scores of SCL-90 among patients with different marital status, education, medical expenses and burn degree (P0.05). The structural equation model showed that gender, marital status, educational level, social support and corresponding ways had direct influence on the mental health level of patients. Social support can indirectly affect the mental health level of patients through the corresponding mode (0.312), and the education level can indirectly affect the mental health level of the patients through the corresponding mode (0.225). Conclusion the mental health level of middle aged burn patients is lower than that of the national norm. The clinical medical staff should know the influencing factors and carry out targeted psychological intervention to improve the patients' level of hope. In order to alleviate the physical and mental symptoms of patients and improve the quality of life.
【作者单位】：泸州医学院附属医院整形烧伤科;
【分类号】：R644

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