摘要
目的了解社区住院冠心病患者心理健康水平及相关因素的关系。方法对临床诊断为冠心病的86例患者进行症状自评量表(SCL-90)、艾森克个性问卷(EPQ)测查,并进行相关影响因素的分析。将结果与中国常模(n=1 388)比较。结果社区住院冠心病患者的SCL-90的总分(183.74±39.65)分、躯体化(2.31±0.58)分、焦虑(2.31±0.51)分、抑郁(2.20±0.61)分、恐怖(2.04±0.86)分、人际关系(2.28±0.46)分均高于常模(P<0.01);社区住院冠心病患者个性特征为情绪不稳定型,社区住院冠心病患者的心理状况易受EPQ的情绪维度(N)、冠心病病程、文化程度及家庭关系等因素的影响(P<0.05)。结论社区住院冠心病患者的心理健康水平低,并与多种因素有关。社区卫生服务应重视冠心病患者的心理健康水平,在治疗中有必要进行针对性的心理干预。
Objective To study mental health level of patients with coronary heart disease （CHD） in community. Methods By carrying out observations on 86 patients of clinically-diagnosed CHD in the community through SCL-90, EPQ, correlation analysis was made,and the results were compared with Chinese normal pattern（ n ： 1 388）. Results The total score（183.74!39.65） marks and factor score of somatization （2.31±0.58） marks,anxiety （2.31±0.51） marks, depression（2.20 ± 0.61 ） marks, phobic anxiety（ 2.04 ± 0.86 ） marks, interpersonal sensitivity （2.28±0.46） marks of SCL-90 of patients with CHD in the community were significantly higher than those of Chinese normal pattern（ P 〈0.05）. The psychologic status of CHD patients in the community was significantly influenced with the morale dimension of EPQ, CHD duration, education and family-relationship （ P 〈 0.05）. Conclusion Community patients with CHD have rather low standard of mental health, which is concerned with many factors. Therefore, community health service should think highly of mental health level of patients with CHD,it is necessary to give mental interference with clear aim in the course of treatment.
出处
《临床荟萃》
CAS
2013年第2期155-157,161,共4页
Clinical Focus
关键词
冠状动脉疾病
社区卫生服务
心理健康
coronary artery disease~ community health service
mental health
