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老年功能性消化不良的心理评估及护理对策
引用本文:侯煜,徐若男,杨艳,周洁琛,张芳.老年功能性消化不良的心理评估及护理对策[J].实用临床医药杂志,2013,17(2):54-56.
作者姓名:侯煜  徐若男  杨艳  周洁琛  张芳
作者单位:南京军区南京总医院干部消化内科,江苏南京,210002
摘    要:目的评估老年功能性消化不良(FD)患者的心理状态,并探讨相应护理对策。方法采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和症状自评量表(SCL-90)对FD组38例和正常对照组41例研究对象分别进行心理评估。结果 FD组SDS、SAS评分均显著高于正常对照组(P<0.01);FD组SCL-90量表中躯体化和强迫的因子分高于正常对照组(P<0.05),抑郁和焦虑的因子分显著高于正常对照组(P<0.01)。结论老年FD患者容易发生抑郁、焦虑等不良心理反应,有必要加强相关护理措施。

关 键 词:心理评估  老年人  功能性消化不良  抑郁  焦虑

Psychological assessment and nursing measures for elderly patients with functional dyspepsia
HOU Yu , XU Ruonan , YANG Yan , ZHOU Jiechen , ZHANG Fang.Psychological assessment and nursing measures for elderly patients with functional dyspepsia[J].Journal of Clinical Medicine in Practice,2013,17(2):54-56.
Authors:HOU Yu  XU Ruonan  YANG Yan  ZHOU Jiechen  ZHANG Fang
Institution:(Department of Gastroenterology,Nanjing General Hospital of Nanjing Command,Nanjing,Jiangsu,210002)
Abstract:Objective To assess the psychological status of elderly patients with functional dyspepsia(FD) and explore the corresponding nursing countermeasures.Methods 79 elderly patients with FD were divided into FD group(n=38) and control group(n=41).Both of two groups were evaluated by Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS) and Symptom Checklist 90(SCL-90).Results Both of SDS and SAS scores in FD group were significantly higher than control group(P<0.01).Scores of somatization and obsessive-compulsive factors of SCL-90 in FD group were higher than control group(P<0.05),and scores of depression and anxiety factors of SCL-90 in FD group were significantly higher than control group(P<0.01).Conclusion Elderly patients with functional dyspepsia are prone to depression,anxiety and other adverse psychological reactions,so it is necessary to strengthen related nursing measures.
Keywords:psychological assessment  the elderly  functional dyspepsia  depression  anxiety
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