心脏起搏患者术前社会心理状况及其影响因素

目的了解心脏起搏患者术前社会心理状况及其影响因素.方法采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS)评价125例心脏起搏患者心脏起搏术前社会、心理状况及其影响因素.结果症状自评量表调查显示:125例心脏起搏患者存在以焦虑(60人)、躯体化(57人)、恐怖(38人)、抑郁(55人)、人际关系(34人)为主要表现的心理问题,其因子得分均高于国内常模,差异有显著性(P均＜0.01).焦虑自评量表(SAS)、抑郁自评量表(SDS)积分明显高于25例对照组,差异有显著性(P均＜0.01),而社会支持评定量表(SSRS)积分则明显低于对照组,差异有显著性(P＜0.01).多元逐步回归分析显示症状自评量表(SCL-90)积分与经济收入、病情严重程度、人际关系、家庭生活显著关联(P均＜0.01).收稿: Oct. 16, 2003结论心脏起搏患者存在焦虑、躯体化、恐怖、抑郁、人际关系等明显心理问题,社会支持不满意.同时经济收入、病情严重程度、人际关系、家庭生活是影响患者心理状况的主要因素.

Investigation of sociopsychological status and its influence factors in cardiac-pacing patients

Objective: To investigate the sociopsychological status and its related influence factors. Method: SCL-90 (Symptom Checklist 90) was used for evaluating the psychological status of the patients. The total factors score >160 or the single factor score >2 suggested the patient has psychological problem. SAS(Self-Rating Anxiety Scale), SDS (Self-Rating Depression Scale) and SSRS (Social Support Scale) were used for rating the situation in anxiety, depression and social-supporting respectively. The scores in anxiety, depression and social-supporting of cadiac-pacing patients were compared respectively with those of the control. Result: The SCL-90 showed the 125 cardiac-pacing patients had serious psychological problems in five factors: anxiety (60 patients), somatization (57 patients), phobic anxiety (38 patients), depression (55 patients), interpersonal sensitivity(34 patients). All of the factors scores were respectively significant higher than those of the corresponding normal (P <0.01). The scores of SAS and SDS of the patients were also significantly higher than those of the control (P <0.01). However the score of SSRS was significantly lower than that of the control(P <0.01). Multistep regressive analysis showed the income, the severity of the disease, the interpersonal relation and the living of the family were markedly related to the total score of the SCL-90. Conclusion: Cardiac-pacing patients have obvious psychological problems in anxiety, somatization, phobic anxiety, depression, interpersonal sensitivity and social supporting. The income, the severity of the disease, the interpersonal relation and the living of the family were markedly related to the psychological status.