功能性消化不良患者社会心理状况分析及护理

目的了解社会心理因素对功能性消化不良(FD)的影响及对策。方法采用艾森克个人问卷(EPQ)成人版、Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)、生活事件量表(LES)和社会支持评定量表对124例FD患者(FD组)及98例无消化不良者(对照组)进行评分。结果FD组患者内外向分值显著低于对照组(P<0.01),神经质、抑郁、焦虑、负性生活事件分值显著高于对照组(P<0.01),FD组神经质与SDS、SAS、LES分值之间呈正相关(P<0.01);FD组主观支持的分值明显地高于对照组(P<0.01),而对支持的利用度明显地低于对照组(P<0.01)。结论FD组具有明显的内向和神经质、焦虑、抑郁个性,并与负性生活事件有关,更需要得到社会的支持。

Analysis on social-psychological status of patients with functional dyspepsia and nursing countermeasures

Objective To explore the influence of social-psychological factors upon the patients with functional dyspepsia(FD) and to put forward the countermeasures.Methods 124 FD patients and 98 persons who did not suffer FD were investigated by the following scales: Eysenck Personality Questionnaire(Adult Edition),Zung's Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),Life Event Scale(LES),and Social Support Rating Scale(SSS).Results The introversion and extroversion scores of FD patients were significantly lower than that of the persons who did not suffer FD(P<0.01),while the scores of nervousness,depression,anxiety and negative life event of the former were significantly higher than those of the latter(P<0.01). In FD patients,their nervousness scores was positive correlation with their SDS,SAS,LES scores(P<0.01).The scores of subjective support of FD patients were significantly higher than that of the persons who did not suffer FD(P<0.01),while the utilization ratio of support of the former was significantly lower than that of the latter(P<0.01).Conclusions FD patients have the personalities of introversion,nervousness,anxiety and depression,which are relative with negative life events,thus they need more supports from the society.