肌萎缩侧索硬化病患者社会支持及焦虑、抑郁状况的调查

目的 调查肌萎缩侧索硬化病（ALS）患者的社会支持、焦虑和抑郁状况,探讨影响因素,为有针对性地采取护理措施,提高患者治疗依从性提供参考.方法 采用问卷调查的形式,使用社会支持评定量表（SSRS）、汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）为评定工具,对56例肌萎缩侧索硬化患者社会支持和焦虑、抑郁发生率的状况进行调查.运用SPSS 16.0统计软件包对数据进行统计分析.结果 肌萎缩性侧索硬化患者获得的社会支持总分为24～53分,平均分为（39.36±6.15）,高于国内常模（P〈0.05）.患者焦虑、抑郁的发生率分别为26.79%和33.93%.结论 患者社会支持的整体状况较好,能得到较好的社会支持,社会支持较好的患者产生抑郁和焦虑症状的概率相对较低.要多关注女性、高年龄、低文化程度、农民及普通工作患者的社会支持状况.

Investigation of social support, anxiety and depression in patients with amyotrophic lateral sclerosis

Objective To investigate the status of social support, anxiety and depression of the Amyotrophic lateral sclerosis ( ALS) and its related influencing factors, to provide basis for the treatment and nursing. Methods To investigate 56 amyotrophic lateral sclerosis patients with the Social Support Rating Scale (SSRS), Self-evaluating Measurements of HAMD and HAM A, to statistically analyze social support, anxiety and depression of 56 patients with SPSS 16.0 Statistical Package. Results The total score of social support of the Amyotrophic lateral sclerosis patients was 24 to 53. The average score was (39. 36 ±6. 15) , which was higher than the value of domestic norm (P <0. 05). The incidence rates of anxiety and depression among ALS patients were 26. 79% and 33. 93%. Conclusions The overall status of social support for the Amyotrophic lateral sclerosis patients is good, patients who get more social support get less anxiety and depression. More social support is need for the amyotrophic lateral sclerosis patients who are women, elderly, farmer, ordinary worker and get lower educational level,